Your browser doesn't support javascript.
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.
  • Raffaldi I; Department of Pediatric Emergency, Regina Margherita Children's Hospital - A.O.U. Città della Salute e della Scienza di Torino, Piazza Polonia 94, 10126 Turin, Italy.
  • Castagno E; Department of Pediatric Emergency, Regina Margherita Children's Hospital - A.O.U. Città della Salute e della Scienza di Torino, Piazza Polonia 94, 10126 Turin, Italy.
  • Fumi I; Department of Public Health and Pediatrics, University of Turin, Piazza Polonia 94, Turin, Italy.
  • Bondone C; Department of Pediatric Emergency, Regina Margherita Children's Hospital - A.O.U. Città della Salute e della Scienza di Torino, Piazza Polonia 94, 10126 Turin, Italy.
  • Ricceri F; Department of Clinical and Biological Sciences, University of Turin, Regione Gonzole 10, Orbassano, TO, Italy.
  • Besenzon L; Unit of Epidemiology, Regional Health Service, ASL TO3, Via Sabaudia 164, Grugliasco, TO, Italy.
  • Brach Del Prever A; Division of Pediatrics and Neonatology, P.O. Savigliano, ASL CN1, Via Ospedali 9, Savigliano, CN, Italy.
  • Capalbo P; Division of Pediatrics and Neonatology, P.O. Ciriè, ASL TO4, Via Battitore 7/9, Ciriè, TO, Italy.
  • Cosi G; Division of Pediatrics and Neonatology 3, P.O Martini, ASL Città di Torino, Via Tofane 71, Turin, Italy.
  • Felici E; Pediatric Unit, Sant'Andrea Hospital, ASL VC, Corso Mario Abbiate 21, Vercelli, Italy.
  • Fusco P; Pediatrics and Pediatric Emergency Unit, The Children's Hospital, AO SS Antonio e Biagio e C. Arrigo, Via Spalto Marengo 46, Alessandria, Italy.
  • Gallina MR; Pediatric Unit, Montis Regalis Hospital, ASL CN1, Via San Rocchetto 99, Mondovì, CN, Italy.
  • Garofalo F; Division of Pediatrics and Neonatology, Beauregard Hospital, Via L. Vaccari 5, Aosta, Italy.
  • Gianino P; Pediatric Unit, P.O. Rivoli, ASL TO3, Via Rivalta 29, Rivoli, TO, Italy.
  • Guala A; Division of Pediatrics, P.O. Cardinal Massaia, ASL AT, Corso Dante Alighieri 202, Asti, Italy.
  • Haitink O; Division of Pediatrics, Ospedale Castelli, Via Fiume 18, Pallanza, Verbania, Italy.
  • Manzoni P; Pediatric Department, SS Trinità Hospital, Viale Zoppis 10, Borgomanero, NO, Italy.
  • Marra A; Division of Pediatrics and Neonatology, Department of Maternal-Infantile Medicine, Nuovo Ospedale Degli Infermi, Via dei Ponderanesi 2, Ponderano, BI, Italy.
  • Rabbone I; Pediatric Unit - NICU, S. Croce Hospital, ASLT TO5, Piazza Amedeo Ferdinando 3, Moncalieri, TO, Italy.
  • Roasio L; Division of Pediatrics, Department of Health Science, University of Piemonte Orientale, Corso G. Mazzini 18, Novara, Italy.
  • Santovito S; Pediatric Department, E. Agnelli Hospital, Via Brigata Cagliari 39, Pinerolo, TO, Italy.
  • Serra A; Division of Pediatrics 1, Maria Vittoria Hospital, Via L. Cibrario 72, Turin, Italy.
  • Tappi E; Division of Pediatrics, Ospedale Michele e Pietro Ferrero, P.O. Alba-Bra ASL CN2, Verduno, CN, Italy.
  • Terragni GM; Pediatric Unit, A.S.O. S. Croce e Carle, Via M. Coppino 26, Cuneo, Italy.
  • Timeus FS; Division of Pediatrics, P.O. Chieri, ASL TO5, Via de Maria 1, Chieri, TO, Italy.
  • Torielli F; Division of Pediatrics and Neonatology, P.O. Chivasso, ASL TO4, Corso G. Ferraris 3, Chivasso, TO, Italy.
  • Vigo A; Division of Pediatrics, P.O. Novi Ligure, ASL AL, Via E. Raggio 12, Novi Ligure, AL, Italy.
  • Urbino AF; Division of Pediatrics and Neonatology, P.O. Ivrea, ASL TO4, Piazza Credenza 2, Ivrea, TO, Italy.
Lancet Reg Health Eur ; 5: 100081, 2021 Jun.
Article in English | MEDLINE | ID: covidwho-1137523
ABSTRACT

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.

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Language: English Journal: Lancet Reg Health Eur Year: 2021 Document Type: Article Affiliation country: J.lanepe.2021.100081

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Language: English Journal: Lancet Reg Health Eur Year: 2021 Document Type: Article Affiliation country: J.lanepe.2021.100081