Impact of SARS-CoV-2 Pandemic and Strategies for Resumption of Activities During the Second Wave of the Pandemic: A Report From Eight Paediatric Hospitals From the ECHO Network
Por:
Indolfi G, Stivala M, Lenge M, Díaz-Naderi R, McIntosh J, Ricard Casadevall Llandrich, Gannon J, McGreevy KS, Trapani S, Miettinen P, Lahdenne P, Desborough L, Pavare J, van Rossum A, Zyska D, Resti M and Zanobini A
Publicada:
26 abr 2021
Ahead of Print:
26 abr 2021
Resumen:
The Severe Acute Respiratory Syndrome CoronaVirus type 2 (SARS-CoV-2) pandemic impacted the organization of paediatric hospitals. This study aimed to evaluate the preparedness for the pandemic among a European network of children's hospitals and to explore the strategies to restart health care services. A cross-sectional, web-based survey was distributed in May 2020 to the 13 children's tertiary care hospitals belonging to the European Children's Hospitals Organisation. Responses were obtained from eight hospitals (62%). Significant reductions were observed in accesses to the emergency departments (41.7%), outpatient visits (35.7%), intensive and non-intensive care unit inpatient admissions (16.4 and 13%, respectively) between February 1 and April 30, 2020 as compared with the same period of 2019. Overall, 93 children with SARS CoV-2 infection were admitted to inpatient wards. All the hospitals created SARS-CoV-2 preparedness plans for the diagnosis and management of infected patients. Routine activities were re-scheduled. Four hospitals shared their own staff with adult units, two designated bed spaces for adults and only one admitted adults to inpatient wards. The three main components for the resumption of clinical activities were testing, source control, and reorganization of spaces and flows. Telemedicine and telehealth services were used before the SARS-CoV-2 pandemic by three hospitals and by all the hospitals during it.
Conclusion: The present study provides a perspective on preparedness to SARS-CoV-2 pandemic among eight large European children's hospitals, on the impact of the pandemic on the hospital activities and on the strategies adopted to restart clinical activities.
Filiaciones:
Indolfi G:
Meyer Children's Hospital, Firenze, Italy
Department Neurofarba, University of Florence, Firenze, Italy
Stivala M:
Meyer Children's Hospital, Firenze, Italy
Lenge M:
Meyer Children's Hospital, Firenze, Italy
Díaz-Naderi R:
Sant Joan de Deu-Barcelona Children's Hospital, Esplugues de Llobregat, Spain
European Children's Hospitals Organisation (ECHO), Esplugues de Llobregat, Spain
McIntosh J:
Sant Joan de Deu-Barcelona Children's Hospital, Esplugues de Llobregat, Spain
European Children's Hospitals Organisation (ECHO), Esplugues de Llobregat, Spain
Ricard Casadevall Llandrich:
Sant Joan de Deu-Barcelona Children's Hospital, Esplugues de Llobregat, Spain
Gannon J:
Children's Health Ireland, Dublin, Ireland
McGreevy KS:
Meyer Children's Hospital, Firenze, Italy
Trapani S:
Meyer Children's Hospital, Firenze, Italy
Miettinen P:
HUS New Children's Hospital, Helsinki, Finland
Lahdenne P:
HUS New Children's Hospital, Helsinki, Finland
Desborough L:
Great Ormond Street Hospital for Children, London, United Kingdom
Pavare J:
Children's Clinical University Hospital, Riga, Latvia
van Rossum A:
Erasmus MC-Sophia Children's Hospital, Rotterdam, Netherlands
Zyska D:
The Children's Memorial Health Institute, Warsaw, Poland
Resti M:
Meyer Children's Hospital, Firenze, Italy
Zanobini A:
Meyer Children's Hospital, Firenze, Italy
gold, Green Published
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