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Impacto COVID-19 en la urgencia y hospitalización de un hospital terciario. Lecciones de gestión aprendidas
Institution:1. Sección de Pediatría General, Hospital Universitari i Politècnic La Fe, Valencia, España;2. Unidad de Cuidados Intensivos Pediátricos, Hospital Universitari i Politècnic La Fe, Valencia, España;3. Sección de Patología Infecciosa Infantil, Hospital Universitari i Politècnic La Fe, Valencia, España
Abstract:IntroductionThe objective is to analyze the impact of the COVID-19 pandemic on the pediatric emergencies and hospital admissions.MethodsRetrospective cohort study of patients treated in a tertiary hospital, from March 14 to April 26, 2020, compared to the same period of the previous 3 years.ResultsA notable overall reduction in emergency room visits and admissions is observed in all pediatric areas, maintaining care in neonatology and scheduled admissions in oncology.DiscussionThe reduction in global activity in pediatric emergencies is not only explained by the decrease in contagious diseases. The decrease in inadequate demand and inappropriate income may have contributed. The availability of pediatric beds would make the reduction of programmed surgical activity unnecessary and would allow the redistribution of resources to areas with greater healthcare pressure.
Keywords:COVID-10  Clinical management  Hospitalization  Pandemic  Pediatric emergencies
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