Register update: there will be a delay adding new records during our holiday period (July-Aug)
Cochrane COVID-19 Study Register
Study record
Kim 2021cFirst Published: 2021 Jan 13Updated Date: 2021 Jan 13

Telemedicine Surge for Pediatric Patients in Response to the COVID-19 Pandemic in New York City

  1. Study Type
  2. Observational
  1. Study Aim
  2. Other
  3. Health Services Research
  1. Study Design
  2. Time Series
  1. Intervention Assignment
  2. Not Applicable
Reference record

Telemedicine Surge for Pediatric Patients in Response to the COVID-19 Pandemic in New York City

Kim JW, Lame M, Szalay L, Lefchak B, Johnsson B, Gogia K, Clark S, Kessler D, Leyden D, Sharma R, Platt S
Journal article
Report Results
Background: Our objective is to describe our pediatric virtual urgent care (VUC) experience at a large urban academic medical center, in response to the COVID-19 pandemic in New York City (NYC). Materials and Methods: We conducted a retrospective cohort study of our pediatric VUC program of patients less than age 18 years, from March 1 to May 31, 2020. We include data on expansion of staffing, patient demographics, virtual care, and outcomes. Results: We rapidly onboarded, educated, and trained pediatric telemedicine providers. We evaluated 406 pediatric patients with median age 4.4 years and 53.9% male. Median call time was 5:12 pm, median time to provider was 5.7 min, and median duration of call was 11.1 min. The most common reasons for a visit were COVID-19-related symptoms (36%), dermatologic (15%), and trauma (10%). Virtual care for patients consisted of conservative management (72%), medication prescription (18%), and referral to an urgent care or pediatric emergency department (PED) (10%). Of 16 patients referred and presented to our emergency department, 2 required intensive care for multisystem inflammatory syndrome in children. Oral antibiotics were prescribed for 7.1% of all patients. Only 0.005% of patients had an unplanned 72-h PED visit resulting in hospitalization after a VUC visit. Conclusion: Pediatric emergency VUC allowed for high-quality efficient medical care for patients during the peak of the COVID-19 pandemic in NYC. Although most patients were managed conservatively in their home, telemedicine also enabled rapid identification of patients who required in-person emergency care