En respuesta al artículo «Impacto de la pandemia COVID-19 en urgencias: primeros hallazgos en un hospital de Madrid

Evaluation of changes in pediatric healthcare activity during the Covid-19 state of alarm in the Canary Islands

“…Similar changes in triage levels were also observed in other regions of Spain (e.g. in Madrid, triage levels I and II increased from 21.9% to 33.4% in 2019 to 31.2% and 39.9% in 2020) [ 20 , 22 ]. In Italy the white code fell from 65.8% to 57.9%, while emergency cases rose from 46.3% to 48.9% and resuscitation was 7.1% in 2020 versus 4.7% in 2019 [ 6 , 25 , 26 ].…”

“…The SARS-CoV-2 pandemic produced a radical change in the organization of healthcare activity. Our data evidenced a marked 66.75% reduction of ED care (95%CI: -65.6; - 67.7); p < 0.001) in Gran Canaria, much like in other regions of Spain (35.3–65.4% in Madrid; 83.7% in Mallorca) [ [20] , [21] , [22] ] and the world: (66.7–76% in Italy, 50-46% in Ireland, 5.6–30.4% in the United Kingdom, 42% in the United States) [ [4] , [5] , [6] , [7] , 23 , 24 ]. The pattern of ED use observed in our study during the pandemic was different from the usual pattern – which slowly decreases from the end of the winter to the spring/summer season and raises again during the autumn/winter season.…”

“…Although the number of hospitalizations decreased, the rate of patient admission increased ( Table 5 ), a phenomenon also observed in ED services around Spain, the United Kingdom, the United States and Germany, where higher probability of admission (OR 1.2 in the UK and 1.6 in the US) [ 34 ] and higher rate of admission (hospitalization rate increasing from 4.8% to 9.7% in Madrid, 8–13% in the US and 13.6%–26.6% in Germany, in 2019 vs. 2020 [ 22 , 35 , 36 ]) were reported in the times of the pandemic. Such an increase could be due to an increase in the severity of managed cases, to a reduction of hospital visits for mild afflictions or to organizational changes in the EDs.…”

¿Qué hemos dejado de atender por la COVID-19? Diagnósticos perdidos y seguimientos demorados. Informe SESPAS 2022

“…En la población pediátrica esta disminución aún fue mayor: grandes hospitales de referencia han publicado disminuciones en las consultas a urgencias pediátricas en relación con el mismo periodo de 2019 superiores al 65% 4 , y del 35% 12 en hospitales monográficos como el Hospital del Niño Jesús de Madrid. De modo similar al contexto europeo, se ha reportado una mayor complejidad de los pacientes, con un aumento claro del porcentaje de pacientes cuyo nivel de triaje a su llegada a urgencias era considerado de alta prioridad.…”