Changing Admission Patterns in Pediatric Emergency Departments during the COVID-19 Pandemic in Italy Were Due to Reductions in Inappropriate Accesses

During the initial phase of the national lockdown, we found that there were sharp decreases in admissions to two pediatric emergency departments (EDs) in northern Italy (Cremona and Novara). Here we present a detailed analysis of these admission patterns and types of admissions over a longer timefra...

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Autores principales:	Ivana Rabbone, Francesco Tagliaferri, Elena Carboni, Beatrice Crotti, Jessica Ruggiero, Alice Monzani, Lorenza Bonetti, Martina Soliani, Simonetta Bellone, Claudio Cavalli, Andrea E. Scaramuzza
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	COVID-19 pediatrics emergency department inappropriate accesses Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/94c7ba4ac11d4915b4d45d895c84756a
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spelling	oai:doaj.org-article:94c7ba4ac11d4915b4d45d895c84756a2021-11-25T17:13:58ZChanging Admission Patterns in Pediatric Emergency Departments during the COVID-19 Pandemic in Italy Were Due to Reductions in Inappropriate Accesses10.3390/children81109622227-9067https://doaj.org/article/94c7ba4ac11d4915b4d45d895c84756a2021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/962https://doaj.org/toc/2227-9067During the initial phase of the national lockdown, we found that there were sharp decreases in admissions to two pediatric emergency departments (EDs) in northern Italy (Cremona and Novara). Here we present a detailed analysis of these admission patterns and types of admissions over a longer timeframe. ED admissions data were anonymously extracted from the departmental management software. Admissions data from 2019 and 2020 were analyzed and compared separately for each ED and combined. There was a 73.2% decrease in total admissions compared with the same period in 2019. With respect to admission diagnoses, there was a significant (<i>p</i> < 0.001) drop in infectious (−51%), respiratory (−25.5%), and nervous systems diseases (−50%) and injuries and poisoning (−17%) but not endocrine, metabolic, neoplastic, circulatory, or musculoskeletal diseases. White codes (patients with minor injuries for whom ED medical care is not required) significantly decreased by 56.3% (<i>p</i> < 0.001). Even if the COVID-19 pandemic represented an enormous healthcare burden in Italy, especially during the first months of the pandemic (late February to May), the workload of pediatric EDs was significantly reduced, especially for unnecessary accesses (white codes).Ivana RabboneFrancesco TagliaferriElena CarboniBeatrice CrottiJessica RuggieroAlice MonzaniLorenza BonettiMartina SolianiSimonetta BelloneClaudio CavalliAndrea E. ScaramuzzaMDPI AGarticleCOVID-19pediatricsemergency departmentinappropriate accessesPediatricsRJ1-570ENChildren, Vol 8, Iss 962, p 962 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 pediatrics emergency department inappropriate accesses Pediatrics RJ1-570
spellingShingle	COVID-19 pediatrics emergency department inappropriate accesses Pediatrics RJ1-570 Ivana Rabbone Francesco Tagliaferri Elena Carboni Beatrice Crotti Jessica Ruggiero Alice Monzani Lorenza Bonetti Martina Soliani Simonetta Bellone Claudio Cavalli Andrea E. Scaramuzza Changing Admission Patterns in Pediatric Emergency Departments during the COVID-19 Pandemic in Italy Were Due to Reductions in Inappropriate Accesses
description	During the initial phase of the national lockdown, we found that there were sharp decreases in admissions to two pediatric emergency departments (EDs) in northern Italy (Cremona and Novara). Here we present a detailed analysis of these admission patterns and types of admissions over a longer timeframe. ED admissions data were anonymously extracted from the departmental management software. Admissions data from 2019 and 2020 were analyzed and compared separately for each ED and combined. There was a 73.2% decrease in total admissions compared with the same period in 2019. With respect to admission diagnoses, there was a significant (<i>p</i> < 0.001) drop in infectious (−51%), respiratory (−25.5%), and nervous systems diseases (−50%) and injuries and poisoning (−17%) but not endocrine, metabolic, neoplastic, circulatory, or musculoskeletal diseases. White codes (patients with minor injuries for whom ED medical care is not required) significantly decreased by 56.3% (<i>p</i> < 0.001). Even if the COVID-19 pandemic represented an enormous healthcare burden in Italy, especially during the first months of the pandemic (late February to May), the workload of pediatric EDs was significantly reduced, especially for unnecessary accesses (white codes).
format	article
author	Ivana Rabbone Francesco Tagliaferri Elena Carboni Beatrice Crotti Jessica Ruggiero Alice Monzani Lorenza Bonetti Martina Soliani Simonetta Bellone Claudio Cavalli Andrea E. Scaramuzza
author_facet	Ivana Rabbone Francesco Tagliaferri Elena Carboni Beatrice Crotti Jessica Ruggiero Alice Monzani Lorenza Bonetti Martina Soliani Simonetta Bellone Claudio Cavalli Andrea E. Scaramuzza
author_sort	Ivana Rabbone
title	Changing Admission Patterns in Pediatric Emergency Departments during the COVID-19 Pandemic in Italy Were Due to Reductions in Inappropriate Accesses
title_short	Changing Admission Patterns in Pediatric Emergency Departments during the COVID-19 Pandemic in Italy Were Due to Reductions in Inappropriate Accesses
title_full	Changing Admission Patterns in Pediatric Emergency Departments during the COVID-19 Pandemic in Italy Were Due to Reductions in Inappropriate Accesses
title_fullStr	Changing Admission Patterns in Pediatric Emergency Departments during the COVID-19 Pandemic in Italy Were Due to Reductions in Inappropriate Accesses
title_full_unstemmed	Changing Admission Patterns in Pediatric Emergency Departments during the COVID-19 Pandemic in Italy Were Due to Reductions in Inappropriate Accesses
title_sort	changing admission patterns in pediatric emergency departments during the covid-19 pandemic in italy were due to reductions in inappropriate accesses
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/94c7ba4ac11d4915b4d45d895c84756a
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Changing Admission Patterns in Pediatric Emergency Departments during the COVID-19 Pandemic in Italy Were Due to Reductions in Inappropriate Accesses

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