Evidence map›Paper›PMID 35413003›Full record

ArticleBMJ paediatrics open2021

Responses of paediatric emergency departments to the first wave of the COVID-19 pandemic in Europe: a cross-sectional survey study.

Katy Rose, Silvia Bressan, Kate Honeyford, Zsolt Bognar, Danilo Buonsenso, Liviana Da Dalt, Tisham De, Ruth Farrugia, Niccolo Parri, Rianne Oostenbrink and 7 more

Open access · diamondAbstract read
In one paragraph

Article in BMJ paediatrics open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

17 authors at 11 institutions in 6 countries.

Katy RoseDepartment of Paediatric Emergency Medicine, Division of Medicine, Imperial College Healthcare NHS Trust, London, UK katy.rose2@nhs.net.ORCID 0000-0002-2020-4161
Silvia BressanDivision of Paediatric Emergency Medicine, Department of Women's and Children's Health, University of Padova, Padova, Italy.
Kate HoneyfordFaculty of Medicine, School of Public Health, Imperial College London, London, UK.ORCID 0000-0002-5533-7693
Zsolt BognarDepartment of Paediatric Emergency Medicine, Heim Pal National Paediatric Institute, Budapest, Hungary.ORCID 0000-0002-3744-9333
Danilo BuonsensoDepartment of Pediatrics, Catholic University of Rome, Rome, Italy.ORCID 0000-0001-8567-2639
Liviana Da DaltDivision of Paediatric Emergency Medicine, Department of Women's and Children's Health, University of Padova, Padova, Italy.
Tisham DeImperial College Medical School, Imperial College London, London, UK.
Ruth FarrugiaDepartment of Child and Adolescent Health, Mater Dei Hospital, Msida, Malta.
Niccolo ParriEmergency Department & Trauma Center, Ospedale Pediatrico Meyer Firenze, Florence, Italy.
Rianne OostenbrinkDepartment of Pediatrics, Erasmus MC-Sophia Childrens Hospital, Rotterdam, The Netherlands.ORCID 0000-0001-7919-8934
Ian MaconochieDepartment of Paediatric Emergency Medicine, Division of Medicine, Imperial College Healthcare NHS Trust, London, UK.
Henriette A MollDepartment of Pediatrics, Erasmus MC-Sophia Childrens Hospital, Rotterdam, The Netherlands.ORCID 0000-0001-9304-3322
Damian RolandSAPPHIRE Group, Health Sciences, University of Leicester, Leicester, UK.ORCID 0000-0001-9334-5144
Luigi TitomanlioDepartment of Pediatric Emergency Care, Hopital Universitaire Robert-Debre Pole de biologie recherche et produits de sante, Paris, Île-de-France, France.
Ruud NijmanDepartment of Paediatric Emergency Medicine, Division of Medicine, Imperial College Healthcare NHS Trust, London, UK.ORCID 0000-0001-9671-8161
in association with the REPEM network (Research in European Paediatric Emergency Medicine) as part of the EPISODES Study
in association with the REPEM network(Research in European Paediatric Emergency Medicine) as part of the EPISODES Study
Erasmus MC - Sophia Children’s Hospital · NLImperial College Healthcare NHS Trust · GBImperial College London · GBUniversity of Padua · ITHeim Pál Országos Gyermekgyógyászati Intézet · HUInserm · FRMater Dei Hospital · MTMeyer Children's Hospital · ITUniversità Cattolica del Sacro Cuore · ITUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Leicester · GB

Funding

Department of Health
6 · The paper itself

Abstract

objectiveUnderstanding how paediatric emergency departments (PEDs) across Europe adapted their healthcare pathways in response to COVID-19 will help guide responses to ongoing waves of COVID-19 and potential future pandemics. This study aimed to evaluate service reconfiguration across European PEDs during the initial COVID-19 wave.

designThis cross-sectional survey included 39 PEDs in 17 countries. The online questionnaire captured (1) study site characteristics, (2) departmental changes and (3) pathways for children with acute illness pre and during the first wave of COVID-19 pandemic (January-May 2020). Number of changes to health services, as a percentage of total possible changes encompassed by the survey, was compared with peak national SARS-CoV-2 incidence rates, and for both mixed and standalone paediatric centres.

resultsOverall, 97% (n=38) of centres remained open as usual during the pandemic. The capacity of 18 out of 28 (68%) short-stay units decreased; in contrast, 2 units (7%) increased their capacity. In 12 (31%) PEDs, they reported acting as receiving centres for diverted children during the pandemic.There was minimal change to the availability of paediatric consultant telephone advice services, consultant supervision of juniors or presence of responsible specialists within the PEDs.There was no relationship between percentage of possible change at each site and the peak national SARS-CoV-2 incidence rate. Mixed paediatric and adult hospitals made 8% of possible changes and standalone paediatric centres made 6% of possible changes (p=0.086).

conclusionOverall, there was limited change to the organisation or delivery of services across surveyed PEDs during the first wave of the COVID-19 pandemic.

Indexed as

COVID-19PandemicsAdultChildCross-Sectional StudiesEmergency Service, HospitalHumansSARS-CoV-2Surveys and QuestionnairesCOVID-19health services research

Identifiers

PMID35413003
PMCPMC8688729
OpenAlexW4200442765

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.