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Delayed presentation of children to the emergency department during the first wave of COVID-19 pandemic in Italy: Area-based cohort study.
Rusconi, Franca; Di Fabrizio, Valeria; Puglia, Monia; Sica, Michela; De Santis, Rita; Masi, Stefano; Gagliardi, Luigi.
  • Rusconi F; Unit of Epidemiology, Meyer Children's University Hospital, Florence, Italy.
  • Di Fabrizio V; Unit of Epidemiology, Regional Health Agency of Tuscany, Florence, Italy.
  • Puglia M; Quality and Equity Unit, Regional Health Agency of Tuscany, Florence, Italy.
  • Sica M; Unit of Epidemiology, Regional Health Agency of Tuscany, Florence, Italy.
  • De Santis R; Unit of Epidemiology, Meyer Children's University Hospital, Florence, Italy.
  • Masi S; Department of Emergency Medicine and Trauma Center, Meyer Children's University Hospital, Florence, Italy.
  • Gagliardi L; Department of Emergency Medicine and Trauma Center, Meyer Children's University Hospital, Florence, Italy.
Acta Paediatr ; 110(10): 2796-2801, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1294944
ABSTRACT

AIM:

To ascertain a delay in attendances to the emergency department (ED) during 2020 lockdown.

METHODS:

Area-based cohort study on paediatric (0-15 years) attendances resulting in hospital admission in Tuscany, Italy, in February-May 2020, and the corresponding periods in 2018-19. We analysed times from symptom onset to arrival, the odds of arriving late (>90th centile of time) and paediatricians' judgements of a late presentation by logistic models.

RESULTS:

As expected, ED attendance fell sharply (-62%) in 2020 vs 2018-19. As for cases studied (455 in 2020 and 1161 in 2018-19), we documented a delay in arrival to the ED in 2020 versus 2018-19 for several groups of diagnoses, namely gastroenteritis, sepsis, wounds, burns and infections overall. Time to presentation over 90th centile was also higher in 2020 (odds ratio, OR 1.44; 95% confidence interval 1.00, 2.06), as were paediatricians' judgements of a late arrival (18.9% of cases in 2020 vs. 13.4% in 2018-19; OR 1.58; 1.14, 2.19)

CONCLUSION:

In a population-based cohort, delayed attendances to ED ascertained both subjectively and objectively convey the message to families and to paediatricians to seek hospital care in case of severe or unremitting symptoms and not to wait longer than they normally would.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Child / Humans Country/Region as subject: Europa Language: English Journal: Acta Paediatr Year: 2021 Document Type: Article Affiliation country: Apa.16019

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Child / Humans Country/Region as subject: Europa Language: English Journal: Acta Paediatr Year: 2021 Document Type: Article Affiliation country: Apa.16019