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Covid-19 - What changed in the pediatric emergency room of a district hospital during the state of emergency?

2021-09Journal article Open access
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dc.contributor.authorPessoa, Tânia
dc.contributor.authorParente, Rita
dc.contributor.authorSão-Pedro, Maria
dc.contributor.authorSimões, Mariana
dc.contributor.authorVale, Gonçalo
dc.contributor.authorLacerda, Catarina
dc.contributor.authorSantos, Sandra
dc.contributor.authorCorreia, Susana
dc.contributor.authorDidelet, Cristina
dc.date.accessioned2021-10-14T09:59:35Z
dc.date.available2021-10-14T09:59:35Z
dc.date.issued2021-09
dc.description.abstractIntroduction: The COVID-19 pandemic led to the adoption of a state of emergency in Portugal, during which hospital emergency admissions declined. The aim of this study was to analyze the differences in Pediatric Emergency Room admissions during the state of emergency compared to the pre-pandemic setting. Material and methods: Retrospective analytical observational study of patients admitted to the Pediatric Emergency Room of a group I hospital from March 19 to May 2 of 2020 and homologous 2019 period. Data regarding age, gender, admission origin and cause, recurrences, diagnosis, and discharge destination were collected. Results: During the state of emergency, a 78.7% reduction in Pediatric Emergency Room admissions occurred compared to the pre-pandemic state (956 in 2020 vs 4481 in 2019). The main differences between both periods were an increase in admission of patients with <1 year old; a decrease in admissions by own initiative together with an increase of external referrals; less infectious diseases diagnoses; a higher number of accidental intoxications or ingestions, foreign bodies, and burns; a decrease in recurrences; a relative increase of hospital transfers; and higher hospitalization rates despite their shorter duration. No increase was found in Observation Room admissions, referrals for hospital consultations, or deaths. Discussion: Most study findings may be due to a reduction in common reasons for attending the Pediatric Emergency Room, due to social distancing/quarantine and transport/circulation limitations imposed by the pandemic. Conclusions: There was no significant increase in patients’ disease severity and those with criteria for visiting the Pediatric Emergency Room continued to do so. Compliance with isolation measures and recommendations of the Directorate-General of Health (DGS) seem to have been met.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPessoa T, Parente R, São-Pedro M, Simões M, Vale G, Lacerda C, Santos S, Correia S, Didelet C, Nascer e Crescer - Birth and Growth Medical Journal 2021;30(3): 159-165. doi:10.25753/BirthGrowthMJ.v30.i3.20971pt_PT
dc.identifier.doi10.25753/BirthGrowthMJ.v30.i3.20971pt_PT
dc.identifier.issn2183-9417
dc.identifier.urihttp://hdl.handle.net/10400.16/2513
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Hospitalar Universitário do Portopt_PT
dc.relation.publisherversionhttps://revistas.rcaap.pt/nascercrescer/article/view/20971pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectanomalypt_PT
dc.subjectcoronaviruspt_PT
dc.subjectEmergency Roompt_PT
dc.subjectpandemicpt_PT
dc.subjectpediatricpt_PT
dc.titleCovid-19 - What changed in the pediatric emergency room of a district hospital during the state of emergency?pt_PT
dc.title.alternativeCovid-19 - O que mudou num serviço de urgência pediátrico de um hospital distrital durante o estado de emergência?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePorto, Portugalpt_PT
oaire.citation.endPage165pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage159pt_PT
oaire.citation.titleNascer e Crescer - Birth and Growth Medical Journalpt_PT
oaire.citation.volume30pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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