Rabbone Ivana, Tagliaferri Francesco, Carboni Elena, Crotti Beatrice, Ruggiero Jessica, Monzani Alice, Bonetti Lorenza, Soliani Martina, Bellone Simonetta, Cavalli Claudio, Scaramuzza Andrea E
Division of Pediatrics, Department of Health Sciences, University of Piemonte Orientale, 28100 Novara, Italy.
Pediatric Unit, ASST Cremona, 26100 Cremona, Italy.
Children (Basel). 2021 Oct 25;8(11):962. doi: 10.3390/children8110962.
During the initial phase of the national lockdown, we found that there were sharp decreases in admissions to two pediatric emergency departments (EDs) in northern Italy (Cremona and Novara). Here we present a detailed analysis of these admission patterns and types of admissions over a longer timeframe. ED admissions data were anonymously extracted from the departmental management software. Admissions data from 2019 and 2020 were analyzed and compared separately for each ED and combined. There was a 73.2% decrease in total admissions compared with the same period in 2019. With respect to admission diagnoses, there was a significant ( < 0.001) drop in infectious (-51%), respiratory (-25.5%), and nervous systems diseases (-50%) and injuries and poisoning (-17%) but not endocrine, metabolic, neoplastic, circulatory, or musculoskeletal diseases. White codes (patients with minor injuries for whom ED medical care is not required) significantly decreased by 56.3% ( < 0.001). Even if the COVID-19 pandemic represented an enormous healthcare burden in Italy, especially during the first months of the pandemic (late February to May), the workload of pediatric EDs was significantly reduced, especially for unnecessary accesses (white codes).
在全国封锁的初始阶段，我们发现意大利北部的两个儿科急诊科（克雷莫纳和诺瓦拉）的入院人数急剧下降。在此，我们展示了在更长时间段内这些入院模式和入院类型的详细分析。急诊科入院数据从部门管理软件中匿名提取。分别对每个急诊科2019年和2020年的入院数据进行分析和比较，然后合并。与2019年同期相比，总入院人数下降了73.2%。关于入院诊断，传染病（-51%）、呼吸系统疾病（-25.5%）、神经系统疾病（-50%）以及损伤和中毒（-17%）显著下降（<0.001），但内分泌、代谢、肿瘤、循环或肌肉骨骼疾病没有下降。白色代码（轻伤患者，无需急诊科医疗护理）显著下降了56.3%（<0.001）。即使新冠疫情给意大利带来了巨大的医疗负担，尤其是在疫情的头几个月（2月下旬至5月），儿科急诊科的工作量也显著减少，尤其是不必要的就诊（白色代码）。
