Alice Boria, Ilaria Acquaviva, Alessio Correani, Chiara Monachesi, Simona Gatti, Elisabetta Fabiani, Maria Elena Lionetti
{"title":"COVID-19大流行限制和儿科急诊室的事故出勤率。","authors":"Alice Boria, Ilaria Acquaviva, Alessio Correani, Chiara Monachesi, Simona Gatti, Elisabetta Fabiani, Maria Elena Lionetti","doi":"10.1016/j.pedhc.2025.08.010","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>From January 2020 to March 2022, Italy implemented stringent public health measures during the COVID-19 state of emergency (EM). This study evaluated their impact on pediatric emergency department (PED) attendances for accidents.</p><p><strong>Methods: </strong>We retrospectively analyzed 17,852 accident-related visits among patients aged ≤15 years at a regional referral PED between February 2018 and January 2024, comparing prepandemic (PRE-PAN), pandemic emergency (EM-PAN), and postemergency (PostEM-PAN) phases.</p><p><strong>Results: </strong>Of 107,187 total PED visits, 16.7% were related to accidents. During EM-PAN, accident-related attendances rose to 24.2%, despite a 42.8% decrease in overall visits, and admission abandonment rates declined. In PostEM-PAN, total attendances remained 9.6% lower than PRE-PAN levels, accident-related visits dropped to 8.4%, and the proportion of critical triage codes increased. Visits declined in children aged 0-5 years and rose among adolescents.</p><p><strong>Conclusions: </strong>Emergency measures during the pandemic significantly affected PED utilization, altering access patterns, clinical severity, and age distribution. While not currently part of the Italian healthcare system, nurse practitioners may be considered in future planning to support changes in pediatric emergency care, especially in contexts of public health strain.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"COVID-19 Pandemic Restrictions and Pediatric Emergency Department Attendance for Accidents.\",\"authors\":\"Alice Boria, Ilaria Acquaviva, Alessio Correani, Chiara Monachesi, Simona Gatti, Elisabetta Fabiani, Maria Elena Lionetti\",\"doi\":\"10.1016/j.pedhc.2025.08.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>From January 2020 to March 2022, Italy implemented stringent public health measures during the COVID-19 state of emergency (EM). This study evaluated their impact on pediatric emergency department (PED) attendances for accidents.</p><p><strong>Methods: </strong>We retrospectively analyzed 17,852 accident-related visits among patients aged ≤15 years at a regional referral PED between February 2018 and January 2024, comparing prepandemic (PRE-PAN), pandemic emergency (EM-PAN), and postemergency (PostEM-PAN) phases.</p><p><strong>Results: </strong>Of 107,187 total PED visits, 16.7% were related to accidents. During EM-PAN, accident-related attendances rose to 24.2%, despite a 42.8% decrease in overall visits, and admission abandonment rates declined. In PostEM-PAN, total attendances remained 9.6% lower than PRE-PAN levels, accident-related visits dropped to 8.4%, and the proportion of critical triage codes increased. Visits declined in children aged 0-5 years and rose among adolescents.</p><p><strong>Conclusions: </strong>Emergency measures during the pandemic significantly affected PED utilization, altering access patterns, clinical severity, and age distribution. While not currently part of the Italian healthcare system, nurse practitioners may be considered in future planning to support changes in pediatric emergency care, especially in contexts of public health strain.</p>\",\"PeriodicalId\":50094,\"journal\":{\"name\":\"Journal of Pediatric Health Care\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-09-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatric Health Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.pedhc.2025.08.010\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.pedhc.2025.08.010","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
COVID-19 Pandemic Restrictions and Pediatric Emergency Department Attendance for Accidents.
Introduction: From January 2020 to March 2022, Italy implemented stringent public health measures during the COVID-19 state of emergency (EM). This study evaluated their impact on pediatric emergency department (PED) attendances for accidents.
Methods: We retrospectively analyzed 17,852 accident-related visits among patients aged ≤15 years at a regional referral PED between February 2018 and January 2024, comparing prepandemic (PRE-PAN), pandemic emergency (EM-PAN), and postemergency (PostEM-PAN) phases.
Results: Of 107,187 total PED visits, 16.7% were related to accidents. During EM-PAN, accident-related attendances rose to 24.2%, despite a 42.8% decrease in overall visits, and admission abandonment rates declined. In PostEM-PAN, total attendances remained 9.6% lower than PRE-PAN levels, accident-related visits dropped to 8.4%, and the proportion of critical triage codes increased. Visits declined in children aged 0-5 years and rose among adolescents.
Conclusions: Emergency measures during the pandemic significantly affected PED utilization, altering access patterns, clinical severity, and age distribution. While not currently part of the Italian healthcare system, nurse practitioners may be considered in future planning to support changes in pediatric emergency care, especially in contexts of public health strain.
期刊介绍：
The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
