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

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Indolfi , G , Stivala , M , Lenge , M , Diaz Naderi , R , McIntosh , J , Llandrich , R C , Gannon , J , McGreevy , K S , Trapani , S , Miettinen , P , Lahdenne , P , Desborough , L , Pavare , J , van Rossum , A , Zyska , D , Resti , M & Zanobini , A 2021 , ' 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 ' , Frontiers in public health , vol. 9 , 630168 . https://doi.org/10.3389/fpubh.2021.630168

Title: 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
Author: Indolfi, Giuseppe; Stivala, Micol; Lenge, Matteo; Diaz Naderi, Ruben; McIntosh, Jennifer; Llandrich, Ricard Casadevall; Gannon, Joe; McGreevy, Kathleen S.; Trapani, Sandra; Miettinen, Päivi; Lahdenne, Pekka; Desborough, Louisa; Pavare, Jana; van Rossum, Annemarie; Zyska, Dagmara; Resti, Massimo; Zanobini, Alberto
Contributor organization: Centre of Excellence in Stem Cell Metabolism
HUS Children and Adolescents
Clinicum
Timo Pyry Juhani Otonkoski / Principal Investigator
Research Programs Unit
Children's Hospital
Date: 2021-04-26
Language: eng
Number of pages: 7
Belongs to series: Frontiers in public health
ISSN: 2296-2565
DOI: https://doi.org/10.3389/fpubh.2021.630168
URI: http://hdl.handle.net/10138/331777
Abstract: 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.
Subject: SARS-CoV-2
preparedness
restart
COVID-19
children
3142 Public health care science, environmental and occupational health
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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