2021
DOI: 10.1016/j.ijid.2021.06.058
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The indirect impact of COVID-19 large-scale containment measures on the incidence of community-acquired pneumonia in older people: a region-wide population-based study in Tuscany, Italy

Abstract: Objective : to evaluate the indirect effect of COVID-19 large-scale containment measures on the incidence of community-acquired pneumonia (CAP) in the elderly during the first epidemic wave of COVID-19 in Tuscany, Italy. Methods : a population based study was carried out on data from the Tuscany healthcare system. The outcome measures were: hospitalization rate for CAP, severity of CAP hospitalizations, and outpatient consumptions of antiba… Show more

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Cited by 20 publications
(12 citation statements)
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“…To contain the circulation of SARS-CoV-2 during the first wave of the epidemic, the Italian government adopted a national lockdown from 11 March to 3 May 2020, which suspended all non-essential services and activities, including schools, and imposed a stay-at-home order prohibiting all non-essential travel and contact with others. Besides these measures, physical distancing rules and the obligation to wear a face mask when leaving home were introduced [ 4 , 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…To contain the circulation of SARS-CoV-2 during the first wave of the epidemic, the Italian government adopted a national lockdown from 11 March to 3 May 2020, which suspended all non-essential services and activities, including schools, and imposed a stay-at-home order prohibiting all non-essential travel and contact with others. Besides these measures, physical distancing rules and the obligation to wear a face mask when leaving home were introduced [ 4 , 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…The health care system in Italy is a regionally based national health service; the TPHCS provides universal health coverage for all the residents of Tuscany. TPHCS counts 34 general hospitals and 4 university teaching hospitals; in total TPHCS have 38 EDs [15,21].…”
Section: Methodsmentioning
confidence: 99%
“…Although the management at home of less severe acute cases in the primary care setting or by remote care may have prevented some hospital or ED admissions, this shift in the provision of care can only partly account for the observed drop of cases as this setting cannot replace the treatment received during a hospital admission. Instead, the decrease in the ED or hospital utilization likely reflects the tendency for patients to defer care due to fear of contagion, even when they are acutely ill [3,7,15]. Indeed, several studies described a decline in ED admission driven by a fall in both emergent and non-emergent ED visits, suggesting that the decrease may also be due to patient reluctance to visit hospitals during the pandemic [16][17][18].…”
Section: Introductionmentioning
confidence: 99%
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“…The main measures taken were the promotion of physical distancing, the closure of borders between different regions, the cancellation of public events and the closure of schools, universities, and other educational institutions. Italy was one of the first Western countries severely affected by the coronavirus pandemic and the Region of Tuscany has been mildly affected during the first wave [2]. In the Province of Prato, in May 2020, the seroprevalence of SARS-CoV-2 antibodies in a representative sample of health care workers, participants involved in essential support services and those who worked from home were 4.1%, 1.4% and 1.0%, respectively [3].…”
Section: Introductionmentioning
confidence: 99%