Pediatric Preventive Care in Middle-High Resource Countries—The Padova Chart for Health in Children

Galderisi, Alfonso; Perilongo, Giorgio; Caprio, Sonia; Dalt, Liviana Da; Salvo, Giovanni Di; Gatta, Michela; Giaquinto, Carlo; Rizzuto, Rosario; Robb, Adelaide S.; Sly, Peter D.; Simonelli, Alessandra; Staiano, Annamaria; Vettor, Roberto; Baraldi, Eugenio

doi:10.3389/fped.2022.803323

Cited by 2 publications

(1 citation statement)

References 87 publications

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“…Pulling the strings of our studio we can conclude that two years after the outbreak of the pandemic, the adolescents, especially high school students, have paid the highest price. Particularly the increased use of electronic devices, a known risk factor for mental health, stands out as one of the main consequences of the pandemic period on adolescents' lifestyles [44].…”

Section: Discussionmentioning

confidence: 99%

The impact of the two-year Covid-19 pandemic on hospital readmissions to a child and adolescent neuropsychiatric unit

Raffagnato

Miscioscia

Bruni

et al. 2022

Preprint

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Background Since2020 Italy and the world have been facing the health emergency related to the COVID-19 pandemic. Increasing evidence supports the association between the COVID-19 pandemic and the worsening mental health conditions of children and adolescents, with increased accesses in Emergency Departments and hospitalizations for psychiatric problems. This paper aimed to (a) study the population of patients admitted to a Neuropsychiatric Hospital Unit of North Italy during the pandemic two-year period, throughout a comparison with the population of patients hospitalized in the previous two years, according to socio-demographic and clinical variables (b) analyse the hospital readmission phenomenon, which has apparently increased its frequency during the first pandemic year according to recent studies. Methods This is an observational retrospective cohort study about 375 hospitalised patients from February 2018 to March 2022 due to neuropsychiatric problems. Data wereanalysed through mean, standard deviation, percentages, t-tests, chi-squared test, Fischer’sand non-parametric Mann-Whitney U-test. The level of statistical significance was set at p ≤ 0.05. Results Risk factors for mental health disorders were similar between the two groups, except for the significantly increased use of electronic devices in the COVID-19 one. Patients suffering from eating disorders tripled over time. Hospital readmissions almost doubled between the pre-COVID-19 two-year period and the COVID-19 period: 75% of patients hospitalized three or more times in the last two years and 85.7% of the so called “revolving door “patients (with relapse within three months after discharge) both belonged to the COVID-19group. The comparison between the two groups of patients readmitted before and during the COVID-19 pandemic didn’t show any differences in terms of socio-demographic and clinical characteristics. Conclusions These results suggest the inadequacy of local neuropsychiatric services in managing the complexity of clinical situations and the necessity to implement prevention strategies and services.

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Section: Discussionmentioning

confidence: 99%

The impact of the two-year Covid-19 pandemic on hospital readmissions to a child and adolescent neuropsychiatric unit

Raffagnato

Miscioscia

Bruni

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

The impact of the two-year COVID-19 pandemic on hospital admission and readmissions of children and adolescents because of mental health problems

Raffagnato,

Miscioscia,

Bruni

et al. 2023

Front. Public Health

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PurposeThis study aimed to investigate the specific risk factors and psycho-social and clinical features of hospitalized neuropsychiatric patients during the COVID pandemic and to analyze the hospital readmission phenomenon, which, according to recent studies, increased in frequency during the first pandemic period.Patients and methodsThis observational retrospective cohort study examined 375 patients aged between 0 and 17 years who were hospitalized between 1 February 2018 and 31 March 2022 due to neuropsychiatric issues. The majority of the patients were girls: there were 265 girls compared to 110 boys (M = 13.9 years; SD 2.30 years). The total sample was divided into two groups: the pre-COVID-19 group (160 inpatients hospitalized between February 2018 and February 2020) and the COVID-19 group (215 inpatients hospitalized between March 2020 and March 2022). To explore the readmission phenomenon (second aim), we selected from the two groups of patients with at least one hospital readmission within 365 days after the first discharge. Multiple variables (sociodemographic, clinical, psychological, and related to hospitalization) were collected for each patient by reviewing their medical records.ResultsThe risk factors for mental health disorders were similar between the two groups, except for the significantly increased use of electronic devices in the COVID-19 group, increasing from 8.8% in the pre-COVID-19 group to 29.2% in the COVID-19 group. Patients suffering from eating disorders increased from 11.3% in the pre-COVID-19 group to 23.8% in the COVID-19 group. Hospital readmissions nearly increased from 16.7% in the 2-year pre-COVID-19 period to 26.2% in the 2-year COVID-19 period. A total of 75% of patients hospitalized three or more times in the last 2 years and 85.7% of the so-called “revolving door” patients (with relapse within 3 months after discharge) were identified in the COVID-19 group. However, the comparison between the two groups of patients readmitted before and during the COVID-19 pandemic did not show any differences in terms of sociodemographic and clinical characteristics.ConclusionIn conclusion, there was a significant increase in hospital readmissions, but these results suggest the need for better coordination between hospital and territorial services in managing the complexity of mental health problems related to situations arising from the COVID-19 pandemic and the necessity to implement prevention strategies and services.

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Pediatric Preventive Care in Middle-High Resource Countries—The Padova Chart for Health in Children

Cited by 2 publications

References 87 publications

The impact of the two-year Covid-19 pandemic on hospital readmissions to a child and adolescent neuropsychiatric unit

The impact of the two-year Covid-19 pandemic on hospital readmissions to a child and adolescent neuropsychiatric unit

The impact of the two-year COVID-19 pandemic on hospital admission and readmissions of children and adolescents because of mental health problems

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