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Table 2 Number and percentage of PED visits for all study variables by time period (i.e., pre-COVID and COVID periods) and main outcome (i.e., avoidable and not avoidable)

From: Avoidable visits to the paediatric emergency department: associated factors and lessons learned from the pandemic

 

Pre-COVID period (2263 days)

COVID period(294 days)

 

Avoidable PED Visit

No

Yes

Overall

No

Yes

Overall

p-value

pre-COVID and COVID periods

n

275,584

192,104

467,688

21,585

11,071

32,656

 

Age (years) (%)

       

[0...2]

77,191 (28.0)

63,426 (33.0)

140,617 (30.1)

7131 (33.1)

3661 (33.1)

10,792 (33.1)

< 0.001

[3...5]

42,757 (15.5)

42,384 (22.1)

85,141 (18.2)

3052 (14.2)

2135 (19.3)

5187 (15.9)

 

[6...8]

33,432 (12.1)

26,767 (13.9)

60,199 (12.9)

2273 (10.5)

1291 (11.7)

3564 (10.9)

 

[9...11]

38,462 (14.0)

20,725 (10.8)

59,187 (12.7)

2629 (12.2)

1232 (11.1)

3861 (11.8)

 

[12...14]

38,975 (14.2)

17,572 (9.2)

56,547 (12.1)

2808 (13.0)

1169 (10.6)

3977 (12.2)

 

[15...17]

44,613 (16.2)

21,128 (11.0)

65,741 (14.1)

3673 (17.0)

1572 (14.2)

5245 (16.1)

 

Sex = Male (%)

145,507 (52.8)

103,768 (54.0)

249,275 (53.3)

11,469 (53.1)

6101 (55.1)

17,570 (53.8)

0.079

Season (%)

      

< 0.001

Fall (1/9 to 30/11)

75,953 (27.6)

50,053 (26.1)

126,006 (26.9)

10,223 (47.4)

3205 (28.9)

13,428 (41.1)

 

Spring (1/3 to 31/5)

68,702 (24.9)

47,772 (24.9)

116,474 (24.9)

3723 (17.2)

3160 (28.5)

6883 (21.1)

 

Summer (1/6 to 31/8)

52,041 (18.9)

40,523 (21.1)

92,564 (19.8)

6440 (29.8)

4199 (37.9)

10,639 (32.6)

 

Winter (1/12 to 28/2)

78,888 (28.6)

53,756 (28.0)

132,644 (28.4)

1199 (5.6)

507 (4.6)

1706 (5.2)

 

Weekend = No (%)

205,503 (74.6)

139,009 (72.4)

344,512 (73.7)

16,150 (74.8)

8183 (73.9)

24,333 (74.5)

0.001

Time of day (%)

(24 h clock)

      

< 0.001

[0...3]

20,374 (7.4)

13,893 (7.2)

34,267 (7.3)

1579 (7.3)

887 (8.0)

2466 (7.6)

 

[4...7]

11,122 (4.0)

6089 (3.2)

17,211 (3.7)

766 (3.5)

294 (2.7)

1060 (3.2)

 

[8...11]

53,599 (19.4)

35,234 (18.3)

88,833 (19.0)

3980 (18.4)

1820 (16.4)

5800 (17.8)

 

[12...15]

62,277 (22.6)

41,483 (21.6)

103,760 (22.2)

4963 (23.0)

2363 (21.3)

7326 (22.4)

 

[16...19]

64,012 (23.2)

45,709 (23.8)

109,721 (23.5)

5297 (24.5)

2684 (24.2)

7981 (24.4)

 

[20...23]

64,200 (23.3)

49,696 (25.9)

113,896 (24.4)

5000 (23.2)

3023 (27.3)

8023 (24.6)

 

Residence municipality (%)

      

< 0.001

Porto

60,347 (22.0)

43,493 (22.7)

103,840 (22.3)

4395 (20.5)

2233 (20.3)

6628 (20.4)

 

Maia

41,922 (15.3)

28,136 (14.7)

70,058 (15.0)

3241 (15.1)

1588 (14.4)

4829 (14.9)

 

Matosinhos

45,162 (16.5)

30,563 (16.0)

75,725 (16.3)

3709 (17.3)

1854 (16.9)

5563 (17.1)

 

Gondomar

53,007 (19.3)

37,707 (19.7)

90,714 (19.5)

3839 (17.9)

1955 (17.8)

5794 (17.9)

 

Valongo

34,195 (12.5)

22,948 (12.0)

57,143 (12.3)

2562 (11.9)

1224 (11.1)

3786 (11.7)

 

Other

39,753 (14.5)

28,380 (14.8)

68,133 (14.6)

3716 (17.3)

2143 (19.5)

5859 (18.1)

 

Referral = No (%)

225,236 (81.8)

165,606 (86.3)

390,842 (83.6)

13,184 (61.2)

7267 (65.8)

20,451 (62.7)

< 0.001

Made return visit 72 h prior = No (%)

259,026 (94.0)

182,086 (94.8)

441,112 (94.3)

20,614 (95.5)

10,525 (95.1)

31,139 (95.4)

< 0.001

Visit by frequent attender = No (%)

227,741 (82.6)

154,891 (80.6)

382,632 (81.8)

19,331 (89.6)

9990 (90.2)

29,321 (89.8)

< 0.001

Triage level (%)

       

1

781 (0.3)

21 (0.0)

802 (0.2)

77 (0.4)

0 (0.0)

77 (0.2)

 

2

23,914 (8.7)

3075 (1.6)

26,989 (5.8)

1497 (6.9)

229 (2.1)

1726 (5.3)

 

3

117,271 (42.6)

67,824 (35.3)

185,095 (39.6)

9322 (43.2)

3615 (32.7)

12,937 (39.6)

 

4

126,449 (45.9)

109,054 (56.8)

235,503 (50.4)

9161 (42.4)

6114 (55.2)

15,275 (46.8)

 

5

7160 (2.6)

12,120 (6.3)

19,280 (4.1)

1527 (7.1)

1113 (10.1)

2640 (8.1)

 

Discharge physician’s speciality (%)

      

< 0.001

Paediatrics

172,323 (62.5)

127,056 (66.1)

299,379 (64.0)

14,841 (68.8)

6168 (55.7)

21,009 (64.3)

 

Orthopaedics

64,809 (23.5)

6428 (3.3)

71,237 (15.2)

3362 (15.6)

378 (3.4)

3740 (11.5)

 

Paediatric surgery

29,151 (10.6)

29,662 (15.4)

58,813 (12.6)

2445 (11.3)

2600 (23.5)

5045 (15.4)

 

Ophthalmology

641 (0.2)

13,610 (7.1)

14,251 (3.0)

53 (0.2)

789 (7.1)

842 (2.6)

 

Otolaryngology

3372 (1.2)

8939 (4.7)

12,311 (2.6)

244 (1.1)

679 (6.1)

923 (2.8)

 

Stomatology

770 (0.3)

3235 (1.7)

4005 (0.9)

87 (0.4)

189 (1.7)

276 (0.8)

 

Immunoallergology

584 (0.2)

667 (0.3)

1251 (0.3)

15 (0.1)

9 (0.1)

24 (0.1)

 

Obstetrics

427 (0.2)

421 (0.2)

848 (0.2)

53 (0.2)

46 (0.4)

99 (0.3)

 

Plastic and Reconstructive surgery

524 (0.2)

274 (0.1)

798 (0.2)

12 (0.1)

0 (0.0)

12 (0.0)

 

Other

2983 (1.1)

1812 (0.9)

4795 (1.0)

473 (2.2)

213 (1.9)

686 (2.1)

 

Returns within 72 h = No (%)

260,156 (94.4)

181,651 (94.6)

441,807 (94.5)

20,597 (95.4)

10,588 (95.6)

31,185 (95.5)

< 0.001

  1. The p-values presented are from a Chi-squared test, comparing proportions of overall pre-COVID and COVID periods. n.b. “=No” indicates the presented category e.g. Referral = No, means patients were not referred