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Table 1 Children with Emergency Department visits before versus during the pandemic

From: Trends in Emergency Department, Primary Care, and Behavioral Health Use for Pediatric Mental Health Conditions in Virginia before and during the COVID-19 pandemic

 

2016

2021

Patient Characteristics

All Children

Any ED visit

ED visit for mental health

ED visit for suicidality

All Children

Any ED visit

ED visit for mental health

ED visit for suicidality

Sample Size, frequency

2,331,947

372,818

21,540

301

2,634,728

328,640

23,671

929

Age, frequency (%)

        

 0–4

 5–9

 10–14

 15–19

 20–21

528,113 (22.6)

537,245 (23.0)

537,491 (23.0)

525,839 (22.5)

203,257 (8.7)

120,027 (32.2)

80,108 (21.5)

67,579 (18.1)

78,137 (21.0)

26,965 (7.2)

632 (2.9)

2,501 (11.6)

4,962 (23.0)

9,753 (45.3)

3,690 (17.1)

< 10

< 10

75 (24.9)

180 (59.8)

40 (13.3)

576,028 (21.9)

580,856 (22.0)

603,584 (22.9)

617,701 (23.4)

256,557 (9.7)

100,255 (30.5)

58,841 (17.9)

56,108 (17.1)

77,201 (23.5)

36,232 (11.0)

715 (3.0)

1,850 (7.8)

5,464 (23.1)

10,741 (45.4)

4,900 (20.7)

< 10

13 (1.4)

270 (29.1)

500 (53.8)

145 (15.6)

Race, frequency (%)

        

 Black

 White

 Asian

 Other/Unknown

184,748 (7.9)

348,795 (15.0)

48,623 (2.1)

1,749,780 (75.0)

60,971 (16.4)

90,799 (24.4)

6,661 (1.8)

214,385 (57.5)

3,054 (14.2)

7,166 (33.3)

248 (1.2)

11,070 (51.4)

36 (12.0)

91 (30.2)

< 10

167 (55.5)

226,330 (8.6)

444,238 (16.9)

62,884 (2.4)

1,901,275 (72.2)

67,579 (20.6)

105,601 (32.1)

7,690 (2.3)

147,769 (45.0)

4,232 (17.9)

8,591 (36.3)

401 (1.7)

10,445 (44.1)

160 (17.2)

334 (36.0)

18 (1.9)

416 (44.8)

Ethnicity, frequency (%)

        

 Hispanic/Latino

28,818 (1.2)

3,058 (0.8)

200 (0.9)

< 10

23,504 (0.9)

2,323 (0.7)

152 (0.6)

12 (1.3)

 Not Hispanic/Not Latino

411,438 (17.6)

72,104 (19.3)

5,847 (27.1)

95 (31.6)

497,035 (18.9)

84,885 (25.8)

7,851 (33.2)

380 (40.9)

 Unknown

1,891,690 (81.1)

297,654 (79.8)

15,492 (71.9)

202 (67.1)

2,114,188 (80.2)

241,431 (73.5)

15,667 (66.2)

537 (57.8)

Insurance, frequency (%)

        

 Commercial

 Medicaid

 Medicare

1,504,997 (64.5)

826,724 (35.5)

226 (0.0)

135,791 (36.4)

236,985 (63.6)

42 (0.0)

9,553 (44.4)

11,975 (55.6)

12 (0.1)

136 (45.2)

165 (54.8)

< 10

1,684,669 (63.9)

949,849 (36.1)

210 (0.0)

107,629 (32.7)

220,986 (67.2)

25 (0.0)

8,059 (34.0)

15,604 (65.9)

< 10

355 (38.2)

574 (61.8)

< 10

Gender, frequency (%)

        

 Female

 Male

 Unspecified

1,147,798 (49.2)

1,184,143 (50.8)

< 10

184,770 (49.6)

188,047 (50.4)

< 10

10,873 (50.5)

10,667 (49.5)

 < 10

199 (66.1)

101 (33.6)

< 10

1,299,071 (49.3)

1,335,512 (50.7)

144 (0.0)

165,371 (50.3)

163,265 (49.7)

< 10

13,569 (57.3)

10,102 (42.7)

< 10

697 (75.0)

232 (25.0)

< 10

Rurality, frequency (%)

        

 City

 Rural

 Suburban

 Unknown

416,576 (17.9)

1,086,084 (46.6)

821,649 (35.2)

7,637 (0.3)

79,057 (21.2)

181,600 (48.7)

110,915 (29.8)

1,245 (0.3)

3,536 (16.4)

12,408 (57.6)

5,504 (25.6)

91 (0.4)

33 (11.0)

162 (53.8)

103 (34.2)

< 10

470,358 (17.9)

1,246,726 (47.3)

892,195 (33.9)

25,447 (1.0)

66,989 (20.4)

161,942 (49.3)

96,362 (29.3)

3,345 (1.0)

4,519 (19.1)

13,007 (54.9)

5,885 (24.9)

258 (01.1)

173 (18.6)

491 (52.9)

257 (27.7)

< 10

Percent of people with high school education of less**

33.9

38.3

38.5

36.5

31.2

35.7

35.9

35.4

Percent of people under 200% Federal Poverty**

25.1

29.4

29.1

27.2

22.3

26.5

26.2

24.9

Average Social Deprivation Index**

37.9

46.1

43.4

40.3

38.4

47.0

44.8

43.0

  1. * Counts are adjusted using commercial correction factor (see Methods)
  2. ** Values represent the average value of the ZCTA of residence