ArticleActa bio-medica : Atenei Parmensis2020
Impact of the COVID-19 epidemic on census, organization and activity of a large urban Emergency Department.
Article in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.
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Who cites it
53 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Emergency department crowding in the modern era: a systematic review (2018-2025).Clinical and experimental emergency medicine · 2026Pooled it
- The Impact of Work Demands and Meaningful Work on the Burnout and Mental Health Strain of Emergency Medicine Clinicians.Stress and health : journal of the International Society for the Investigation of Stress · 2026Article
- Italy's Post-COVID-19 Stroke Network: Has It Returned to Pre-Pandemic Standards?Epidemiologia (Basel, Switzerland) · 2024Article
- Reshaping Emergency Care: Dynamics of OHCA and STEMI in a Three-Year Analysis.Epidemiologia (Basel, Switzerland) · 2024Article
- Acute care pathway assessed through performance indicators during the COVID-19 pandemic in OECD countries (2020-2021): a scoping review.BMC emergency medicine · 2024Article
- Impact of the COVID-19 pandemic on visits to the hospital emergency service in two hospitals in Spain, from March 14, 2020 to June 21, 2020.Internal and emergency medicine · 2023Article
- Evaluating Changes in Trauma Epidemiology during the COVID-19 Lockdown: Insights and Implications for Public Health and Disaster Preparedness.Healthcare (Basel, Switzerland) · 2023Article
- Article
- Evaluating the Patient Boarding during Omicron Surge in Hong Kong: Time Series Analysis.Journal of medical systems · 2023Article
- A Fuzzy Hybrid MCDM Approach for Assessing the Emergency Department Performance during the COVID-19 Outbreak.International journal of environmental research and public health · 2023Article
- Fear of COVID-19 and Related Factors in Emergency Department Patients.International journal of mental health and addiction · 2023Article
- Epidemiology and outcomes for level 1 and 2 traumas during the first wave of COVID19 in a Canadian centre.Scientific reports · 2022Article
- Examining patient flow in a tertiary hospital's emergency department at a low coronavirus prevalence region.BMC emergency medicine · 2022Observational
- From the Triage to the Intermediate Area: A Simple and Fast Model for COVID-19 in the Emergency Department.International journal of environmental research and public health · 2022Article
- Lifestyle Changes and Exacerbation Frequency of COPD in Times of the Pandemic.Turkish thoracic journal · 2022Article
- The Impact of the SARS-CoV-2 Pandemic on Healthcare Provision in Italy to non-COVID Patients: a Systematic Review.Mediterranean journal of hematology and infectious diseases · 2022Review
- Access, socioeconomic environment, and death from COVID-19 in Nebraska.Frontiers in public health · 2022Article
- Pandemic hospitals and reorganizing emergency departmentsTurkish journal of medical sciences · 2021Review
- Research on SARS-COV-2 pandemic: a narrative review focused on the Italian contribution.Journal of anesthesia, analgesia and critical care · 2021Review
- Evaluation of changes in pediatric healthcare activity during the Covid-19 state of alarm in the Canary Islands.Public health in practice (Oxford, England) · 2021Article
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3 authors.
Funding
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Abstract
backgroundThe spread of coronavirus disease 2019 (COVID-19) is overwhelming the response of many regional health services across Italy. This article aims to report and discuss the data of the first 8 weeks of COVID-19 epidemic in the emergency department (ED) of the University Hospital of Parma.
methodsThe ED visits were analyzed as follows: total ED visits, divided in COVID-19/ non-COVID-19 cases, and in trauma-related/non-trauma-related cases; outcome (i.e., discharged, admitted, dead in the ED) of patients, altogether or stratified according to triage class; age classes of the entire ED population.
resultsTotal ED visits decreased starting from the first days of the outbreak, then exhibiting progressive growth afterwards. COVID suspected cases rapidly increased, whereas non-COVID suspected dropped and remained well below the standard. Trauma-related cases declined, both as ED visits and as hospital admissions. The percentage and absolute number of patients admitted to hospital wards progressively increased, rapidly overwhelming the number of cases that could be discharged. The admission rate in the lowest priority classes also displayed a marked increase. The youngest age classes dramatically declined, whilst the oldest progressively increased, remaining considerably over the standard rate of the local ED.
conclusionsThe COVID-19 pandemic has obliged the health care systems to undergo a paradigm shift. Even triage criteria have partially lost their meaning, as shown by the dramatic increase of hospital admissions, even in the lowest priority classes. A deep re-organizational process of the ED was undertaken. Hospitals must be constantly resilient and prepared to these new emergencies in terms of equipment, medical and nurses staff, larger bed capacity in short time, availability of intensive and sub-intensive beds, and flexibility.
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