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Pediatric admissions to emergency departments of North-Western Italy during COVID-19 pandemic: A retrospective observational study

BACKGROUND: COVID-19 pandemic caused huge decrease of pediatric admissions to Emergency Department (ED), arising concerns about possible delays in diagnosis and treatment of severe disorders. METHODS: Impact of COVID-19 on Pediatric Emergency Room (ICOPER) was a retrospective multicentre observation...

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Autores principales: Raffaldi, Irene, Castagno, Emanuele, Fumi, Ilaria, Bondone, Claudia, Ricceri, Fulvio, Besenzon, Luigi, Brach del Prever, Adalberto, Capalbo, Pina, Cosi, Gianluca, Felici, Enrico, Fusco, Patrizia, Gallina, Maria Rita, Garofalo, Franco, Gianino, Paola, Guala, Andrea, Haitink, Oscar, Manzoni, Paolo, Marra, Antonio, Rabbone, Ivana, Roasio, Luca, Santovito, Savino, Serra, Alberto, Tappi, Eleonora, Terragni, Gian Maria, Timeus, Fabio S., Torielli, Flaminia, Vigo, Alessandro, Urbino, Antonio F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7969147/
https://www.ncbi.nlm.nih.gov/pubmed/34104902
http://dx.doi.org/10.1016/j.lanepe.2021.100081
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author Raffaldi, Irene
Castagno, Emanuele
Fumi, Ilaria
Bondone, Claudia
Ricceri, Fulvio
Besenzon, Luigi
Brach del Prever, Adalberto
Capalbo, Pina
Cosi, Gianluca
Felici, Enrico
Fusco, Patrizia
Gallina, Maria Rita
Garofalo, Franco
Gianino, Paola
Guala, Andrea
Haitink, Oscar
Manzoni, Paolo
Marra, Antonio
Rabbone, Ivana
Roasio, Luca
Santovito, Savino
Serra, Alberto
Tappi, Eleonora
Terragni, Gian Maria
Timeus, Fabio S.
Torielli, Flaminia
Vigo, Alessandro
Urbino, Antonio F.
author_facet Raffaldi, Irene
Castagno, Emanuele
Fumi, Ilaria
Bondone, Claudia
Ricceri, Fulvio
Besenzon, Luigi
Brach del Prever, Adalberto
Capalbo, Pina
Cosi, Gianluca
Felici, Enrico
Fusco, Patrizia
Gallina, Maria Rita
Garofalo, Franco
Gianino, Paola
Guala, Andrea
Haitink, Oscar
Manzoni, Paolo
Marra, Antonio
Rabbone, Ivana
Roasio, Luca
Santovito, Savino
Serra, Alberto
Tappi, Eleonora
Terragni, Gian Maria
Timeus, Fabio S.
Torielli, Flaminia
Vigo, Alessandro
Urbino, Antonio F.
author_sort Raffaldi, Irene
collection PubMed
description BACKGROUND: COVID-19 pandemic caused huge decrease of pediatric admissions to Emergency Department (ED), arising concerns about possible delays in diagnosis and treatment of severe disorders. METHODS: Impact of COVID-19 on Pediatric Emergency Room (ICOPER) was a retrospective multicentre observational study including 23 Italian EDs. All the children <18 years admitted, between March 9th and May 3rd 2020 stratified by age, priority code, cause of admission and outcome have been included and compared to those admitted in the same period of 2019. Our objectives were to assess the characteristics of pediatric admissions to EDs since COVID-19 outbreak until the end of lockdown, and to describe the features of critical children. FINDINGS: 16,426 children were admitted in 2020, compared to 55,643 in 2019 (-70·48%). Higher reduction was reported in hospitals without Pediatric Intensive Care Unit (PICU) (-73·38%) than in those with PICU (-64·08%) (P<0·0001). Admissions with low priority decreased more than critical ones (-82·77% vs. 44·17% respectively; P<0·0001). Reduction of discharged patients was observed both in hospitals with (-66·50%) and without PICU (-74·65%) (P<0·0001). No difference in the duration of symptoms before admission was reported between 2019 and 2020, with the majority of children accessing within 24 h (55·08% vs. 57·28% respectively; P = 0·2344). INTERPRETATION: Admissions with low priority decreased significantly more than those with high priority; we suppose that the fear of being infected in hospital maybe overcame the concerns of caregivers. Compared to 2019, no significant referral delay by caregivers was reported. Our data suggest the need of adaptation of EDs and primary care services to different needs of children during COVID-9 pandemic.
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spelling pubmed-79691472021-03-18 Pediatric admissions to emergency departments of North-Western Italy during COVID-19 pandemic: A retrospective observational study Raffaldi, Irene Castagno, Emanuele Fumi, Ilaria Bondone, Claudia Ricceri, Fulvio Besenzon, Luigi Brach del Prever, Adalberto Capalbo, Pina Cosi, Gianluca Felici, Enrico Fusco, Patrizia Gallina, Maria Rita Garofalo, Franco Gianino, Paola Guala, Andrea Haitink, Oscar Manzoni, Paolo Marra, Antonio Rabbone, Ivana Roasio, Luca Santovito, Savino Serra, Alberto Tappi, Eleonora Terragni, Gian Maria Timeus, Fabio S. Torielli, Flaminia Vigo, Alessandro Urbino, Antonio F. Lancet Reg Health Eur Research Paper BACKGROUND: COVID-19 pandemic caused huge decrease of pediatric admissions to Emergency Department (ED), arising concerns about possible delays in diagnosis and treatment of severe disorders. METHODS: Impact of COVID-19 on Pediatric Emergency Room (ICOPER) was a retrospective multicentre observational study including 23 Italian EDs. All the children <18 years admitted, between March 9th and May 3rd 2020 stratified by age, priority code, cause of admission and outcome have been included and compared to those admitted in the same period of 2019. Our objectives were to assess the characteristics of pediatric admissions to EDs since COVID-19 outbreak until the end of lockdown, and to describe the features of critical children. FINDINGS: 16,426 children were admitted in 2020, compared to 55,643 in 2019 (-70·48%). Higher reduction was reported in hospitals without Pediatric Intensive Care Unit (PICU) (-73·38%) than in those with PICU (-64·08%) (P<0·0001). Admissions with low priority decreased more than critical ones (-82·77% vs. 44·17% respectively; P<0·0001). Reduction of discharged patients was observed both in hospitals with (-66·50%) and without PICU (-74·65%) (P<0·0001). No difference in the duration of symptoms before admission was reported between 2019 and 2020, with the majority of children accessing within 24 h (55·08% vs. 57·28% respectively; P = 0·2344). INTERPRETATION: Admissions with low priority decreased significantly more than those with high priority; we suppose that the fear of being infected in hospital maybe overcame the concerns of caregivers. Compared to 2019, no significant referral delay by caregivers was reported. Our data suggest the need of adaptation of EDs and primary care services to different needs of children during COVID-9 pandemic. Elsevier 2021-03-18 /pmc/articles/PMC7969147/ /pubmed/34104902 http://dx.doi.org/10.1016/j.lanepe.2021.100081 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Paper
Raffaldi, Irene
Castagno, Emanuele
Fumi, Ilaria
Bondone, Claudia
Ricceri, Fulvio
Besenzon, Luigi
Brach del Prever, Adalberto
Capalbo, Pina
Cosi, Gianluca
Felici, Enrico
Fusco, Patrizia
Gallina, Maria Rita
Garofalo, Franco
Gianino, Paola
Guala, Andrea
Haitink, Oscar
Manzoni, Paolo
Marra, Antonio
Rabbone, Ivana
Roasio, Luca
Santovito, Savino
Serra, Alberto
Tappi, Eleonora
Terragni, Gian Maria
Timeus, Fabio S.
Torielli, Flaminia
Vigo, Alessandro
Urbino, Antonio F.
Pediatric admissions to emergency departments of North-Western Italy during COVID-19 pandemic: A retrospective observational study
title Pediatric admissions to emergency departments of North-Western Italy during COVID-19 pandemic: A retrospective observational study
title_full Pediatric admissions to emergency departments of North-Western Italy during COVID-19 pandemic: A retrospective observational study
title_fullStr Pediatric admissions to emergency departments of North-Western Italy during COVID-19 pandemic: A retrospective observational study
title_full_unstemmed Pediatric admissions to emergency departments of North-Western Italy during COVID-19 pandemic: A retrospective observational study
title_short Pediatric admissions to emergency departments of North-Western Italy during COVID-19 pandemic: A retrospective observational study
title_sort pediatric admissions to emergency departments of north-western italy during covid-19 pandemic: a retrospective observational study
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7969147/
https://www.ncbi.nlm.nih.gov/pubmed/34104902
http://dx.doi.org/10.1016/j.lanepe.2021.100081
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