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Article

SARS-CoV-2 Pandemic Impact on Pediatric Emergency Rooms: A Multicenter Study

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Department of Maternal, Infantile and Urological Sciences, Sapienza University of Rome, 00161 Rome, Italy
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Pediatric Unit, Sant’Eugenio Hospital, 00144 Rome, Italy
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Department of Clinical Paediatrics, San Paolo Hospital, University of Milan, 20142 Milan, Italy
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Operative Unit of Pediatrics, San Camillo-Forlanini Hospital, 00151 Rome, Italy
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Pediatric Emergency Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy
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Institute for Maternal and Child Health Burlo Garofolo, 34137 Trieste, Italy
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Department of Pediatric Emergency, Gaspare Salesi Hospital, Azienda Ospedaliera Ospedali Riuniti, 60123 Ancona, Italy
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General Pediatrics and Pediatric Acute and Emergency Unit, Vittorio Emanuele University Hospital, 95121 Catania, Italy
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Pediatric Unit, Istituti Ospedalieri Bergamaschi, Gruppo Ospedaliero San Donato, 24059 Ponte San Pietro, Italy
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Pediatric Emergency Unit, Scientific Institute for Research and Healthcare, Sant’Orsola Hospital, 40138 Bologna, Italy
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Pediatric Unit, Department of Maternal and Child Health, Santa Maria Goretti Hospital, Sapienza University of Rome, 04100 Latina, Italy
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Pediatric Unit, San Giovanni Battista Hospital, 06034 Foligno, Italy
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Pediatric Unit, Fabrizio Spaziani Hospital, 03100 Frosinone, Italy
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Pediatric Unit, San Matteo degli Infermi Hospital, 06049 Spoleto, Italy
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Pediatric Emergency Department, Santobono-Pausilipon Hospital, 06049 Napoli, Italy
*
Author to whom correspondence should be addressed.
Membership of CICERO Group is Provided in the Acknowledgments.
Int. J. Environ. Res. Public Health 2020, 17(23), 8753; https://doi.org/10.3390/ijerph17238753
Received: 28 October 2020 / Revised: 20 November 2020 / Accepted: 21 November 2020 / Published: 25 November 2020
From 9 March to 3 May 2020, lockdown was declared in Italy due to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. Our aim was to evaluate how the SARS-CoV-2 pandemic and related preventive strategies affected pediatric emergency rooms (ERs) during this period. We performed a retrospective cohort multicenter study, comparing the lockdown period to the corresponding period in 2019. We examined 15 Italian pediatric ERs in terms of visit rates, specific diagnoses (grouped as air communicable diseases and non-air communicable diseases), and triage categories. During the lockdown period, ER admissions decreased by 81% compared to 2019 (52,364 vs. 10,112). All ER specific diagnoses decreased in 2020 and this reduction was significantly higher for air communicable diseases (25,462 vs. 2934, p < 0.001). Considering the triage category, red codes remained similar (1% vs. 1%), yellow codes increased (11.2% vs. 22.3%), and green codes decreased (80.3% vs. 69.5%). We can speculate that social distancing and simple hygiene measures drastically reduced the spread of air communicable diseases. The increase in yellow codes may have been related to a delay in primary care and, consequently, in ER admissions. View Full-Text
Keywords: air communicable infections; emergency rooms; lockdown measures; pediatric; pandemic; SARS-CoV-2 air communicable infections; emergency rooms; lockdown measures; pediatric; pandemic; SARS-CoV-2
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MDPI and ACS Style

Matera, L.; Nenna, R.; Rizzo, V.; Ardenti Morini, F.; Banderali, G.; Calvani, M.; Calvi, M.; Cozzi, G.; Fabiani, E.; Falsaperla, R.; Kantar, A.; Lanari, M.; Lubrano, R.; Messini, B.; Niccoli, A.A.; Scoppi, P.; Tipo, V.; Midulla, F., on behalf of the CICERO Group. SARS-CoV-2 Pandemic Impact on Pediatric Emergency Rooms: A Multicenter Study. Int. J. Environ. Res. Public Health 2020, 17, 8753. https://doi.org/10.3390/ijerph17238753

AMA Style

Matera L, Nenna R, Rizzo V, Ardenti Morini F, Banderali G, Calvani M, Calvi M, Cozzi G, Fabiani E, Falsaperla R, Kantar A, Lanari M, Lubrano R, Messini B, Niccoli AA, Scoppi P, Tipo V, Midulla F on behalf of the CICERO Group. SARS-CoV-2 Pandemic Impact on Pediatric Emergency Rooms: A Multicenter Study. International Journal of Environmental Research and Public Health. 2020; 17(23):8753. https://doi.org/10.3390/ijerph17238753

Chicago/Turabian Style

Matera, Luigi, Raffaella Nenna, Valentina Rizzo, Francesca Ardenti Morini, Giuseppe Banderali, Mauro Calvani, Matteo Calvi, Giorgio Cozzi, Elisabetta Fabiani, Raffaele Falsaperla, Ahmad Kantar, Marcello Lanari, Riccardo Lubrano, Beatrice Messini, Antonio A. Niccoli, Pietro Scoppi, Vincenzo Tipo, and Fabio Midulla on behalf of the CICERO Group. 2020. "SARS-CoV-2 Pandemic Impact on Pediatric Emergency Rooms: A Multicenter Study" International Journal of Environmental Research and Public Health 17, no. 23: 8753. https://doi.org/10.3390/ijerph17238753

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