AUTHOR=Cozzi Giorgio , Molina Ruiz Idoya , Giudici Fabiola , Romano Sara , Grigoletto Veronica , Barbi Egidio , Amaddeo Alessandro 

TITLE=Pediatric Emergency Cases in the First Year of the COVID-19 Pandemic in a Tertiary-Level Emergency Setting

JOURNAL=Frontiers in Pediatrics

VOLUME=Volume 10 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.918286

DOI=10.3389/fped.2022.918286

ISSN=2296-2360

ABSTRACT=Aim: Emergency cases are uncommon events in the pediatric emergency setting. This study aimed to evaluate the effect of the COVID-19 pandemic describing the number and type of pediatric emergency cases that arrived at the pediatric emergency department of a tertiary-level children’s hospital in Italy. 
Methods: We performed a retrospective study, collecting the main features of pediatric emergency patients who arrived during the first year of the COVID-19 pandemic (March 2020 – February 2021) compared to the pre-pandemic period (March 2016- February 2020). 
Results: During the study period, 112168 patients were visited at the PED, and 237 (0.21%) were emergency cases, median age 4 years (IQR:1-12). In the first year of the pandemic, 42 children were coded as emergency cases compared to 195 (49/year) during the pre-pandemic period. The proportion of emergency cases was stable (0.27% during the COVID-19 period versus 0.20% during the pre-COVID-19 period, p=0.19). No differences were found regarding the age, gender, hour of arrival, and outcome of patients. We found a significant decrease in the proportion of emergency cases related to respiratory diseases (9/42, 21.4% during the COVID-19 period versus 83/195 during the pre-COVID-19 period (42.6%), p=0.01).
Conclusions: In conclusion, our data suggest that the pandemic had a more significant impact on the respiratory emergency cases than on pediatric emergencies in general.