Unplanned and medical admissions to pediatric intensive care units significantly decreased during COVID-19 outbreak in N
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SHORT COMMUNICATION
Unplanned and medical admissions to pediatric intensive care units significantly decreased during COVID-19 outbreak in Northern Italy Francesca Sperotto 1,2 & Andrea Wolfler 3 & Paolo Biban 4 & Luigi Montagnini 5 & Honoria Ocagli 6 & Rosanna Comoretto 6 & Dario Gregori 6 & Angela Amigoni 1 & the Italian Network of Pediatric Intensive Care Unit Research Group (TIPNet) Received: 18 July 2020 / Revised: 27 September 2020 / Accepted: 8 October 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Northern Italy has been the first European area affected by the COVID-19 pandemic and related social restrictive measures. We sought to evaluate the impact of the COVID-19 outbreak on PICU admissions in Northern Italy, using data from the Italian Network of Pediatric Intensive Care Units Registry. We included all patients admitted to 4 PICUs from 8-weeks-before to 8-weeks-after February 24th, 2020, and those admitted in the same period in 2019. Incidence rate ratios (IRR) evaluating incidence rate differences between pre- and post-COVID-19 periods in 2020 (IRR-1), as well as between the post-COVID-19-period with the same period in 2019 (IRR-2), were computed using zero-inflated negative binomial or Poisson regression modeling. A total of 1001 admissions were included. The number of PICU admissions significantly decreased during the COVID-19 outbreak compared to pre-COVID-19 and compared to the same period in 2020 (IRR-1 0.63 [95%CI 0.50–0.79]; IRR-2 0.70 [CI 0.57–0.91]). Unplanned and medical admissions significantly decreased (IRR-1 0.60 [CI 0.46–0.70]; IRR-2 0.67 [CI 0.51– 0.89]; and IRR-1 0.52, [CI 0.40–0.67]; IRR-2 0.77 [CI 0.58–1.00], respectively). Intra-hospital, planned (potentially delayed by at least 12 h), and surgical admissions did not significantly change. Patients admitted for respiratory failure significantly decreased (IRR-1 0.55 [CI 0.37–0.77]; IRR-2 0.48 [CI 0.33–0.69]). Francesca Sperotto and Andrea Wolfler contributed equally to this work. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00431-020-03832-z) contains supplementary material, which is available to authorized users. * Francesca Sperotto [email protected]
1
Pediatric Intensive Care Unit, Department of Women’s and Children’s Health, University Hospital of Padua, Via Giustiniani 2, 35128 Padova, Italy
2
Department of Cardiology, Boston Children’s Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
Paolo Biban [email protected]
3
Luigi Montagnini [email protected]
Department of Pediatrics, Division of Anesthesia and Intensive Care, V. Buzzi Children’s Hospital, Via Castelvetro 32, 20154 Milan, Italy
4
Department of Neonatal and Pediatric Critical Care, Pediatric Intensive Care Unit, University Hospital of Verona, Piazzale Stefani 1, 37126 Verona, Italy
5
Department of Anesthesia and Intensive Care, Pediatric Intensive Care Unit, C. Arrigo Children’s Hospital, Spalto Marengo 46, 15121 Al
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