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Changes in emergency department use in British Columbia, Canada, during the first 3 years of the COVID-19 pandemic

Background: Previous studies have shown reductions in the volume of emergency department visits early in the COVID-19 pandemic, but few have evaluated the pandemic’s impact over time or stratified analyses by reason for visits. We aimed to quantify such changes in British Columbia, Canada, cumulatively and during prominent nadirs, and by reason for visit, age and acuity.

Methods: We included data from the National Ambulatory Care Reporting System for 30 emergency departments across BC from January 2016 to December 2022. We fitted generalized additive models, accounting for seasonal and annual trends, to the monthly number of visits to estimate changes throughout the pandemic, compared with the expected number of visits in the absence of the pandemic. We determined absolute and relative differences at various times during the study period, and cumulatively since the start of the pandemic until the overall volume of emergency department visits returned to expected levels.


United Kingdom , Vancouver Island , British Columbia , United States , Natalie Prystajecky , Alexis Crabtree , Moe Zandy , Aman Dheri , Kate Smolina , Jiayun Yao , Braeden Klaver , Michael Irvine , National Ambulatory Care Reporting System , Emergency Department , Ministry Of Health , Regional Health Authorities , Bc Centre For Disease , Canadian Emergency Department Information System , Bc Provincial Health Services Authority , Health Services Authority , Bc Ministry Of Health , International Classification Of Diseases , Vancouver Island Health , Vancouver Coastal Health , Disease Control , Presenting Complaint List ,

COVID-19 Pandemic Alters Emergency Department Use in BC

COVID-19 Pandemic Alters Emergency Department Use in BC
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United Kingdom , British Columbia , Kate Smolina , Eric Grafstein , Catherine Varner , Canadian Medical Association Journal , British Columbia Centre For Disease Control , Providence Health Care , Vancouver Coastal Health , Analytic Services , British Columbia Centre , Disease Control , Knowledge Translation , Providence Health ,

Exploring the impact of COVID-19 pandemic on emergency department use in British Columbia

Exploring the impact of COVID-19 pandemic on emergency department use in British Columbia
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United Kingdom , British Columbia , Kate Smolina , Eric Grafstein , Catherine Varner , Canadian Medical Association Journal , Providence Health Care , Vancouver Coastal Health , British Columbia Centre For Disease Control , Analytic Services , British Columbia Centre , Disease Control , Knowledge Translation , Providence Health ,