Evidence map›Paper›PMID 33080483›Full record

Observational studySeizure2020

Where have the children with epilepsy gone? An observational study of seizure-related accesses to emergency department at the time of COVID-19.

Chiara Davico, Daniele Marcotulli, Caterina Lux, Dario Calderoni, Arianna Terrinoni, Federica Di Santo, Federica Ricci, Roberta Vittorini, Federico Amianto, Antonio Urbino and 2 more

Abstract readObservational Study
In one paragraph

Observational study in Seizure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Chiara DavicoDepartment of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Piazza Polonia 94, 10100, Turin, Italy. Electronic address: chiara.davico@unito.it.
Daniele MarcotulliDepartment of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Piazza Polonia 94, 10100, Turin, Italy.
Caterina LuxDepartment of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Piazza Polonia 94, 10100, Turin, Italy.
Dario CalderoniSection of Child and Adolescent Neuropsychiatry, University of Rome "La Sapienza", Rome, Italy.
Arianna TerrinoniSection of Child and Adolescent Neuropsychiatry, University of Rome "La Sapienza", Rome, Italy.
Federica Di SantoSection of Child and Adolescent Neuropsychiatry, University of Rome "La Sapienza", Rome, Italy.
Federica RicciDepartment of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Piazza Polonia 94, 10100, Turin, Italy.
Roberta VittoriniDepartment of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Piazza Polonia 94, 10100, Turin, Italy.
Federico AmiantoDepartment of Neuroscience, University of Turin, Turin, Italy.
Antonio UrbinoEmergency Pediatrics, Department of Child Care, Regina Margherita Hospital, Turin, Italy.
Mauro FerraraSection of Child and Adolescent Neuropsychiatry, University of Rome "La Sapienza", Rome, Italy.
Benedetto VitielloDepartment of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Piazza Polonia 94, 10100, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe COVID-19 pandemic and related lockdown measures drastically changed health care and emergency services utilization. This study evaluated trends in emergency department (ED) access for seizure-related reasons in the first 8 weeks of lockdown in Italy.

methodsAll ED accesses of children (<14 years of age) at two university hospitals, in Turin and Rome, Italy, between January 6, 2020 and April 21, 2020, were examined and compared with the corresponding periods of 2019.

resultsDuring the COVID-19 lockdown period (February 23-April 21, 2020), there was a 72 % decrease in all pediatric ED accesses over the corresponding 2019 period (n = 3,395 vs n = 12,128), with a 38 % decrease in seizure-related accesses (n = 41 vs n = 66). The observed decrease of seizure-related ED accesses was not accompanied by significant changes in age, sex, type of seizure, or hospitalization rate after the ED visit.

conclusionThe COVID-19 lockdown was accompanied by a sudden decrease in seizure-related hospital emergency visits. School closure, social distancing, reduced risk of infection, and increased parental supervision are some of the factors that might have contributed to the finding.

Indexed as

AdolescentChildCOVID-19Emergency Medical ServicesEmergency Service, HospitalEpilepsyHospitalizationHumansItalySARS-CoV-2SeizuresChild neurologyChildrenCovid-19EmergencyEpilepsySeizure

Identifiers

PMID33080483
PMCPMC7534601

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.