Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2021.62.58 0
Pediatric tertiary emergency care departments in Zagreb, Rijeka, and Split before and during the coronavirus disease 2019 pandemic: a Croatian national multicenter study
Ante Šokota
; Dr. Fran Mihaljević University Hospital for Infectious Diseases, Zagreb, Croatia
Laura Prtorić
; Dr. Fran Mihaljević University Hospital for Infectious Diseases, Zagreb, Croatia
Iva Hojsak
; Department of Pediatrics, Children’s Hospital Zagreb, Zagreb, Croatia
Ivana Trivić
; Department of Pediatrics, Children’s Hospital Zagreb, Zagreb, Croatia
Filip Jurić
; Department of Pediatric Surgery, Children’s Hospital Zagreb, Zagreb, Croatia
Kristina Lah Tomulić
; Department of Pediatrics, Clinical Hospital Center Rijeka, Rijeka, Croatia
Jelena Roganović
; Department of Pediatrics, Clinical Hospital Center Rijeka, Rijeka, Croatia
Harry Nikolić
; School of Medicine, University of Rijeka, Rijeka, Croatia
Ana Bosak Veršić
; School of Medicine, University of Rijeka, Rijeka, Croatia
Joško Markić
; Department of Pediatrics, University Hospital Center Split, Split, Croatia
Marijan Batinić
; Department of Pediatrics, University Hospital Center Split, Split, Croatia
Goran Tešović
; 3 University of Zagreb School of Medicine, Zagreb, Croatia
Sažetak
Aim To assess the number of visits to pediatric emergen
-
cy departments in Croatia and reasons for visiting before
and during the coronavirus disease 2019 (COVID-19) pan
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demic.
Methods We reviewed the medical records of pediatric
patients visiting emergency departments of four tertiary
medical centers between February 25 and April 25, 2018
and 2019, and between February 25 and April 24, 2020. An
-
timicrobial prescription was analyzed as well.
Results There were altogether 46 544 visits – 18218 in
2018, 19699 in 2019, and 8634 in 2020. The overall num
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ber of visits in 2020 significantly decreased compared with
2018 and 2019 (52% and 56% reduction, respectively),
mostly due to a decreased number of visits due to certain
infectious diseases: acute gastroenteritis (89.2%), sepsis/
bacteremia (81.2%), urinary tract infections (55.3%), and
lower respiratory tract infections (58%). Most visits were
self-referrals regardless of the analyzed period, and the ma
-
jority of patients did not require hospitalization. There were
no significant differences in the number of visits requiring
urgent medical care, such as those due to seizures and ur
-
gent surgery. The most frequently prescribed antibiotic in
all periods was amoxicillin, followed by amoxicillin/clavu
-
lanate and oral cephalosporins.
Conclusion A significant reduction in the number of pe
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diatric emergency department visits and hospital admis
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sions is indirectly related to the COVID-19 pandemic. Most
of the reduction was due to a decreased number of infec
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tious disease cases. However, the number of visits requir
-
ing urgent medical intervention did not change.
Ključne riječi
Hrčak ID:
278868
URI
Datum izdavanja:
23.12.2021.
Posjeta: 388 *