Cozzi Giorgio, Grillone Alberto, Zuliani Elettra, Giangreco Manuela, Zanchi Chiara, Abbracciavento Giuseppe, Barbi Egidio, Amaddeo Alessandro
Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
University of Trieste, Trieste, Italy.
Front Pediatr. 2023 Jan 25;11:1078274. doi: 10.3389/fped.2023.1078274. eCollection 2023.
We compared adolescents' visits to a tertiary-level paediatric emergency department (PED) in Italy during the pre-pandemic year and the first and second years of the COVID-19 pandemic, focusing on mental health presentations.
This was a retrospective study. We collected the number of visits, the demographical features, triage codes, discharge diagnoses, and outcomes of adolescents 13-17 years old who accessed the PED from 1 March 2019 to 28 February 2022.
During the study period, 13,410 adolescents accessed the PED. The number of visits related to mental health problems was 304 (6.4%) in the second year of the pandemic and 306 (5.6%) in the pre-pandemic year, = 0.07. In the same periods, females' prevalence was higher, 220 (72.4%) vs. 197 (64.4%), = 0.03. The absolute number of subjects needing admission increased, 44 vs. 34, = 0.21, and more urgent psychiatric consultations were needed, 161 vs. 114, < 0.0001. The number of suicide attempts was 23 vs. 8, +188%, = 0.01. The number of adolescents with eating disorders was 21 vs. 5, +320%, = 0.001.
PED visits for suicide attempts and eating disorders in adolescents sharply increased in the second year of the pandemic.
我们比较了意大利青少年在疫情前一年以及新冠疫情第一年和第二年前往三级儿科急诊科（PED）就诊的情况，重点关注心理健康问题。
这是一项回顾性研究。我们收集了2019年3月1日至2022年2月28日期间13至17岁青少年前往儿科急诊科就诊的次数、人口统计学特征、分诊代码、出院诊断及结果。
在研究期间，13410名青少年前往儿科急诊科就诊。疫情第二年与心理健康问题相关的就诊次数为304次（6.4%），疫情前一年为306次（5.6%），P = 0.07。在同一时期，女性患病率更高，分别为220例（72.4%）和197例（64.4%），P = 0.03。需要住院治疗的患者绝对数量有所增加，分别为44例和34例，P = 0.21，且需要更紧急的精神科会诊，分别为161例和114例，P < 0.0001。自杀未遂次数分别为23次和8次，增加了188%，P = 0.01。患有饮食失调症的青少年人数分别为21例和5例，增加了320%，P = 0.001。
在疫情第二年，青少年因自杀未遂和饮食失调前往儿科急诊科就诊的次数大幅增加。
