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1. Point of view of the Italians pediatric scientific societies about the pediatric care during the COVID-19 lockdown: what has changed and future prospects for restarting.

Author

Lubrano R, Villani A, Berrettini S, Caione P, Chiara A, Costantino A, Formigari R, Franzoni E, Gattinara GC, Giustardi A, La Marca G, Lionetti P, Lima M, Maffei C, Malamisura M, Manzoni G, Marseglia GL, Memeo A, Mosca F, Perricone G, Peruzzi L, Piacentini G, Pozzobon G, Riva E, Tesoro S, Zampino G, Zanetto F, Zecca M, and Bloise S

Subjects
Adult, Ambulatory Care statistics & numerical data, COVID-19, Child, Coronavirus Infections epidemiology, Delivery of Health Care organization & administration, Emergency Service, Hospital statistics & numerical data, Female, Hospitalization statistics & numerical data, Humans, Italy, Male, Outcome Assessment, Health Care, Pandemics statistics & numerical data, Patient Care Planning organization & administration, Pediatrics methods, Pneumonia, Viral epidemiology, Societies, Medical, Coronavirus Infections prevention & control, Infection Control organization & administration, Pandemics prevention & control, Pneumonia, Viral prevention & control, Quarantine organization & administration, Surveys and Questionnaires, Telemedicine statistics & numerical data
Abstract

Background: The coronavirus disease 2019 (COVID-19) is currently rare in children and they seem to have a milder disease course and better prognosis than adults. However, SARS-Cov-2 pandemic has indirectly caused problems in pediatric medical assistance. In view of this we wanted to draw a picture of what happened during health emergency and analyze future prospects for restarting., Methods: We involved the Italian pediatric scientific societies institutionally collected in the Italian Federation of Associations and Scientific Societies of the Pediatric Area (FIARPED); We sent a questionnaire to all scientific societies about the pediatric care activity during the COVID-19 emergency and future perspectives for the phase of post-containment., Results: The analysis of the questionnaires showed significant decrease of:admission, outpatient visits and specialist consultancy activities during the COVID-19 emergency, primarily linked to the fear of infection. Instead it was increased the serious degree of diseases admitted. Most of scientific societies maintained the relationship with chronic patients through some form of telemedicine, reporting a strong positive opinion about this modality. Finally showed the need to give life a new approach for hospitalizations and outpatient visits through a greater use of telemedicine, educational programs on families and a more decisive role of family pediatricians., Conclusions: Our study highlighted many aspects that can be improved in pediatric care. We think that It will be necessary a new shared strategy to improve the management and continuity of care for pediatric patients, primarily developing a network of collaboration between families, family pediatrician and hospitals and by enhancing the use of new methods of telecommunications.

Published
2020
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2. Point of view of the Italians pediatric scientific societies about the pediatric care during the COVID-19 lockdown: What has changed and future prospects for restarting

Author

Giancarlo la Marca, Guido Castelli Gattinara, Licia Peruzzi, Emilio Franzoni, Monica Malamisura, Alberto Chiara, Arturo Giustardi, Antonio Memeo, Gian Luigi Marseglia, Claudio Maffei, Silvia Bloise, Giorgio Piacentini, Riccardo Lubrano, Marco Zecca, Simonetta Tesoro, Mario Lima, Giuseppe Zampino, Paolo Caione, Stefano Berrettini, Alberto Villani, Antonella Costantino, Gabriella Pozzobon, Giovanna Perricone, Enrica Riva, Federica Zanetto, Paolo Lionetti, Fabio Mosca, Roberto Formigari, Giantonio Manzoni, Lubrano R., Villani A., Berrettini S., Caione P., Chiara A., Costantino A., Formigari R., Franzoni E., Gattinara G.C., Giustardi A., La Marca G., Lionetti P., Lima M., Maffei C., Malamisura M., Manzoni G., Marseglia G.L., Memeo A., Mosca F., Perricone G., Peruzzi L., Piacentini G., Pozzobon G., Riva E., Tesoro S., Zampino G., Zanetto F., Zecca M., and Bloise S.

Subjects
Male, Outcome Assessment, Pediatrics, Patient Care Planning, Surveys and Questionnaires, Pandemic, Outcome Assessment, Health Care, Ambulatory Care, Medicine, Viral, Child, Children, Societies, Medical, Pediatric, Emergency Service, lcsh:RJ1-570, children, COVID-19, pediatric assistance, telemedicine, Settore MED/38, Telemedicine, Hospitalization, Outpatient visits, Italy, Settore MED/38 - PEDIATRIA GENERALE E SPECIALISTICA, Quarantine, Continuity of care, Female, Pediatric care, Coronavirus Infections, Emergency Service, Hospital, Human, Adult, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Pneumonia, Viral, Disease course, Hospital, Medical, Humans, Pandemics, Infection Control, Pediatric assistance, business.industry, Coronavirus Infection, lcsh:Pediatrics, Pneumonia, Health Care, Family medicine, Delivery of Health Care, business, Societies
Abstract

Background The coronavirus disease 2019 (COVID-19) is currently rare in children and they seem to have a milder disease course and better prognosis than adults. However, SARS-Cov-2 pandemic has indirectly caused problems in pediatric medical assistance. In view of this we wanted to draw a picture of what happened during health emergency and analyze future prospects for restarting. Methods We involved the Italian pediatric scientific societies institutionally collected in the Italian Federation of Associations and Scientific Societies of the Pediatric Area (FIARPED); We sent a questionnaire to all scientific societies about the pediatric care activity during the COVID-19 emergency and future perspectives for the phase of post-containment. Results The analysis of the questionnaires showed significant decrease of:admission, outpatient visits and specialist consultancy activities during the COVID-19 emergency, primarily linked to the fear of infection. Instead it was increased the serious degree of diseases admitted. Most of scientific societies maintained the relationship with chronic patients through some form of telemedicine, reporting a strong positive opinion about this modality. Finally showed the need to give life a new approach for hospitalizations and outpatient visits through a greater use of telemedicine, educational programs on families and a more decisive role of family pediatricians. Conclusions Our study highlighted many aspects that can be improved in pediatric care. We think that It will be necessary a new shared strategy to improve the management and continuity of care for pediatric patients, primarily developing a network of collaboration between families, family pediatrician and hospitals and by enhancing the use of new methods of telecommunications.

Published
2020

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