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Has Otitis Media Disappeared during COVID-19 Pandemic? A Fortuitus Effect of Domestic Confinement

Background: To measure patient flow at our Pediatric Emergency Department (PED) during the Italian lockdown, with particular care in terms of otolaryngological (ENT)-related diagnoses. Methods: A retrospective evaluation of electronic charts of children admitted to our PED in the City Center of Mila...

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Autores principales: Torretta, Sara, Cantoni, Barbara, Bertolozzi, Giuseppe, Capaccio, Pasquale, Milani, Gregorio Paolo, Pignataro, Lorenzo, Aleo, Sebastiano, Marchisio, Paola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8267642/
https://www.ncbi.nlm.nih.gov/pubmed/34199138
http://dx.doi.org/10.3390/jcm10132851
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author Torretta, Sara
Cantoni, Barbara
Bertolozzi, Giuseppe
Capaccio, Pasquale
Milani, Gregorio Paolo
Pignataro, Lorenzo
Aleo, Sebastiano
Marchisio, Paola
author_facet Torretta, Sara
Cantoni, Barbara
Bertolozzi, Giuseppe
Capaccio, Pasquale
Milani, Gregorio Paolo
Pignataro, Lorenzo
Aleo, Sebastiano
Marchisio, Paola
author_sort Torretta, Sara
collection PubMed
description Background: To measure patient flow at our Pediatric Emergency Department (PED) during the Italian lockdown, with particular care in terms of otolaryngological (ENT)-related diagnoses. Methods: A retrospective evaluation of electronic charts of children admitted to our PED in the City Center of Milan (Italy) for any disease. The outcome was to compare distribution of diagnoses performed at our PED during 21 February–3 May 2019 (period 1) to 21 February–3 May 2020 (period 2). Results: A total of 4538 children were evaluated during period 1 compared to 1310 during period 2. A statistically significant overall effect on diagnosis between the study periods was attested (p-value < 0.001; pseudo R2 = 0.010), ENT-related diagnoses being more frequently documented in period 1 (80.4% vs. 19.5%; p-value < 0.001), as well as those related to middle ear infections (92.8% vs. 7.2%; p-value < 0.001). Non-complicated acute otitis media more frequently occurred in period 1 (92.0% vs. 8.0%; p-value < 0.001); no significant difference in the number of complicated middle ear infections occurred (95.8% vs. 4.2%). Conclusions: The exceptional circumstances of the Italian lockdown resulted in a significant decrease in patients’ attendance to our PED, especially when considering diagnoses related to any ENT disorder, middle ear disease, and non-complicated middle ear infection.
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spelling pubmed-82676422021-07-10 Has Otitis Media Disappeared during COVID-19 Pandemic? A Fortuitus Effect of Domestic Confinement Torretta, Sara Cantoni, Barbara Bertolozzi, Giuseppe Capaccio, Pasquale Milani, Gregorio Paolo Pignataro, Lorenzo Aleo, Sebastiano Marchisio, Paola J Clin Med Brief Report Background: To measure patient flow at our Pediatric Emergency Department (PED) during the Italian lockdown, with particular care in terms of otolaryngological (ENT)-related diagnoses. Methods: A retrospective evaluation of electronic charts of children admitted to our PED in the City Center of Milan (Italy) for any disease. The outcome was to compare distribution of diagnoses performed at our PED during 21 February–3 May 2019 (period 1) to 21 February–3 May 2020 (period 2). Results: A total of 4538 children were evaluated during period 1 compared to 1310 during period 2. A statistically significant overall effect on diagnosis between the study periods was attested (p-value < 0.001; pseudo R2 = 0.010), ENT-related diagnoses being more frequently documented in period 1 (80.4% vs. 19.5%; p-value < 0.001), as well as those related to middle ear infections (92.8% vs. 7.2%; p-value < 0.001). Non-complicated acute otitis media more frequently occurred in period 1 (92.0% vs. 8.0%; p-value < 0.001); no significant difference in the number of complicated middle ear infections occurred (95.8% vs. 4.2%). Conclusions: The exceptional circumstances of the Italian lockdown resulted in a significant decrease in patients’ attendance to our PED, especially when considering diagnoses related to any ENT disorder, middle ear disease, and non-complicated middle ear infection. MDPI 2021-06-27 /pmc/articles/PMC8267642/ /pubmed/34199138 http://dx.doi.org/10.3390/jcm10132851 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 Brief Report
Torretta, Sara
Cantoni, Barbara
Bertolozzi, Giuseppe
Capaccio, Pasquale
Milani, Gregorio Paolo
Pignataro, Lorenzo
Aleo, Sebastiano
Marchisio, Paola
Has Otitis Media Disappeared during COVID-19 Pandemic? A Fortuitus Effect of Domestic Confinement
title Has Otitis Media Disappeared during COVID-19 Pandemic? A Fortuitus Effect of Domestic Confinement
title_full Has Otitis Media Disappeared during COVID-19 Pandemic? A Fortuitus Effect of Domestic Confinement
title_fullStr Has Otitis Media Disappeared during COVID-19 Pandemic? A Fortuitus Effect of Domestic Confinement
title_full_unstemmed Has Otitis Media Disappeared during COVID-19 Pandemic? A Fortuitus Effect of Domestic Confinement
title_short Has Otitis Media Disappeared during COVID-19 Pandemic? A Fortuitus Effect of Domestic Confinement
title_sort has otitis media disappeared during covid-19 pandemic? a fortuitus effect of domestic confinement
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8267642/
https://www.ncbi.nlm.nih.gov/pubmed/34199138
http://dx.doi.org/10.3390/jcm10132851
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