2020
DOI: 10.1136/archdischild-2020-319299
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An Italian paediatric department at the time of Coronavirus: a resident’s point of view

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Cited by 8 publications
(11 citation statements)
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“…At the same time, in line with other European countries, 9 , 10 , 11 we observed an increase in the complexity of emergency visits, as we found that compared to the same time period in 2019, there was a greater proportion of patients whose triage level on arrival to the PED was in the high-priority range.…”
Section: Discussionsupporting
confidence: 89%
See 1 more Smart Citation
“…At the same time, in line with other European countries, 9 , 10 , 11 we observed an increase in the complexity of emergency visits, as we found that compared to the same time period in 2019, there was a greater proportion of patients whose triage level on arrival to the PED was in the high-priority range.…”
Section: Discussionsupporting
confidence: 89%
“…We share the concern expressed by other authors 17 about the reluctance of some parents and caregivers to seek health care, probably motivated by a fear of exposure to coronavirus and by the current limitations in the access to primary care services, as this may result in delayed diagnosis of potentially severe diseases (peritonitis, ketoacidosis, pyelonephritis). 9 , 10 , 11 In this regard, some authors have also reported an increase in cases of child abuse and neglect; in our case series, there was only 1 documented case of child sexual abuse. 18 …”
Section: Discussionmentioning
confidence: 46%
“…Al mismo tiempo, al igual que en otros países europeos 9 , 10 , 11 , hemos registrado un mayor nivel de complejidad de las consultas, observando que con relación al mismo periodo del pasado 2019 se produjo un aumento en el porcentaje de pacientes cuyo nivel de triaje a su llegada a urgencias fue considerado de alta prioridad.…”
Section: Discussionunclassified
“…Coincidimos con otros autores 17 que han manifestado su preocupación por la reticencia en buscar asistencia sanitaria por parte de algunos padres y cuidadores, probablemente motivada tanto por el miedo a la exposición al coronavirus como por las limitaciones a la hora de acceder a los servicios de atención primaria, pudiéndose retrasar el diagnóstico de enfermedades potencialmente graves (peritonitis, cetoacidosis diabética, pielonefritis) 9 , 10 , 11 . En este sentido, algunos autores 18 también han reportado un aumento de casos de abuso y negligencia; en nuestra serie, solo fue recogido un caso de abuso sexual infantil.…”
Section: Discussionunclassified
“…20 Health care workers in Italy have reported difficulties among families forced to care for children and adolescents with neurodevelopmental disorders at home without assistance, 21 as well as increased rates of violent conduct, nonsuicidal self-injury and suicide attempts in young people. 22…”
Section: Key Pointsmentioning
confidence: 99%