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Effects of Relaxed Lockdown on Pediatric ER Visits during Sars-CoV-2 Pandemic in Italy

Bibliographic Data

ID15515016
AuthorsLuigi Matera (Sapienza University of Rome), Raffaella Nenna (0000-0001-8880-3462, Sapienza University of Rome), Francesca Ardenti Morini (St. Eugenio Hospital), Giuseppe Banderali (0000-0001-6650-981X, University of Milan), Mauro Calvani (Carlo Forlanini Hospital), Matteo Calvi (Ospedale Papa Giovanni XXIII), Giorgio Cozzi (0000-0002-6427-1366, IRCCS Materno Infantile Burlo Garofolo), Raffaele Falsaperla (0000-0002-4482-3506, Azienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele), Roberto Guidi (0000-0002-0100-6784, Department of Pediatric Emergency, G. Salesi Hospital, 60123 Ancona, Italy), Ahmad Kantar (0000-0002-3445-4612, Azienda Ospedaliero Universitaria Ospedali Riuniti), Marcello Lanari (0000-0002-2586-314X, Pediatric Emergency Unit, Scientific Institute for Research and Healthcare, Sant’Orsola Hospital, 40138 Bologna, Italy), Riccardo Lubrano (0000-0001-8237-955X, Ospedale Santa Maria Goretti), Beatrice Messini (Azienda Ospedaliero Universitaria San Giovanni Battista), Antonio Augusto Niccoli (Pediatric Unit, Fabrizio Spaziani Hospital, 03100 Frosinone, Italy), Vincenzo Tipo (0000-0001-8159-2359, Santobono Children's Hospital), Fabio Midulla (0000-0001-7476-5266, Sapienza University of Rome, corresponding author)
Year2021
Volume18
Issue18
Pages9547-9547
Publication date2021-09-10
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18189547
PMID34574469
OpenAlexW3200235300
LanguageEN
Citations received1
References cited52

Previously, we demonstrated an 81% reduction in pediatric Emergency Room (ER) visits in Italy during the strict lockdown due to the SARS-CoV-2 pandemic. Since May 2020, lockdown measures were relaxed until 6 November 2020, when a strict lockdown was patchily reintroduced. Our aim was to evaluate the impact of the relaxed lockdown on pediatric ER visits in Italy. We performed a retrospective multicenter study involving 14 Italian pediatric ERs. We compared total ER visits from 24 September 2020 to 6 November 2020 with those during the corresponding timeframe in 2019. We evaluated 17 ER specific diagnoses grouped in air communicable and non-air communicable diseases. We recognized four different triage categories: white, green, yellow and red. In 2020 total ER visits were reduced by 51% compared to 2019 (16,088 vs. 32,568, respectively). The decrease in air communicable diseases was significantly higher if compared to non-air communicable diseases (-64% vs. -42%, respectively). ER visits in each triage category decreased in 2020 compared to 2019, but in percentage, white and red codes remained stable, while yellow codes slightly increased and green codes slightly decreased. Our results suggest that preventive measures drastically reduced the circulation of air communicable diseases even during the reopening of social activities but to a lesser extent with regard to the strict lockdown period (March-May 2020)

2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19 · Disease · Emergency department · Environmental health · Outbreak · Pandemic · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 · Triage · COVID-19 and healthcare impacts · COVID-19 and Mental Health · Demography · Emergency and Acute Care Studies · Medicine · Emergency Medicine · Internal Medicine · Pediatrics · Virology

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Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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