Electronic Medical Record, Emergencies, Epidemic Disease, Pediatric ALL
Conditions
Keywords
Pediatric Emergency Medicine, Emergency Service Hospital, Pediatrics, Epidemics, Respiratory Syncytial Viruses, Influenza, Human, SARS-CoV-2, Sports
Brief summary
A retrospective cohort study to explore the impact of the FIFA World Cup 2022 Qatar on paediatric emergency department attendance at two tertiary centres during unprecedent winter viral epidemics.
Detailed description
Earlier studies have reported contradictory relationship between major sporting events and paediatric emergency department attendance. None were conducted during an epidemic surge. The FIFA football World Cup 2022 was held for the first time in its history during the winter period in the northern hemisphere during unprecedented cumulative waves of respiratory syncitial virus (RSV), influenza and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemics. This study aims to measure the impact of such a global major sporting events on the pattern of paediatric emergency department use and hospital admissions during a peak epidemic season in 2 tertiary hospitals. The study hypothesis was that major sporting events, even during an epidemic peak, can reduce the number of paediatric emergency department visits compared with periods without a sporting event. Major sporting events could serve as a model for identifying human behaviours and patterns leading to paediatric emergency department misuse, in order to develop public health interventions to better rationalise health-seeking behaviours.
Interventions
OTHERNO intervention
NO intervention
Sponsors
University of Lausanne Hospitals
Pediatric Clinical Research Platform
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 16 Years
Healthy volunteers
No
Inclusion criteria
* all patients
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PED visits | Institutional electronic medical records analysed retrospectively from October 1st, 2022 to December 31, 2022 | Retrospective analysis of number of PED visits (counts). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Chief complaint | Institutional electronic medical records analysed retrospectively from October 1st, 2022 to December 31, 2022 | Retrospective analysis of number of PED visits (counts) by chief complaints. |
| Main diagnosis | Institutional electronic medical records analysed retrospectively from October 1st, 2022 to December 31, 2022 | Retrospective analysis of number of PED visits (counts) by main diagnosis (coded using the International Classification of Primary Care, 2nd edition \[ICPC-2\], and International Statistical Classification of Diseases and Related Health Problems, 10th revision \[ICD-10-GM\]). |
| Audience | Analysed retrospectively from October 1st, 2022 to December 31, 2022 | Daily television and online media audience collected by the independent, multi-platform Swiss national foundation for media research (Mediapulse AG, Bern, Switzerland). |
| Triage acuity score | Institutional electronic medical records analysed retrospectively from October 1st, 2022 to December 31, 2022 | Retrospective analysis of number of PED visits (counts) by triage acuity score (coded using the 5-level Canadian Triage and Acuity Scale (from level 1 \[resuscitation\] to level 5 \[nonurgent\]). |
| Influenza incidence | Analysed retrospectively from October 1st, 2022 to December 31, 2022 | Influenza-incidence among children visiting the PED during the study period will be obtained from the institutional electronic medical records. RSV testing on nasopharyngeal swabs uses reverse-transcription polymerase chain reaction at the point of care. |
| SARS-CoV-2 incidence | Analysed retrospectively from October 1st, 2022 to December 31, 2022 | SARS-CoV-2-incidence among children visiting the PED during the study period will be obtained from the institutional electronic medical records. SARS-CoV-2 testing on nasopharyngeal swabs uses reverse-transcription polymerase chain reaction at the point of care. |
| RSV incidence | Analysed retrospectively from October 1st, 2022 to December 31, 2022 | RSV-incidence estimates among children will be obtained from the anonymised Swiss RSV EpiCH multicentre database. RSV testing uses reverse-transcription polymerase chain reaction or rapid antigen test at the point of care. |
Countries
Switzerland
Outcome results
None listed