Impact of COVID-19 Pandemic on Epilepsy Evaluations in the Pediatric Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,000
- 试验地点
- 1
- 主要终点
- During the study period, 1,091 patients with seizures were admitted to pediatric ED, 776 before the pandemic and 315 during the pandemic. In particular, the evaluation rates per month were 20.4 before the pandemic and 14.3 afterward
研究概览
简要总结
Background. Seizures are a common cause of evaluation in the pediatric emergency department (ED). Several studies about the impact of COVID-19 pandemic on ED attendances report a considerable reduction in general pediatric care. The aim of our study was to evaluate the impact of COVID-19 on the admission to the pediatric ED for seizures.
Materials and methods. We performed a retrospective study to assess the rate of ED admission for seizures at the pediatric ED of the Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico of Milan between January 2017 and December 2021, comparing the pre-pandemic (from January 2017 to February 2020) and pandemic periods (from March 2020 to December 2021).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 1 Month 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age: 1 months to 17 years
- •with at least one access to the Pediatric ED of the hospital for seizures
排除标准
- •children who received a diagnosis of seizure on admission in triage that was not confirmed at discharge (breath-holding spell, fainting...).
结局指标
主要结局
During the study period, 1,091 patients with seizures were admitted to pediatric ED, 776 before the pandemic and 315 during the pandemic. In particular, the evaluation rates per month were 20.4 before the pandemic and 14.3 afterward
时间窗: the pre-pandemic (from January 2017 to February 2020) and pandemic periods (from March 2020 to December 2021)
次要结局
- Patients with a history of previous seizures showed a greater decrease in the monthly number of ED visits compared to those with a first seizure. An increased rate of unprovoked seizures and a decreased rate of provoked ones were observed in the pandemic(the pre-pandemic (from January 2017 to February 2020) and pandemic periods (from March 2020 to December 2021))
研究者
Alberto Cappellari
Princpal investigator
Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico