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Association between school learning models and psychological and social health visits to the emergency room.
Knier, Kit; Weinman, Aliza; Mullan, Aidan; Cain, Meghan; Hevesi, Sara; Bellamkonda, Venkatesh R.
Afiliación
  • Knier K; Mayo Clinic Alix School of Medicine, Mayo Clinic College of Medicine and Science Rochester Minnesota USA.
  • Weinman A; Mayo Clinic Medical Scientist Training Program, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic College of Medicine and Science Rochester Minnesota USA.
  • Mullan A; Department of Emergency Medicine Mayo Clinic College of Medicine and Science Rochester Minnesota USA.
  • Cain M; Department of Biostatistics and Informatics Mayo Clinic Rochester Minnesota USA.
  • Hevesi S; Department of Emergency Medicine Mayo Clinic College of Medicine and Science Rochester Minnesota USA.
  • Bellamkonda VR; Department of Emergency Medicine Mayo Clinic College of Medicine and Science Rochester Minnesota USA.
J Am Coll Emerg Physicians Open ; 5(2): e13157, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38634074
ABSTRACT

Objectives:

We aimed to assess the impact of in-person and distance school learning models on children's visits to the emergency department (ED) for psychological or social ("psychosocial") complaints.

Methods:

We analyzed presentations to one emergency department in a mid-sized Midwestern city. We used the public school system schedule to determine in-person and distance learning periods by the grade level. We calculated the incidence of visits to the emergency department during academic years 2018-2019, 2019-2020, and 2020-2021, with particular attention to the time after March 13, 2020, which was the pandemic period. We compared the incidence of visits during in-person versus distance learning school models.

Results:

A total of 7181 visits occurred during the academic years studied, 17.1% due to psychosocial complaints. The incidence of psychosocial visits to the ED was lower during distance learning than during the pandemic in-person learning period (given per 1000 student years 20.5 vs. 24.1, p = 0.14). This difference was statistically significant among middle schoolers (23.3 vs. 46.6, p < 0.001). While not statistically significant, the difference among high schoolers was pragmatically relevant (38.2 vs. 49.3, p = 0.086).

Conclusions:

Distance learning was associated with a decrease in the incidence of psychosocial visits to the emergency department relative to in-person learning. Future investigation is required to verify results and better understand any causative relationships.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Am Coll Emerg Physicians Open Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Am Coll Emerg Physicians Open Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos