Evidence map›Paper›PMID 34841373›Full record

ArticlePublic health in practice (Oxford, England)2021

Evaluation of changes in pediatric healthcare activity during the Covid-19 state of alarm in the Canary Islands.

Valewska G Wallis Gómez, María Hernández Apolinario, Pedro Saavedra Santana, Claudia Hernández Pérez, Natalia Ramos Rueda, Carla Taboada Rubino, Laura Zapata Ferrer, Luis Peña-Quintana

Open access · goldAbstract read
In one paragraph

Article in Public health in practice (Oxford, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Observational
  2. 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 2 institutions in 1 country.

Valewska G Wallis GómezServicio de Pediatría. Complejo Hospitalario Universitario Insular Materno-Infantil de Canarias (CHUIMI), 35016, Gran Canaria, Spain.
María Hernández ApolinarioServicio de Pediatría. Complejo Hospitalario Universitario Insular Materno-Infantil de Canarias (CHUIMI), 35016, Gran Canaria, Spain.
Pedro Saavedra SantanaUniversidad de Las Palmas de Gran Canaria, 35017, Gran Canaria, Spain.
Claudia Hernández PérezServicio de Pediatría. Complejo Hospitalario Universitario Insular Materno-Infantil de Canarias (CHUIMI), 35016, Gran Canaria, Spain.
Natalia Ramos RuedaServicio de Pediatría. Complejo Hospitalario Universitario Insular Materno-Infantil de Canarias (CHUIMI), 35016, Gran Canaria, Spain.
Carla Taboada RubinoServicio de Pediatría. Complejo Hospitalario Universitario Insular Materno-Infantil de Canarias (CHUIMI), 35016, Gran Canaria, Spain.
Laura Zapata FerrerServicio de Pediatría. Complejo Hospitalario Universitario Insular Materno-Infantil de Canarias (CHUIMI), 35016, Gran Canaria, Spain.
Luis Peña-QuintanaServicio de Pediatría. Complejo Hospitalario Universitario Insular Materno-Infantil de Canarias (CHUIMI), 35016, Gran Canaria, Spain.
Hospital Universitario Insular de Gran Canaria · ESUniversidad de Las Palmas de Gran Canaria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDuring the SARS-CoV-2 state of alarm (SoA), a 30-70% reduction was observed in the number of visits to Pediatric Emergency Departments (ED), as well as frequent delay in diagnosis or difficulty accessing healthcare services. Here we evaluate modifications observed in pediatric healthcare activity during the SoA. STUDY

designDescriptive retrospective observational study of the hospital pediatric activity.

methodWe compared the use of pediatric healthcare services during the SoA (March 11th - June 25th, 2020) versus the use during the equivalent periods of years 2018 and 2019, in the "Complejo Hospitalario Universitario Insular Materno Infantil de Canarias" (Mother and Child University Hospital of the Canary Islands).

resultsThe number of patients visiting the pediatric ED decreased by 66.75% on average (95%CI: -65.6; - 67.7; p < 0.001), with a peak reduction (70.4%; 95%CI: -69.0; -71.7; p < 0.001) during the lockdown. We observed an increase in the number of cases of psychiatric disorders, foreign body ingestions and intoxications, as well as a decrease in respiratory conditions. Hospital admissions decreased by 45.5% (95%CI: - 38.9; -51.3; p < 0.001), while the ratio and duration of hospital stay increased. A proportion of 3.95% of admitted patients experienced complications caused by delayed visit to the ED.

conclusionsThe study shows that more patient education campaigns are needed to improve the efficiency of emergency services. It is important to reinforce the message that adequate healthcare service management is necessary.

Indexed as

COVID-19Emergency careEmergency departmentHealthcare utilizationOvercrowding

Identifiers

PMID34841373
PMCPMC8608396
OpenAlexW3178238207

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.