Evidence map›Paper›PMID 33358228›Full record

ArticleDisability and health journal2021

Impact of COVID-19 lockdown in children with neurological disorders in Italy.

Stefania Maria Bova, Martina Basso, Marta Francesca Bianchi, Laura Savaré, Giusi Ferrara, Eleonora Mura, Maria Gaia Redaelli, Ivana Olivieri, Pierangelo Veggiotti, Milan COVID-19 and Child Neurology Study Group

Abstract read
In one paragraph

Article in Disability and health journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

10 authors.

Stefania Maria BovaChild Neurology Unit, Vittore Buzzi Children's Hospital, Università di Milano, via Castelvetro 32, 20154, Milano, Italy. Electronic address: stefania.bova@asst-fbf-sacco.it.
Martina BassoChild Neurology Unit, Vittore Buzzi Children's Hospital, Università di Milano, via Castelvetro 32, 20154, Milano, Italy. Electronic address: martina.basso@unimi.it.
Marta Francesca BianchiChild Neurology Unit, Vittore Buzzi Children's Hospital, Università di Milano, via Castelvetro 32, 20154, Milano, Italy. Electronic address: martafrancesca.bianchi@unimi.it.
Laura SavaréNational Centre for Healthcare Research & Pharmacoepidemiology, Università di Milano-Bicocca Milan, Via Bicocca degli Arcimboldi, 8, 20126, Italy; Laboratory of Healthcare Research & Pharmacoepidemiology, Unit of Biostatistics, Epidemiology and Public Health, Department of Statistics and Quantitative Methods, Università di Milano-Bicocca Milan, Via Bicocca degli Arcimboldi, 8, 20126, Italy. Electronic address: laura.savare@unimib.it.
Giusi FerraraChild Neurology Unit, Vittore Buzzi Children's Hospital, Università di Milano, via Castelvetro 32, 20154, Milano, Italy. Electronic address: giusi.ferrara@unimi.it.
Eleonora MuraChild Neurology Unit, Vittore Buzzi Children's Hospital, Università di Milano, via Castelvetro 32, 20154, Milano, Italy. Electronic address: eleonora.mura@unimi.it.
Maria Gaia RedaelliChild Neurology Unit, Vittore Buzzi Children's Hospital, Università di Milano, via Castelvetro 32, 20154, Milano, Italy. Electronic address: maria.redaelli@unimi.it.
Ivana OlivieriIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy. Electronic address: iolivieri@dongnocchi.it.
Pierangelo VeggiottiChild Neurology Unit, Vittore Buzzi Children's Hospital, Università di Milano, via Castelvetro 32, 20154, Milano, Italy; Biomedical and Clinical Sciences Department, L Sacco, Università di Milano, Via G.B. Grassi 74, 20157, Milan, Italy. Electronic address: pierangelo.veggiotti@unimi.it.
Milan COVID-19 and Child Neurology Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe costs and benefits of full lockdown measures are debated. Neurologically impaired children are a vulnerable population with specific needs in terms of protection against infection and access to health services.

objectivesWe investigated the effects of lockdown on the health of children with neurological disorders and on their access to care during lockdown.

methodsData from 514 children (282 males - 232 females) were collected through physician-administered interviews to investigate: the occurrence of viral-like physical symptoms, the correlation between the risk of developing such symptoms and several demographic and clinical variables, the occurrence of any worsening of the children's neurological conditions during lockdown, and their access to care services during this period.

results49.1% experienced at least one symptom during the study period, but no child developed severe complications. The prevalence of symptoms was significantly lower during lockdown than during the previous two months. The underlying neurological condition worsened in 11.5% of the patients. Children who regularly left the home during lockdown were greater risk of exhibiting symptoms. During lockdown, 67.7% had a specialist appointment cancelled, 52.6% contacted their paediatrician, and 30.9% contacted their child neuropsychiatrist. Among patients who usually receive rehabilitation, 49.5% continued remotely.

conclusionLockdown protected children from infections. Telemedicine and telerehabilitation constituted a valid alternative for the care and treatment of these children, but they should not become a widespread and definitive model of care. COVID-19 and other emergency response plans must take into account the specific needs of children with disabilities.

Indexed as

Health Services AccessibilityChildCommunicable Disease ControlCOVID-19Disease ProgressionFemaleHumansItalyMaleNervous System DiseasesSARS-CoV-2TelemedicineChild neurologyCOVID19 pandemicHealth careLockdownTelemedicine

Identifiers

PMID33358228
PMCPMC7832678

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.