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Table 2 Chief complaints of total emergency department visits by older adult patients between two time periods

From: Impact of the COVID-19 pandemic on medical-seeking behavior in older adults by comparing the presenting complaints of the emergency department visits

Chief Complaints

Pre-pandemic

(Jan 2019–Apr 2019)

N = 9,300 (Incidence)

Pandemic

(Jan 2020–Apr 2020)

N = 7,355 (Incidence)

Difference (%)

Incidence rate ratio (%)

p-value

Infection-related complaints

     

Fever

1,018 (10.95)

905 (12.30)

-11.10

1.12

0.02

URI

685 (7.37)

670 (9.11)

-2.19

1.23

0.72

Cellulitis

204 (2.19)

155 (2.11)

-24.02

0.96

0.01

Gastrointestinal complaints

     

Abdominal pain

921 (9.90)

827 (11.24)

-10.21

1.14

0.03

AGE symptoms

651 (7.00)

307 (4.17)

-52.84

0.60

< 0.01

Constipation

100 (1.08)

50 (0.68)

-50.00

0.63

< 0.01

GIB symptoms

228 (2.45)

154 (2.09)

-32.46

0.85

< 0.01

Cardiovascular complaints

     

Chest pain

661 (7.11)

520 (7.07)

-21.33

0.99

< 0.01

Hypertension

273 (2.94)

100 (1.36)

-63.37

0.46

< 0.01

Shortness of breath

900 (9.68)

635 (8.63)

-29.44

0.89

< 0.01

Neurological complaints

     

Dizziness

975 (10.48)

523 (7.11)

-46.36

0.68

< 0.01

Headache

154 (1.66)

83 (1.13)

-46.10

0.68

< 0.01

Convulsion

34 (0.37)

32 (0.44)

-5.88

1.19

0.77

Stroke symptoms

180 (1.94)

135 (1.84)

-25.00

0.95

0.01

Altered mental status

244 (2.62)

150 (2.04)

-38.52

0.78

< 0.01

Malaise

259 (2.78)

135 (1.84)

-47.88

0.66

< 0.01

Myalgia

534 (5.74)

353 (4.80)

-33.90

0.84

< 0.01

Glycemic problems

131 (1.41)

65 (0.88)

-50.38

0.62

< 0.01

Urological symptoms

372 (4.00)

238 (3.24)

-36.02

0.81

< 0.01

Medical device problems

(tube, probe, or catheter)

457 (4.91)

260 (3.54)

-43.11

0.72

< 0.01

Trauma

1,534 (16.49)

1,544 (20.99)

0.65

1.27

0.93

Facial feature problems*

157 (1.69)

133 (1.81)

-15.29

1.07

0.21

OBS-GYN related problems

7 (0.08)

34 (0.46)

385.71

5.75

< 0.01

Dermatology problems

137 (1.47)

115 (1.56)

-16.06

1.06

0.23

Cardiac arrest

76 (0.82)

56 (0.76)

-2.19

0.93

0.06

Transfer from OPD and LMD

364 (3.91)

341 (4.64)

-6.32

1.19

0.48

Transfer from hospital

144 (1.55)

91 (1.24)

-36.81

0.80

< 0.01

Psychological problems

37 (0.40)

37 (0.50)

0.00

1.25

0.97

Social problems†

5 (0.05)

19 (0.26)

280.00

5.2

< 0.01

Others

79 (0.85)

53 (0.72)

-32.91

0.85

0.05

  1. * Facial feature problems, including eyes, ears, nose, and throat (ENT), and dental problems
  2. † Social problems, including family violence and sexual assault
  3. URI, upper respiratory infection; AGE, acute gastroenteritis; GIB, gastrointestinal bleeding; OBS-GYN, obstetrics-gynecology; OPD, outpatient department; LMD, local medical department