Titre
Responses of paediatric emergency departments to the first wave of the COVID-19 pandemic in Europe: a cross-sectional survey study.
Type
article
Institution
Externe
Périodique
Auteur(s)
Rose, K.
Auteure/Auteur
Bressan, S.
Auteure/Auteur
Honeyford, K.
Auteure/Auteur
Bognar, Z.
Auteure/Auteur
Buonsenso, D.
Auteure/Auteur
Da Dalt, L.
Auteure/Auteur
De, T.
Auteure/Auteur
Farrugia, R.
Auteure/Auteur
Parri, N.
Auteure/Auteur
Oostenbrink, R.
Auteure/Auteur
Maconochie, I.
Auteure/Auteur
Moll, H.A.
Auteure/Auteur
Roland, D.
Auteure/Auteur
Titomanlio, L.
Auteure/Auteur
Nijman, R.
Auteure/Auteur
Contributrices/contributeurs
Rybak, A.
Simões, A.S.
Chiaretti, A.
Haraldsson, A.
Gomez, B.
Aupiais, C.
Turan, C.
Zurl, C.
Barber, C.
Vasilico, C.
Weghuber, D.
Kohlfuerst, D.
Rose, D.
Borensztajn, D.
Özkan, E.A.
Leonard, F.
Hey, F.
Hoffman, F.
Saraiva, F.
Simon, G.
Mascarenhas, I.
Viana, J.
Jensen, J.
Thüminger, J.
Lischka, J.
Vincek, K.
Fodor, L.
Mano, L.
Jankauskaite, L.
Rinder, M.R.
Lyttle, M.
Schaffert, M.
Havan, M.
Barrett, M.
Bennett, M.
Kolnik, M.
Lin, N.
Almeida, N.S.
Aydın, O.
Teksam, O.
Fitzpatrick, P.
Mação, P.
Salamon, P.
Velasco, R.
Mongru, R.
Basmaci, R.
Guedj, R.
Morello, R.
Rhedin, S.
Cardoso, S.S.
Messahel, S.
Rapti, S.
Reis, S.
Santos, S.A.
Hartshorn, S.
Castanhinha, S.
Greber-Platzer, S.
Gomes, S.
Groc, T.
Alfven, T.
Jonsdottir, U.
Thors, V.S.
Anacleto, V.
Gorito, V.
Masillonis, V.
Pučuka, Z.
Groupes de travail
in association with the REPEM network (Research in European Paediatric Emergency Medicine) as part of the EPISODES Study
in association with the REPEM network(Research in European Paediatric Emergency Medicine) as part of the EPISODES Study
Liens vers les personnes
ISSN
2399-9772
Statut éditorial
Publié
Date de publication
2021-12
Volume
5
Numéro
1
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
Understanding how paediatric emergency departments (PEDs) across Europe adapted their healthcare pathways in response to COVID-19 will help guide responses to ongoing waves of COVID-19 and potential future pandemics. This study aimed to evaluate service reconfiguration across European PEDs during the initial COVID-19 wave.
This cross-sectional survey included 39 PEDs in 17 countries. The online questionnaire captured (1) study site characteristics, (2) departmental changes and (3) pathways for children with acute illness pre and during the first wave of COVID-19 pandemic (January-May 2020). Number of changes to health services, as a percentage of total possible changes encompassed by the survey, was compared with peak national SARS-CoV-2 incidence rates, and for both mixed and standalone paediatric centres.
Overall, 97% (n=38) of centres remained open as usual during the pandemic. The capacity of 18 out of 28 (68%) short-stay units decreased; in contrast, 2 units (7%) increased their capacity. In 12 (31%) PEDs, they reported acting as receiving centres for diverted children during the pandemic.There was minimal change to the availability of paediatric consultant telephone advice services, consultant supervision of juniors or presence of responsible specialists within the PEDs.There was no relationship between percentage of possible change at each site and the peak national SARS-CoV-2 incidence rate. Mixed paediatric and adult hospitals made 8% of possible changes and standalone paediatric centres made 6% of possible changes (p=0.086).
Overall, there was limited change to the organisation or delivery of services across surveyed PEDs during the first wave of the COVID-19 pandemic.
This cross-sectional survey included 39 PEDs in 17 countries. The online questionnaire captured (1) study site characteristics, (2) departmental changes and (3) pathways for children with acute illness pre and during the first wave of COVID-19 pandemic (January-May 2020). Number of changes to health services, as a percentage of total possible changes encompassed by the survey, was compared with peak national SARS-CoV-2 incidence rates, and for both mixed and standalone paediatric centres.
Overall, 97% (n=38) of centres remained open as usual during the pandemic. The capacity of 18 out of 28 (68%) short-stay units decreased; in contrast, 2 units (7%) increased their capacity. In 12 (31%) PEDs, they reported acting as receiving centres for diverted children during the pandemic.There was minimal change to the availability of paediatric consultant telephone advice services, consultant supervision of juniors or presence of responsible specialists within the PEDs.There was no relationship between percentage of possible change at each site and the peak national SARS-CoV-2 incidence rate. Mixed paediatric and adult hospitals made 8% of possible changes and standalone paediatric centres made 6% of possible changes (p=0.086).
Overall, there was limited change to the organisation or delivery of services across surveyed PEDs during the first wave of the COVID-19 pandemic.
PID Serval
serval:BIB_DFB55DB76ED6
PMID
Open Access
Oui
Date de création
2025-01-27T13:07:08.741Z
Date de création dans IRIS
2025-05-20T22:51:06Z
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Version du manuscrit
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Taille
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Format
Adobe PDF
PID Serval
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