Impact of the first COVID-19 shelter-in-place order in the United States on emergency department utilization, Marin County, California
Impact of the first COVID-19 shelter-in-place order in the United States on emergency department utilization, Marin County, California
ABSTRACT BackgroundThe first shelter-in-place (SIP) order in the United States was issued across six counties in the San Francisco Bay Area to reduce the impact of COVID-19 on critical care resources. We sought to assess the impact of this large-scale intervention on emergency departments (ED) in Marin County, California. MethodsWe conducted a retrospective descriptive and trend analysis of all ED visits in Marin County, California from January 1, 2018 to May 4, 2020 to quantify the temporal dynamics of ED utilization before and after the March 17, 2020 SIP order. ResultsThe average number of ED visits per day decreased by 52.3% following the SIP order compared to corresponding time periods in 2018 and 2019. Both respiratory and non-respiratory visits declined, but this negative trend was most pronounced for non-respiratory admissions. ConclusionsThe first SIP order to be issued in the United States in response to COVID-19 was associated with a significant reduction in ED utilization in Marin County.
George Michaela F.、Hannah Haylea、Ereman Rochelle R.、Willis Matthew、Bayles Brett R.、Ballard Dustin W.、Culross Patti
Department of Global Public Health, Dominican University of CaliforniaMarin County Department of Health and Human Services||Department of Epidemiology, School of Public Health, University of WashingtonDepartment of Global Public Health, Dominican University of California||Marin County Department of Health and Human ServicesMarin County Department of Health and Human ServicesDepartment of Global Public Health, Dominican University of CaliforniaMarin County Department of Health and Human Services||Kaiser Permanente, Emergency Medical Services DepartmentDepartment of Global Public Health, Dominican University of California
医学现状、医学发展医学研究方法预防医学
COVID-19emergency departmentrespiratory illnesstemporal trends
George Michaela F.,Hannah Haylea,Ereman Rochelle R.,Willis Matthew,Bayles Brett R.,Ballard Dustin W.,Culross Patti.Impact of the first COVID-19 shelter-in-place order in the United States on emergency department utilization, Marin County, California[EB/OL].(2025-03-28)[2025-08-02].https://www.medrxiv.org/content/10.1101/2020.07.01.20144691.点此复制
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