Document Detail

Effect of the SARS outbreak on visits to a community hospital emergency department.
MedLine Citation:
PMID:  17338843     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To examine the effect of severe acute respiratory syndrome (SARS) on visits to a community hospital emergency department (ED) during the early stage of the Toronto outbreak in 2003 and for the same period in 2004. We focused on visits for respiratory illness (SARS-like symptoms) and different age groups.
METHODS: This study is a retrospective review of ED discharge diagnoses obtained from a computerized database, examining the 4-week period starting March 28 for the years 2001-2004. We obtained the discharge diagnosis, age and visit date for each ED patient during the relevant time intervals, then compared visit data from 2003 and 2004 with a baseline derived from the average number of visits during 2001 and 2002. We constructed groupings based on age and respiratory-illness symptoms.
RESULTS: During the SARS outbreak in 2003, ED visits declined by 21% (95% confidence interval [CI], 18%-24%) over the 4-week study period. The greatest reduction was for combined infant and toddler visits (69%; 95% CI, 58%-79%); these did not recover the following year. However, during the SARS outbreak there was a large increase in the number of visits for respiratory illnesses in adults (61%; 95% CI, 46%-75%) and in teenagers (132%; 95% CI, 82%-182%).
CONCLUSIONS: During the SARS outbreak, total ED visits fell. The relative decline was most notable for infants and toddlers. By contrast, there was an increase in respiratory illness-related visits for adults and teenagers. In 2004, the year following the SARS outbreak, visit patterns shifted toward baseline levels, but ED visits by infants and toddlers remained depressed.
Michael Heiber; W Y Wendy Lou
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  CJEM     Volume:  8     ISSN:  1481-8035     ISO Abbreviation:  CJEM     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2007-03-06     Completed Date:  2007-04-03     Revised Date:  2011-10-05    
Medline Journal Info:
Nlm Unique ID:  100893237     Medline TA:  CJEM     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  323-8     Citation Subset:  IM    
Department of Family and Community Medicine, Scarborough Hospital, Toronto, Ontario, Canada.
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MeSH Terms
Chi-Square Distribution
Child, Preschool
Disease Outbreaks*
Emergency Service, Hospital / utilization*
Hospitals, Community*
Middle Aged
Ontario / epidemiology
Retrospective Studies
Severe Acute Respiratory Syndrome / diagnosis*,  epidemiology
Statistics, Nonparametric

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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