Pediatric emergency departments and urgent care visits in houston after hurricane Harvey
Fanny SA, Kaziny BD, Cruz AT, Camp EA, Murray KO, Nichols TJ, Chumpitazi CE. Pediatric Emergency Departments and Urgent Care Visits in Houston after Hurricane Harvey. West J Emerg Med. 2021 May 26;22(3):763-768. doi: 10.5811/westjem.2021.2.49050. PMID: 34125058; PMCID: PMC8203006
INTRODUCTION: Natural disasters are increasingly common and devastating. It is essential to understand children's health needs during disasters as they are a particularly vulnerable population. The objective of this study was to evaluate pediatric disease burden after Hurricane Harvey compared to the preceding month and the same period in the previous year to inform pediatric disaster preparedness.
METHODS: This was a retrospective cross-sectional study of patients seen at pediatric emergency departments (ED) and urgent care centers (UCC) 30 days before (late summer) and after (early fall) the hurricane and from the same time period in 2016. We collected demographic information and the first five discharge diagnoses from a network of EDs and UCCs affiliated with a quaternary care children's hospital in Houston, Texas. We calculated the odds of disease outcomes during various timeframes using binary logistic regression modeling.
RESULTS: There were 20,571 (median age: 3.5 years, 48.1% female) and 18,943 (median age: 3.5 years, 47.3% female) patients in 2016 and 2017, respectively. Inpatient admission rates from the ED a month after Harvey were 20.5%, compared to 25.3% in the same period in 2016 (P
CONCLUSION: We observed increases in rashes, trauma, and toxicological diagnoses in children after a major flood. These findings highlight the need for more medication resources and public health and education measures focused on pediatric disaster preparedness and management.