SARS-CoV-2 Pandemic Impact on Pediatric Emergency Rooms: A Multicenter Study

Autor: Ahmad Kantar, Vincenzo Tipo, Matteo Calvi, Raffaella Nenna, Luigi Matera, Pietro Scoppi, Riccardo Lubrano, Fabio Midulla, Marcello Lanari, Valentina Rizzo, Giuseppe Banderali, Francesca Ardenti Morini, Antonio Augusto Niccoli, Raffaele Falsaperla, Giorgio Cozzi, Elisabetta Fabiani, Mauro Calvani, Beatrice Messini
Přispěvatelé: Matera L., Nenna R., Rizzo V., Morini F.A., Banderali G., Calvani M., Calvi M., Cozzi G., Fabiani E., Falsaperla R., Kantar A., Lanari M., Lubrano R., Messini B., Niccoli A.A., Scoppi P., Tipo V., Midulla F.
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Pediatric emergency
medicine.medical_specialty
Health
Toxicology and Mutagenesis

media_common.quotation_subject
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Lockdown measure
lcsh:Medicine
Primary care
Article
03 medical and health sciences
Hospital
0302 clinical medicine
lockdown measures
Air communicable infection
Retrospective Studie
Hygiene
030225 pediatrics
Pandemic
medicine
Humans
030212 general & internal medicine
Child
Pandemics
emergency rooms
media_common
Retrospective Studies
Emergency Service
business.industry
SARS-CoV-2
pandemic
lcsh:R
Public Health
Environmental and Occupational Health

COVID-19
Emergency room
Retrospective cohort study
Triage
air communicable infections
pediatric
Multicenter study
Italy
Emergency medicine
Communicable Disease Control
business
Emergency Service
Hospital

Human
Air communicable infections
Emergency rooms
Lockdown measures
Pediatric
Zdroj: International Journal of Environmental Research and Public Health, Vol 17, Iss 8753, p 8753 (2020)
International Journal of Environmental Research and Public Health
Volume 17
Issue 23
ISSN: 1661-7827
1660-4601
Popis: From March 9 to May 3, 2020, lockdown was declared in Italy due to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. Our aim was to evaluate how the SARS-CoV-2 pandemic and related preventive strategies affected pediatric emergency rooms (ERs) during this period. We performed a retrospective cohort multicenter study, comparing the lockdown period to the corresponding period in 2019. We examined 15 Italian pediatric ERs in terms of visit rates, specific diagnoses (grouped as air communicable diseases and non-air communicable diseases), and triage categories. During the lockdown period, ER admissions decreased by 81% compared to 2019 (52,364 vs. 10,112). All ER specific diagnoses decreased in 2020 and this reduction was significantly higher for air communicable diseases (25,462 vs. 2934, p <
0.001). Considering the triage category, red codes remained similar (1% vs. 1%), yellow codes increased (11.2% vs. 22.3%), and green codes decreased (80.3% vs. 69.5%). We can speculate that social distancing and simple hygiene measures drastically reduced the spread of air communicable diseases. The increase in yellow codes may have been related to a delay in primary care and, consequently, in ER admissions.
Databáze: OpenAIRE