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

被引：27

作者：

Lubrano, Riccardo ^{[1
,2
,3
]}

Villani, Alberto ^{[4
]}

Berrettini, Stefano ^{[5
]}

Caione, Paolo ^{[6
]}

Chiara, Alberto ^{[7
]}

Costantino, Antonella ^{[8
]}

Formigari, Roberto ^{[9
]}

Franzoni, Emilio ^{[10
]}

Gattinara, Guido Castelli ^{[11
]}

Giustardi, Arturo ^{[12
]}

La Marca, Giancarlo ^{[14
]}

Lionetti, Paolo ^{[14
]}

Lima, Mario ^{[15
]}

Maffei, Claudio ^{[13
,16
]}

Malamisura, Monica ^{[17
]}

Manzoni, Giantonio ^{[18
]}

Marseglia, Gian Luigi ^{[19
]}

Memeo, Antonio ^{[20
]}

Mosca, Fabio ^{[21
]}

Perricone, Giovanna ^{[22
]}

Peruzzi, Licia ^{[23
]}

Piacentini, Giorgio ^{[24
]}

Pozzobon, Gabriella ^{[25
]}

Riva, Enrica ^{[26
]}

Tesoro, Simonetta ^{[27
]}

Zampino, Giuseppe ^{[28
]}

Zanetto, Federica ^{[29
]}

Zecca, Marco ^{[30
]}

Bloise, Silvia ^{[1
,2
,3
]}

机构：

[1] Federaz Italiana Assoc & Soc Sci Area Pediat, Rome, Italy

[2] Soc Italiana Emergenza Urgenza Pediat, Rome, Italy

[3] Sapienza Univ Roma, UOC Pediat & Neonatol Osped Santa Maria Goretti, Dipartimento Materno Infantile & Sci Urol, Polo Latina, Latina, Italy

[4] Soc Italiana Pediat, Rome, Italy

[5] Soc Italiana Otorinolaringol Pediat, Rome, Italy

[6] Soc Italiana Videochirurg Infantile, Rome, Italy

[7] Soc Italiana Pediat Osped, Milan, Italy

[8] Soc Italiana Neuropsichiatria Infanzia & Adolesce, Milan, Italy

[9] Soc Italiana Cardiol Pediat & Cardiopatie Congeni, Florence, Italy

[10] Soc Italiana Neurol Pediat, Milan, Italy

[11] Soc Italiana Infettivol Pediat, Milan, Italy

[12] Soc Italiana Care Perinatol, Milan, Italy

[13] Soc Italiana Studio Malattie Metab Ereditarie & S, Milan, Italy

[14] Soc Italiana Gastroenterol Epatol & Nutr Pediat, Milan, Italy

[15] Soc Italiana Chirurg Pediat, Milan, Italy

[16] Soc Italiana Endocrinol & Diabetol Pediat, Ferrara, Italy

[17] Osservatorio Nazl Specializzandi Pediat, Rome, Italy

[18] Soc Italiana Urol Pediat, Rome, Italy

[19] Soc Italiana Allergol & Immunol Pediat, Milan, Italy

[20] Soc Italiana Ortopedia & Traumatol Pediat, Rome, Italy

[21] Soc Italiana Neonatol, Rome, Italy

[22] Soc Italiana Psicol Pediat, Rome, Italy

[23] Soc Italiana Nefrol Pediat, Milan, Italy

[24] Soc Italiana Malattie Resp Infantil, Rome, Italy

[25] Soc Italiana Med Adolescenza, Rome, Italy

[26] Soc Italiana Nutr Pediat, Milan, Italy

[27] Soc Anestesia & Rianimaz Neonatale Pediat Italian, Rome, Italy

[28] Soc Italiana Malattie Genet Pediat & Disabilita, Rome, Italy

[29] Assoc Culturale Pediat, Narbolia, Italy

[30] Assoc Italiana Ematol & Oncol Pediat, Rome, Italy

来源：

ITALIAN JOURNAL OF PEDIATRICS | 2020年 / 46卷 / 01期

关键词：

COVID-19; Pediatric assistance; Children; Telemedicine; APPROPRIATENESS; TELEMEDICINE; ADMISSIONS; STAY;

D O I：

10.1186/s13052-020-00907-3

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

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.

引用

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