• David Yang, Alexis Cordone, Wendy W Sun, Marcie Gawel, Rohit B Sangal, and James Dodington.
• Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT, United States of America.
• Am J Emerg Med. 2023 May 1; 67: 979997-99.

Study ObjectiveWe evaluate the impact of the COVID-19 pandemic on care for survivors of sexual assault in three urban Emergency Departments (ED) in the United States.MethodsA retrospective chart review was conducted on patients who presented after sexual assault to three EDs during 6-month intervals before and during the COVID-19 pandemic. We excluded individuals <18 years old. We performed a structured chart review to ascertain demographics, ED treatments, and adherence to guidelines for care of sexual assault survivors.ResultsOf 105 patients who received care after a sexual assault, 57 presented during the COVID-19 pandemic. The majority were female, White/Caucasian, and presented within 120 h of sexual assault. There was an increase in ED presentations for sexual assault during the pandemic. While there was no difference in medical care, there were fewer sexual assault advocates called during the pandemic. In addition, there was an increase in non-White survivors in the first 3 months of the pandemic that did not remain at 6 months.ConclusionThe care of survivors in the ED was disrupted by the COVID-19 pandemic. While medical care remained similar, fewer calls to sexual assault advocates, a key component of ED and long-term care of survivors, demonstrate a disruption in their care.Copyright © 2023 Elsevier Inc. All rights reserved.

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