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. 2024 Jul 31;12:1439078. doi: 10.3389/fpubh.2024.1439078

Table 3.

Interrupted time series analysis results on PED attendance rates for Symptoms, Signs and Ill-defined Conditions, Injury and Poisoning, Diseases of the Respiratory System and Mental Disorders.

Symptoms, signs and Ill-defined conditions Injury and poisoning Diseases of the respiratory system Mental disorders
IRR 95%CI p-value IRR 95%CI p-value IRR 95%CI p-value IRR 95%CI p-value
Level changea
SC vs. PC 0.18 0.11–0.28 <0.001 0.24 0.16–0.37 <0.001 0.06 0.02–0.21 <0.001 0.28 0.18–0.43 <0.001
MM vs. PC 0.36 0.28–0.45 <0.001 0.61 0.48–0.78 <0.001 0.17 0.10–0.28 <0.001 0.65 0.52–0.82 <0.001
MM vs. SC 2.02 1.24–3.32 0.005 2.52 1.59–4.00 <0.001 2.61 0.74–9.26 0.137 2.32 1.48–3.65 <0.001
Slope changeb
SC vs. PC 1.20 1.09–1.31 <0.001 1.21 1.11–1.31 <0.001 1.36 1.09–1.72 0.008 1.18 1.09–1.28 <0.001
MM vs. PC 1.04 1.02–1.06 <0.001 1.03 1.01–1.05 0.014 1.10 1.06–1.14 <0.001 1.03 1.01–1.04 0.004
MM vs. SC 0.87 0.79–0.96 0.005 0.85 0.78–0.92 <0.001 0.80 0.64–1.01 0.065 0.87 0.80–0.95 0.001
Time trendc 1.00 0.99–1.01 0.414 1.00 0.99–1.01 0.669 1.00 0.99–1.01 0.688 1.01 1.00–1.01 0.005
Season
Summer 1.00 1.00 1.00 1.00
Winter 1.28 1.13–1.44 <0.001 0.70 0.62–0.80 <0.001 1.84 1.44–2.33 <0.001 0.89 0.78–1.01 0.074
Spring 1.20 1.06–1.36 0.004 1.08 0.96–1.21 0.186 1.35 1.04–1.74 0.023 0.99 0.87–1.13 0.868
Autumn 1.29 1.14–1.45 <0.001 0.75 0.66–0.85 <0.001 1.88 1.48–2.39 <0.001 0.86 0.76–0.98 0.026

a Level change refers to an abrupt level change of the Incidence rate between the phases; b Slope change refers to slope change of the incidence rate over time between the phases; c Time trend refers to the change of Incidence rate associated with a time unit increase. PED, Pediatric Emergency Department; IRR, incidence rate ratio; PC, Pre-COVID19 phase; SC, School closure phase; MM, Mitigation Measures phase; 95%CI, 95% confidence interval. Pseudo R2 = 0.84 for Signs and Ill-defined Conditions, 0.77 for Injury & Poisoning model, 0.78 for Diseases of the Respiratory System model; 0.30 for Mental Disorders. MM vs. SC contrasts were manually added for interpretative purposes without p-value adjustment for multiple comparison.