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

Giuseppe Indolfi (Coresponding Author), Micol Stivala, Matteo Lenge, Ruben Diaz Naderi, Jennifer McIntosh, Ricard Casadevall Llandrich, Joe Gannon, Kathleen S. McGreevy, Sandra Trapani, Päivi Miettinen, Pekka Lahdenne, Louisa Desborough, Jana Pavare, Annemarie van Rossum, Dagmara Zyska, Massimo Resti, Alberto Zanobini

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

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.

Original languageEnglish
Article number630168
JournalFrontiers in Public Health
Volume9
DOIs
Publication statusPublished - 26 Apr 2021
Externally publishedYes

Keywords*

  • children
  • COVID-19
  • preparedness
  • restart
  • SARS-CoV-2

Field of Science*

  • 3.2 Clinical medicine
  • 3.3 Health sciences

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

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