ArticleThe Lancet regional health. Europe2021
Pediatric admissions to emergency departments of North-Western Italy during COVID-19 pandemic: A retrospective observational study.
Article in The Lancet regional health. Europe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Epidemiological trends of multidrug-resistant organisms in a tertiary-care pediatric hospital, 2017-2023.Italian journal of pediatrics · 2026Article
- Impact of COVID-19 on growth hormone therapy efficacy in pediatric patients with short stature.Endocrine connections · 2025Article
- Mental Health of Children and Adolescents before and during the COVID-19 Pandemic: How Did the Lockdown Modify Psychiatric Emergencies in Tuscany, Italy?Journal of clinical medicine · 2023Article
- Confirmation of increased and more severe adolescent mental health-related in-patient admissions in the COVID-19 pandemic aftermath: A 2-year follow-up study.Psychiatry research communications · 2023Article
- Pediatric COVID-TB: A Clinical Perspective Based on the Analysis of Three Cases.Children (Basel, Switzerland) · 2023Article
- COVID-19 and diabetes in children.Annals of pediatric endocrinology & metabolism · 2022Article
- Impact of the First COVID Lockdown on Accident- and Injury-Related Pediatric Intensive Care Admissions in Germany-A Multicenter Study.Children (Basel, Switzerland) · 2022Article
- Sociodemographic and clinical changes in pediatric in-patient admissions for mental health emergencies during the COVID-19 pandemic: March 2020 to June 2021.Psychiatry research communications · 2022Article
- Impact of COVID-19 on paediatric emergency department attendances at four English hospitals.BMJ paediatrics open · 2022Article
- Retrospective analysis of North West London healthcare utilisation by children during the COVID-19 pandemic.BMJ paediatrics open · 2022Article
- The impact of the SARS COV-2 pandemic on pediatric accesses in ED: A Healthcare Emergency Information System analysis.PloS one · 2022Article
- Pediatric emergency department visits during the COVID-19 pandemic: a large retrospective population-based study.Italian journal of pediatrics · 2021Article
- Forecast modeling to identify changes in pediatric emergency department utilization during the COVID-19 pandemic.The American journal of emergency medicine · 2021Article
- Presidential address-the Black Swan: ISPN and pediatric neurosurgery in times of COVID-19.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Accessibility to Non-COVID Health Services in the World During the COVID-19 Pandemic: Review.Frontiers in public health · 2021Review
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Authors and funding
29 authors.
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Abstract
backgroundCOVID-19 pandemic caused huge decrease of pediatric admissions to Emergency Department (ED), arising concerns about possible delays in diagnosis and treatment of severe disorders.
methodsImpact of COVID-19 on Pediatric Emergency Room (ICOPER) was a retrospective multicentre observational study including 23 Italian EDs.All the children <18 years admitted, between March 9th and May 3rd 2020 stratified by age, priority code, cause of admission and outcome have been included and compared to those admitted in the same period of 2019.Our objectives were to assess the characteristics of pediatric admissions to EDs since COVID-19 outbreak until the end of lockdown, and to describe the features of critical children.
findings16,426 children were admitted in 2020, compared to 55,643 in 2019 (-70·48%). Higher reduction was reported in hospitals without Pediatric Intensive Care Unit (PICU) (-73·38%) than in those with PICU (-64·08%) (
interpretationAdmissions with low priority decreased significantly more than those with high priority; we suppose that the fear of being infected in hospital maybe overcame the concerns of caregivers. Compared to 2019, no significant referral delay by caregivers was reported. Our data suggest the need of adaptation of EDs and primary care services to different needs of children during COVID-9 pandemic.
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