How we have protected our patients: The Italian pediatric onco‐hematology units’ response to the COVID‐19 pandemic

Amicucci, Matteo; Canesi, Marta; Rostagno, Elena; Bergadano, Anna; Badino, Clara; Botta, Debora; Fenicia, Diana; Longo, A; Macchi, Simone; Ricciardi, Celeste; Partel, Moreno Crotti

doi:10.1002/pbc.28505

Cited by 11 publications

(12 citation statements)

References 7 publications

(10 reference statements)

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“…The COVID-19 pandemic has introduced new challenges for the organization of health services and multidisciplinary work ( Amicucci et al, 2020 ). This study highlights the importance of integrating care for the parents with care for the child through continuous monitoring of their psychological state and the need for parent-oriented interventions.…”

Section: Discussionmentioning

confidence: 99%

Psychological Impact of COVID-19 on Parents of Pediatric Cancer Patients

et al. 2021

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The changes and general alarm of the current COVID-19 pandemic have amplified the sense of precariousness and vulnerability for family members who, in addition to the emotional trauma of the cancer diagnosis, add the distress and fear of the risks associated with infection. The primary objectives of the present study were to investigate the psychological impact of the COVID-19 pandemic on the parents of pediatric cancer patients, and the level of stress, anxiety, and the child’s quality of life perceived by the parents during the COVID-19 epidemic. The parents of 45 consecutive children with solid and hematological tumors were enrolled. Four questionnaires (Impact of Event Scale-Revised – IES-R; Perceived Stress Scale – PSS; Spielberger State – Trait Anxiety Inventory – STAI-Y; Pediatric Quality of Life Inventory – PedsQL) were administered to the parents at the beginning of the pandemic lockdown. A 75% of parents exhibited remarkable levels of anxiety, with 60 subjects in state scale and 45 subjects in trait scale having scores that reached and exceeded the STAI-Y cut off. The bivariate matrix of correlation found a significant positive correlation between the IES-R and PSS scores (r = 0.55, P < 0.001). There was a positive correlation between the PSS and PedsQL (emotional needs) scale (P < 0.001) and a negative correlation between IES-R and STAI-Y (P < 0.001). The results confirm that parents of pediatric cancer patients have a high psychological risk for post-traumatic symptoms, high stress levels, and the presence of clinically significant levels of anxiety.

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Section: Discussionmentioning

confidence: 99%

Psychological Impact of COVID-19 on Parents of Pediatric Cancer Patients

et al. 2021

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“…Five pediatric oncological patients with COVID‐19 in Italy presented a benign self‐limiting course 82 . Up until mid‐April, 14 pediatric patients with cancer were reported in Italy, all with a favorable clinical course 83 . A retrospective study of pediatric hematology and oncology patients in New York City reported that most presented symptomatic disease, most commonly fever, cough, and dyspnea, and of 19 patients, five, all males, required hospitalization in the ICU 84 .…”

Section: Methodsmentioning

confidence: 99%

Hematological manifestations of SARS‐CoV‐2 in children

Kosmeri

Koumpis

Tsabouri

et al. 2020

Pediatric Blood & Cancer

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Infection from severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), though mainly a respiratory disease, can impair many systems, including causing hematological complications. Lymphopenia and hypercoagulability have been reported in adults with coronavirus disease 2019 (COVID-19) and are considered markers of poor prognosis. This review summarizes the hematological findings in children with SARS-CoV-2 infection. The majority of infected children had a normal leukocyte count, while the most common white blood cell abnormality was leukopenia. Lymphopenia, which may be a marker of severe disease, was rarer in children than in adults, possibly due to their immature immune system or due to the less severe manifestation of COVID-19 in this age group. Age may have an impact, and in neonates and infants the most common abnormality was lymphocytosis. Abnormalities of red blood cells and platelets were uncommon. Anemia and hypercoagulability were reported mainly in children presenting the novel multisystem inflammatory syndrome (MIS) associated with SARS-CoV-2.

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“…It is therefore essential to continuously monitor the psychological state of this population. The COVID-19 pandemic has introduced new challenges for the organization of health services and multidisciplinary work 58 . This study highlights the importance of integrating care for the parents with care for the child through continuous monitoring of their psychological state and the need for parent-oriented interventions.…”

Section: Resultsmentioning

confidence: 99%

Psychological impact of COVID-19 on parents of pediatric cancer patients

Guido

Marconi

Peruzzi

et al. 2020

Preprint

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Background. The changes and general alarm of the current COVID-19 pandemic have amplified the sense of precariousness and vulnerability for family members who, in addition to the emotional trauma of the cancer diagnosis, add the distress and fear of the risks associated with infection. The primary objectives of the present study was to investigate the psychological impact of the COVID-19 pandemic on the parents of pediatric cancer patients, and to investigate the level of stress, anxiety, and the child’s quality of life perceived by the parents during the Covid-19 epidemic. Methods. The parents of 45 consecutive children with solid and haematological tumors were enrolled. Four questionnaires (Impact of Event Scale-Revised - IES-R ; Perceived Stress Scale - PSS; Spielberger State - Trait Anxiety Inventory - STAI-Y ; Pediatric Quality of Life Inventory - PedsQL) were administered to the parents at the beginning of the pandemic lockdown. Results. 75% of parents exhibited remarkable levels of anxiety, with 60 subjects in state scale and 45 subjects in trait scale having scores that reached and exceeded the STAI-Y cut off. The bivariate matrix of correlation (Figure 1) found a strong significant positive correlation between the IES-R and PSS scores (r = 0.55, P < 0.001). There was a positive correlations between the PSS and PedsQL (emotional needs) scale (P < 0.001) and a negative correlation between IES-R and STAI-Y (P < 0.001). Conclusion. The results confirm that parents of pediatric cancer patients have a high psychological risk for post-traumatic symptoms, high stress levels, and the presence of clinically significant levels of anxiety.

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How we have protected our patients: The Italian pediatric onco‐hematology units’ response to the COVID‐19 pandemic

Cited by 11 publications

References 7 publications

Psychological Impact of COVID-19 on Parents of Pediatric Cancer Patients

Psychological Impact of COVID-19 on Parents of Pediatric Cancer Patients

Hematological manifestations of SARS‐CoV‐2 in children

Psychological impact of COVID-19 on parents of pediatric cancer patients

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