An Italian paediatric department at the time of Coronavirus: a resident’s point of view

Cognigni, Marta

doi:10.1136/archdischild-2020-319299

Cited by 8 publications

(11 citation statements)

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“…At the same time, in line with other European countries, 9 , 10 , 11 we observed an increase in the complexity of emergency visits, as we found that compared to the same time period in 2019, there was a greater proportion of patients whose triage level on arrival to the PED was in the high-priority range.…”

Section: Discussionsupporting

confidence: 89%

“…We share the concern expressed by other authors 17 about the reluctance of some parents and caregivers to seek health care, probably motivated by a fear of exposure to coronavirus and by the current limitations in the access to primary care services, as this may result in delayed diagnosis of potentially severe diseases (peritonitis, ketoacidosis, pyelonephritis). 9 , 10 , 11 In this regard, some authors have also reported an increase in cases of child abuse and neglect; in our case series, there was only 1 documented case of child sexual abuse. 18 …”

Section: Discussionmentioning

confidence: 46%

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Impact of the COVID-19 pandemic on emergency department: Early findings from a hospital in Madrid

Gutiérrez¹,

Domínguez²,

Barriocanal³

et al. 2020

Anales de Pediatría (English Edition)

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Introduction SARS-CoV-2, coronavirus that causes coronavirus disease 2019 (COVID-19), was first detected in Spain on 31 January 2020. On 14 March 2020, a state of emergency was declared in Spain in a bid to control the spread of the COVID-19 pandemic in the country. The aim of our study is to analyse the impact on emergency medicine attendance after the national lockdown, as well as the clinical presentation and the management of patients with suspected COVID-19 in the Paediatric Emergency Department. Patients and methods This retrospective observational study included children and adolescents under the age of 18, attended in our Paediatric Emergency Department during the period March 14 to April 17, 2020. Results A total of 1,666 patients were attended during the study period, 65.4% less than in the same period of 2019. Just over half (51.2%) were males, and mean age was 5.4 years. In triage, 39.9% were high priority levels, 6.5% more than 2019. Most frequent reasons for consultation at the Paediatric Emergency Department were fever (26.5%), respiratory symptoms (16.1%), and trauma (15.2%). A total of 218 patients (13%) received a diagnosis of possible COVID-19, with SARS-CoV-2 infection confirmed in 18.4%, and 23.8% (52/218) were hospitalised. At discharge, 44% (96/218) were diagnosed with lower, and 33.9% (74/218) with upper respiratory infection. Conclusions During the SARS-CoV-2 outbreak, the demand for urgent paediatric care decreased, with the proportion of cases with high priority triage levels increasing. Most of the patients with suspected or microbiological confirmation of COVID-19 had mild respiratory symptoms.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 46%

Impact of the COVID-19 pandemic on emergency department: Early findings from a hospital in Madrid

Gutiérrez¹,

Domínguez²,

Barriocanal³

et al. 2020

Anales de Pediatría (English Edition)

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“…Al mismo tiempo, al igual que en otros países europeos 9 , 10 , 11 , hemos registrado un mayor nivel de complejidad de las consultas, observando que con relación al mismo periodo del pasado 2019 se produjo un aumento en el porcentaje de pacientes cuyo nivel de triaje a su llegada a urgencias fue considerado de alta prioridad.…”

Section: Discussionunclassified

“…Coincidimos con otros autores 17 que han manifestado su preocupación por la reticencia en buscar asistencia sanitaria por parte de algunos padres y cuidadores, probablemente motivada tanto por el miedo a la exposición al coronavirus como por las limitaciones a la hora de acceder a los servicios de atención primaria, pudiéndose retrasar el diagnóstico de enfermedades potencialmente graves (peritonitis, cetoacidosis diabética, pielonefritis) 9 , 10 , 11 . En este sentido, algunos autores 18 también han reportado un aumento de casos de abuso y negligencia; en nuestra serie, solo fue recogido un caso de abuso sexual infantil.…”

Section: Discussionunclassified

Impacto de la pandemia COVID-19 en urgencias: primeros hallazgos en un hospital de Madrid

Gutiérrez¹,

Domínguez²,

Barriocanal³

et al. 2020

Anales de Pediatría

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Resumen Introducción SARS-CoV-2, responsable de la enfermedad por coronavirus 2019 (COVID-19), fue detectado por primera vez en España el 31 de enero de 2020. El 14 de marzo fue declarado el estado de alarma con el objetivo de controlar la pandemia. El objetivo de este estudio es analizar las consecuencias de esta crisis sanitaria sobre el patrón de demanda asistencial, así como el manejo y las características de los pacientes con sospecha de COVID-19 en el Servicio de Urgencias Pediátricas. Pacientes y métodos Estudio retrospectivo observacional en niños y adolescentes menores de 18 años, atendidos en nuestro Servicio de Urgencias Pediátricas durante el periodo comprendido desde el 14 de marzo hasta el 17 de abril de 2020. Resultados Durante el periodo de estudio se atendieron 1.666 pacientes, un 65,4% menos que en el mismo periodo de 2019. La edad media fue de 5,4 años y el 51,2% eran varones. El 39,9% fueron clasificados con niveles de alta prioridad, un 6,5% más que en 2019. Los principales motivos de consulta fueron fiebre (26,5%), síntomas respiratorios (16,1%) y traumatismos (15,2%). Un total de 218 pacientes (13%) fueron diagnosticados de posible COVID-19, confirmándose la infección en el 18,4%. El 44% (96/218) fueron diagnosticados de infección respiratoria inferior y el 33,9% (74/218), superior. El 23,8% (52/218) fueron hospitalizados. Conclusiones Durante el brote epidémico SARS-CoV-2 disminuyó la demanda de asistencia pediátrica urgente, aumentando la proporción de casos con niveles de triaje de alta prioridad. La mayoría de los pacientes con sospecha o confirmación microbiológica de COVID-19 cursaron con clínica respiratoria leve.

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“…20 Health care workers in Italy have reported difficulties among families forced to care for children and adolescents with neurodevelopmental disorders at home without assistance, 21 as well as increased rates of violent conduct, nonsuicidal self-injury and suicide attempts in young people. 22…”

Section: Key Pointsmentioning

confidence: 99%

Addressing the indirect effects of COVID-19 on the health of children and young people

Chanchlani

Buchanan

Gill

2020

CMAJ

133

139

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An Italian paediatric department at the time of Coronavirus: a resident’s point of view

Cited by 8 publications

References 0 publications

Impact of the COVID-19 pandemic on emergency department: Early findings from a hospital in Madrid

Impact of the COVID-19 pandemic on emergency department: Early findings from a hospital in Madrid

Impacto de la pandemia COVID-19 en urgencias: primeros hallazgos en un hospital de Madrid

Addressing the indirect effects of COVID-19 on the health of children and young people

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