"We retrospectively investigated the utilization of 3 hospital-based EDs in the southeast of the Netherlands, during a 60-day period starting on February 15, 2020...
...The daily ED volume in 2020 was 18% lower than during the reference period...
...When comparing a 30-day period around the modified lockdown (March 16 to April 15) with the corresponding period in 2019, the decline in ED utilization is even more pronounced.
ED visits were 29% lower in 2020 compared to 2019...
...The reduced ED utilization during the early phase of the COVID-19 pandemic has been observed in other health care systems, too, with reduction rates varying from 30 to 63%.
Likewise, ED census decreased during the initial stages of the 2003 SARS epidemic in Hong Kong...
...Although it cannot directly be concluded from the findings of our study, this observation probably reflects a complex interaction between pure lockdown effects and viral fear."
Barten DG, Latten GHP, van Osch FHM. Reduced Emergency Department Utilization During the Early Phase of the COVID-19 Pandemic: Viral Fear or Lockdown Effect? Disaster Medicine and Public Health Preparedness. 2022;16(1):36-39. doi:10.1017/dmp.2020.303