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Neonatal and Pediatric Emergency Room Visits in a Tertiary Center during the COVID-19 Pandemic in Italy

The COVID-19 pandemic is affecting healthcare services worldwide. We investigated the impact of a strict lockdown policy on the characteristics of neonatal and pediatric attendances to our pediatric emergency department (PED). The clinical features of PED visits in March–April 2020 (COVID-19) and Ma...

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Autores principales: Silvagni, Davide, Baggio, Laura, Lo Tartaro Meragliotta, Patrizia, Soloni, Pietro, La Fauci, Giovanna, Bovo, Chiara, Ielo, Stefania, Biban, Paolo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8167637/
https://www.ncbi.nlm.nih.gov/pubmed/33916938
http://dx.doi.org/10.3390/pediatric13020023
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author Silvagni, Davide
Baggio, Laura
Lo Tartaro Meragliotta, Patrizia
Soloni, Pietro
La Fauci, Giovanna
Bovo, Chiara
Ielo, Stefania
Biban, Paolo
author_facet Silvagni, Davide
Baggio, Laura
Lo Tartaro Meragliotta, Patrizia
Soloni, Pietro
La Fauci, Giovanna
Bovo, Chiara
Ielo, Stefania
Biban, Paolo
author_sort Silvagni, Davide
collection PubMed
description The COVID-19 pandemic is affecting healthcare services worldwide. We investigated the impact of a strict lockdown policy on the characteristics of neonatal and pediatric attendances to our pediatric emergency department (PED). The clinical features of PED visits in March–April 2020 (COVID-19) and March–April 2019 (non-COVID-19) were analyzed. During the COVID-19 lockdown period, visits reduced by 67%, from 3159 to 1039. Neonatal access decreased from 78 to 59, mainly due to fewer pathological conditions, with a complete disappearance of respiratory infections. On the other hand, minor neonatal clinical conditions rose from 44 (56.4%) to 48 (81.4%), mostly due to feeding-related issues. Communicable diseases, particularly respiratory infections and gastroenteritis, dropped from 1552 (49.1%) to 288 (27.7%). Accident-related visits also decreased during COVID-19, from 535 (16.9%) to 309 (29.7%), becoming the most common cause of PED access. Hospital admissions reduced from 266 to 109, while PICU (pediatric intensive care unit) admissions decreased from 27 to 11, with a comparable rate of 10.1% in both periods. The lockdown due to COVID-19 had a substantial impact on our PED visits, which markedly decreased, mainly due to fewer respiratory infections. Unexpectedly, neonatal visits for minor conditions did not decline, but rather slightly increased. Among the children admitted to the PICU, none had respiratory disease.
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spelling pubmed-81676372021-06-02 Neonatal and Pediatric Emergency Room Visits in a Tertiary Center during the COVID-19 Pandemic in Italy Silvagni, Davide Baggio, Laura Lo Tartaro Meragliotta, Patrizia Soloni, Pietro La Fauci, Giovanna Bovo, Chiara Ielo, Stefania Biban, Paolo Pediatr Rep Article The COVID-19 pandemic is affecting healthcare services worldwide. We investigated the impact of a strict lockdown policy on the characteristics of neonatal and pediatric attendances to our pediatric emergency department (PED). The clinical features of PED visits in March–April 2020 (COVID-19) and March–April 2019 (non-COVID-19) were analyzed. During the COVID-19 lockdown period, visits reduced by 67%, from 3159 to 1039. Neonatal access decreased from 78 to 59, mainly due to fewer pathological conditions, with a complete disappearance of respiratory infections. On the other hand, minor neonatal clinical conditions rose from 44 (56.4%) to 48 (81.4%), mostly due to feeding-related issues. Communicable diseases, particularly respiratory infections and gastroenteritis, dropped from 1552 (49.1%) to 288 (27.7%). Accident-related visits also decreased during COVID-19, from 535 (16.9%) to 309 (29.7%), becoming the most common cause of PED access. Hospital admissions reduced from 266 to 109, while PICU (pediatric intensive care unit) admissions decreased from 27 to 11, with a comparable rate of 10.1% in both periods. The lockdown due to COVID-19 had a substantial impact on our PED visits, which markedly decreased, mainly due to fewer respiratory infections. Unexpectedly, neonatal visits for minor conditions did not decline, but rather slightly increased. Among the children admitted to the PICU, none had respiratory disease. MDPI 2021-04-07 /pmc/articles/PMC8167637/ /pubmed/33916938 http://dx.doi.org/10.3390/pediatric13020023 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Silvagni, Davide
Baggio, Laura
Lo Tartaro Meragliotta, Patrizia
Soloni, Pietro
La Fauci, Giovanna
Bovo, Chiara
Ielo, Stefania
Biban, Paolo
Neonatal and Pediatric Emergency Room Visits in a Tertiary Center during the COVID-19 Pandemic in Italy
title Neonatal and Pediatric Emergency Room Visits in a Tertiary Center during the COVID-19 Pandemic in Italy
title_full Neonatal and Pediatric Emergency Room Visits in a Tertiary Center during the COVID-19 Pandemic in Italy
title_fullStr Neonatal and Pediatric Emergency Room Visits in a Tertiary Center during the COVID-19 Pandemic in Italy
title_full_unstemmed Neonatal and Pediatric Emergency Room Visits in a Tertiary Center during the COVID-19 Pandemic in Italy
title_short Neonatal and Pediatric Emergency Room Visits in a Tertiary Center during the COVID-19 Pandemic in Italy
title_sort neonatal and pediatric emergency room visits in a tertiary center during the covid-19 pandemic in italy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8167637/
https://www.ncbi.nlm.nih.gov/pubmed/33916938
http://dx.doi.org/10.3390/pediatric13020023
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