Evidence map›Paper›PMID 33916938›Full record

ArticlePediatric reports2021

Neonatal and Pediatric Emergency Room Visits in a Tertiary Center during the COVID-19 Pandemic in Italy.

Davide Silvagni, Laura Baggio, Patrizia Lo Tartaro Meragliotta, Pietro Soloni, Giovanna La Fauci, Chiara Bovo, Stefania Ielo, Paolo Biban

Open access · goldAbstract read
In one paragraph

Article in Pediatric reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  14. Effects of Relaxed Lockdown on Pediatric ER Visits during SARS-CoV-2 Pandemic in Italy.International journal of environmental research and public health · 2021
    Article
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

8 authors at 1 institution in 1 country.

Davide SilvagniPaediatric Emergency Room, Department of Neonatal and Paediatric Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy.
Laura BaggioPaediatric Emergency Room, Department of Neonatal and Paediatric Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy.
Patrizia Lo Tartaro MeragliottaPaediatric Emergency Room, Department of Neonatal and Paediatric Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy.
Pietro SoloniPaediatric Emergency Room, Department of Neonatal and Paediatric Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy.
Giovanna La FauciPaediatric Emergency Room, Department of Neonatal and Paediatric Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy.
Chiara BovoMedical Direction, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy.
Stefania IeloPaediatric Emergency Room, Department of Neonatal and Paediatric Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy.
Paolo BibanPaediatric Emergency Room, Department of Neonatal and Paediatric Critical Care, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy.ORCID 0000-0001-7073-6265
University of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic is affecting healthcare services worldwide. We investigated the impact of a strict lockdown policy on the characteristics of neonatal and pediatric attendances to our pediatric emergency department (PED). The clinical features of PED visits in March-April 2020 (COVID-19) and March-April 2019 (non-COVID-19) were analyzed. During the COVID-19 lockdown period, visits reduced by 67%, from 3159 to 1039. Neonatal access decreased from 78 to 59, mainly due to fewer pathological conditions, with a complete disappearance of respiratory infections. On the other hand, minor neonatal clinical conditions rose from 44 (56.4%) to 48 (81.4%), mostly due to feeding-related issues. Communicable diseases, particularly respiratory infections and gastroenteritis, dropped from 1552 (49.1%) to 288 (27.7%). Accident-related visits also decreased during COVID-19, from 535 (16.9%) to 309 (29.7%), becoming the most common cause of PED access. Hospital admissions reduced from 266 to 109, while PICU (pediatric intensive care unit) admissions decreased from 27 to 11, with a comparable rate of 10.1% in both periods. The lockdown due to COVID-19 had a substantial impact on our PED visits, which markedly decreased, mainly due to fewer respiratory infections. Unexpectedly, neonatal visits for minor conditions did not decline, but rather slightly increased. Among the children admitted to the PICU, none had respiratory disease.

Indexed as

childCOVID-19newbornpediatric emergency departmenttriage code

Identifiers

PMID33916938
PMCPMC8167637
OpenAlexW3147562636

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.