Evidence map›Paper›PMID 33409588›Full record

ArticleEuropean journal of pediatrics2021

The impact of COVID-19 on a tertiary care pediatric emergency department.

Ilaria Liguoro, Chiara Pilotto, Michela Vergine, Anna Pusiol, Enrico Vidal, Paola Cogo

Abstract read
In one paragraph

Article in European journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–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

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

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  20. Changes in pediatric emergency department visits during a COVID-19 lockdown period: An exhaustive single-center analysis.Archives de pediatrie : organe officiel de la Societe francaise de pediatrie · 2022
    Observational
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

6 authors.

Ilaria LiguoroDepartment of Medical Area - DAME - Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15., 33100, Udine, Italy. ilarialiguoro@gmail.com.ORCID http://orcid.org/0000-0002-9177-0400
Chiara PilottoDepartment of Medical Area - DAME - Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15., 33100, Udine, Italy.
Michela VergineDepartment of Medical Area - DAME - Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15., 33100, Udine, Italy.
Anna PusiolDepartment of Medical Area - DAME - Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15., 33100, Udine, Italy.
Enrico VidalDepartment of Medical Area - DAME - Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15., 33100, Udine, Italy.
Paola CogoDepartment of Medical Area - DAME - Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15., 33100, Udine, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The restrictive measures required to face the recent outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may impact patterns of healthcare utilization. Our aim was to provide an insight into the change in the use of a pediatric emergency department (ED) during the SARS-CoV-2 pandemic. The medical records of the children seen in our pediatric ED during March and April 2020 were retrospectively reviewed. Consequently, these were compared to the medical records of 2018 and 2019 from the same time period and from other control periods (January-February 2019 and 2020, and July-August 2018 and 2019). The total number of ED visits declined by 73% from 2019 to 2020 (3051 vs 818). Significant variations were observed in the distribution of children between triage categories: the proportion of patients who was given a green-code showed a 0.59-fold decrease in comparison to 2019 (95% CI 0.5-0.69), while a relative increase in the proportion of yellow codes was observed (OR 1.46, 95% CI 1.2-1.78).Conclusion: Quarantine measures significantly impacted on the total number of patients and on the reasons for visiting them in our pediatric ED. This substantial decrease in pediatric care may either be due to lower rates of acute infections because of social distancing, or to parents' or caregivers' reticence to risk exposure to SARS-CoV-2 in a health-care setting. What is known: • A recent outbreak of a novel coronavirus responsible for a severe acute respiratory syndrome is spreading globally. • Restrictive measures may impact patterns of healthcare utilization, as observed in other previous outbreaks. What is new: • This study shows significant variations in the distribution of children among triage categories during the COVID-19 pandemic. • Discharge diagnosis was significantly different as well, in particular a relative increase in the proportion of children presenting with traumatic injuries and a decrease of viral infections were observed.

Indexed as

COVID-19PandemicsChildChild, PreschoolEmergency Service, HospitalFemaleHumansInfantMalePediatricsRetrospective StudiesTertiary Health CareCOVID-19Emergency careInfectious diseasePandemicPediatrics

Identifiers

PMID33409588
PMCPMC7787709

What OpenQuestion holds

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Read underepoch 390

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.