![]() Visit rates are based on estimates of the U.S. ![]() NOTES: Based on a sample of 14,860 emergency department (ED) visits made by patients in 2020, representing approximately 131 million ED visits. Emergency department visit rate, by age group: United States, 2020ġSignificantly different from under 1 and 75 and over. ED visit rates were similar for adults aged 18–74, ranging from 39 to 43 visits per 100 people.įigure 1.The ED visit rate for children aged 1–17 years (29 visits per 100 children) was lower than the rates for all adult age groups.The ED visit rates for infants under age 1 year (68 visits per 100 infants) and adults aged 75 and over (63 visits per 100 people) were higher compared with all other age groups.An estimated 131 million ED visits occurred in 2020, with a total ED visit rate of 40 visits per 100 people ( Figure 1).Keywords: COVID-19, emergency care, patient characteristics, National Hospital Ambulatory Medical Care Survey What was the ED visit rate in 2020, and did visit rates vary by age group? This report presents characteristics of ED visits, including those with mentions of COVID-19, by age group, sex, race and ethnicity, and primary expected source of payment, using data from the 2020 National Hospital Ambulatory Medical Care Survey (NHAMCS) ( 5). In that time, over 20 million cases of COVID-19 caused a disruption in access to and use of care ( 4). Emergency medicine-focused research at Lurie Children’s is conducted through the Grainger Research Program in Pediatric Emergency Medicine.In 2020, an estimated 131 million emergency department (ED) visits occurred in the United States, with 19.0% of adults reporting a visit and 4.7% of children reporting two or more visits in the past 12 months ( 1–3). It is the pediatric training ground for Northwestern University Feinberg School of Medicine. Lurie Children’s is ranked as one of the nation’s top children’s hospitals by U.S. The Manne Research Institute is focused on improving child health, transforming pediatric medicine and ensuring healthier futures through the relentless pursuit of knowledge. Lurie Children’s Hospital of Chicago is conducted through Stanley Manne Children’s Research Institute. Given that most pediatric emergency care occurs at non-children’s hospitals and the declaration of a national emergency in pediatric mental health by the American Academy of Pediatrics, all EDs should be equipped with adequate resources, policies, and staff training to manage pediatric mental health needs.” “We observed a relative increase in the proportion of children presenting to community hospitals compared to a children’s hospital and academic medical ED. ![]() “Our study is unique in its examination of trends in pediatric mental health ED visits at community hospitals,” said senior author Jennifer Hoffmann, MD, Emergency Medicine physician at Lurie Children’s and Assistant Professor of Pediatrics at Northwestern University Feinberg School of Medicine. The study analyzed mental health ED visits by children age 5-17 years in the Chicago area from March 2018 to March 2021 at a 10-hospital academic medical system (one academic medical hospital and nine community hospitals) and Lurie Children’s. We also found increased pediatric ED visits for disruptive, impulse control and conduct disorders, which may have worsened because of inability to access outpatient services or because of psychosocial stressors imposed by the pandemic.” “Our findings suggest that emergency care is increasingly reserved for more severe cases of mood disorders involving risk of self-harm. “During the pandemic, we found fewer ED visits for depression and anxiety and more visits for suicide or self-injury,” said lead author Lavanya Shankar, MD, MS, a hospitalist at Lurie Children’s and Health System Clinician of Pediatrics at Northwestern University Feinberg School of Medicine. The authors found increased ED visits for suicide, self-injury and disruptive behaviors, as well as higher admission rates for these children. Lurie Children’s Hospital of Chicago published in the journal Academic Pediatrics. ![]() In the Chicago area, pediatric mental health Emergency Department (ED) visits increased 27 percent at the onset of the COVID-19 pandemic, followed by a 4 percent increase monthly through February 2021, according to a study from Ann & Robert H. ![]()
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