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Clinicians have witnessed a dramatic shift in health care consumption during the coronavirus disease 2019 (COVID-19) pandemic as patients fear exposure to coronavirus from visiting health care facilities.1,2 Among the many concerning patterns emerging is that of delayed medical care. Garcia et al3 reported a 38% decline in cardiac ST-segment elevation myocardial infarction activations, and Teo et al4 noted fewer patients with ischemic stroke presenting within the therapeutic window. Lazzerini et al5 described 12 children who presented in severe condition because of delays in accessing care; 4 of these children died.
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Accepted for Publication: September 24, 2020.
Published: December 4, 2020. doi:10.1001/jamanetworkopen.2020.27948
Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2020 Place R et al. JAMA Network Open.
Corresponding Author: Rick Place, MD, MHA, Department of Emergency Medicine, Inova Fairfax Medical Campus, 3300 Gallows Rd, Falls Church, VA 22042 (firstname.lastname@example.org).
Author Contributions: Dr Place had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Place, Howell.
Acquisition, analysis, or interpretation of data: Place, Lee.
Drafting of the manuscript: Place.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Howell.
Conflict of Interest Disclosures: None reported.
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