Ilaria Loperto
ABSTRACT
The CoViD-19 pandemic has unfortunately not spared the children. In most cases, the infection is asymptomatic and the serious outcomes are much lower than in adults. Despite this, as the hospital is committed to treating infected patients and limiting the spread of infections, pediatric surgery has also undergone the blocking of procedures deemed deferrable like other surgeries. In light of this, in this study it was decided to analyze how the activity of the Complex Operative Units (COUs) of Pediatrics and Pediatric Surgery in "San Giovanni di Dio and Ruggi d'Aragona" University Hospital of Salerno (Italy) was affected by the pandemic. Both statistical analysis and logistic regression show an increase of patients’ average age and of weight of Diagnostic Related Group (DRG).
- Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X, Huang B, Shi W, Lu R, Niu P, Zhan F, Ma X, Wang D, Xu W, Wu G, Gao GF, Tan W China Novel Coronavirus Investigating and Research Team. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382:727–733.Google Scholar
- Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, Wang W, Song H, Huang B, Zhu N, Bi Y, Ma X, Zhan F, Wang L, Hu T, Zhou H, Hu Z, Zhou W, Zhao L, Chen J, Meng Y, Wang J, Lin Y, Yuan J, Xie Z, Ma J, Liu WJ, Wang D, Xu W, Holmes EC, Gao GF, Wu G, Chen W, Shi W, Tan W. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020;395:565–574.Google Scholar
- McKay B, Calfas J, Ansari T. Coronavirus declared pandemic by World Health Organization. The Wall Street Journal, March 11, 2020.Google Scholar
- Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020Google Scholar
- Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, Hui DSC, Du B, Li LJ, Zeng G, Yuen KY, Chen RC, Tang CL, Wang T, Chen PY, Xiang J, Li SY, Wang JL, Liang ZJ, Peng YX, Wei L, Liu Y, Hu YH, Peng P, Wang JM, Liu JY, Chen Z, Li G, Zheng ZJ, Qiu SQ, Luo J, Ye CJ, Zhu SY, Zhong NS China Medical Treatment Expert Group for Covid-19. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;382:1708–1720Google Scholar
- Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497–506.Google Scholar
- Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, Wang B, Xiang H, Cheng Z, Xiong Y, Zhao Y, Li Y, Wang X, Peng Z. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020Google Scholar
- Giannis D, Ziogas IA, Gianni P. Coagulation disorders in coronavirus infected patients: COVID-19, SARS-CoV-1, MERS-CoV and lessons from the past. J Clin Virol. 2020;127:104362.Google Scholar
- Dedeilia A, Esagian SM, Ziogas IA, Giannis D, Katsaros I, Tsoulfas G. Pediatric surgery during the COVID-19 pandemic. World J Clin Pediatr. 2020;9(2):7-16. Published 2020 Sep 19. doi:10.5409/wjcp.v9.i2.7Google Scholar
- Cai J, Xu J, Lin D, Yang Z, Xu L, Qu Z, Zhang Y, Zhang H, Jia R, Liu P, Wang X, Ge Y, Xia A, Tian H, Chang H, Wang C, Li J, Wang J, Zeng M. A Case Series of children with 2019 novel coronavirus infection: clinical and epidemiological features. Clin Infect Dis. 2020Google Scholar
- Xia W, Shao J, Guo Y, Peng X, Li Z, Hu D. Clinical and CT features in pediatric patients with COVID-19 infection: Different points from adults. Pediatr Pulmonol. 2020;55:1169–1174.Google Scholar
- Henry BM, Benoit SW, Santos de Oliveira MH, Laboratory abnormalities in children with mild and severe coronavirus disease 2019 (COVID-19): a pooled analysis and review. Clin Biochem. 2020.;81:1–8. DOI:10.1016/j.clinbiochem.2020.05.012Google Scholar
- Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z, Tong S. Epidemiology of COVID-19 Among Children in China. Pediatrics. 2020;145Google Scholar
- Li YK, Peng S, Li LQ, Wang Q, Ping W, Zhang N, Fu XN. Clinical and Transmission Characteristics of Covid-19 - A Retrospective Study of 25 Cases from a Single Thoracic Surgery Department. Curr Med Sci. 2020;40:295–300.Google Scholar
- American College of Surgeons. COVID-19: Guidance for Triage of Non-Emergent Surgical Procedures [Internet]. American College of SurgeonsGoogle Scholar
- UCSF Benioff Children's Hospitals. PPE for Surgery in Pediatric Patients (COVID-19 Suspected/Confirmed) [Internet]. UCSF Health COVID-19 Clinical Resources. 2020Google Scholar
- Tang D, Tou J, Wang J, Chen Q, Wang W, Huang J, Zhao H, Wei J, Xu Z, Zhao D, Fu J, Shu Q. Prevention and control strategies for emergency, limited-term, and elective operations in pediatric surgery during the epidemic period of COVID-19. World Journal of Pediatric Surgery. 2020;3:e000122.Google Scholar
- Improta, G., Ricciardi, C., Cesarelli, G., D'Addio, G., Bifulco, P., & Cesarelli, M. (2020). Machine learning models for the prediction of acuity and variability of eye-positioning using features extracted from oculography. Health and Technology, 10(4), 961-968.Google ScholarCross Ref
- Improta, G., Mazzella, V., Vecchione, D., Santini, S., & Triassi, M. (2020). Fuzzy logic–based clinical decision support system for the evaluation of renal function in post‐Transplant Patients. Journal of evaluation in clinical practice, 26(4), 1224-1234.Google ScholarCross Ref
- Rosa, D., Balato, G., Ciaramella, G., Soscia, E., Improta, G., & Triassi, M. (2016). Long-term clinical results and MRI changes after autologous chondrocyte implantation in the knee of young and active middle aged patients. Journal of Orthopaedics and Traumatology, 17(1), 55-62.Google ScholarCross Ref
- Cesarelli, G., Scala, A., Vecchione, D., Ponsiglione, A. M., & Guizzi, G. (2021, February). An Innovative Business Model for a Multi-echelon Supply Chain Inventory Management Pattern. In Journal of Physics: Conference Series (Vol. 1828, No. 1, p. 012082). IOP Publishing.Google Scholar
- Improta, G., Luciano, M. A., Vecchione, D., Cesarelli, G., Rossano, L., Santalucia, I., & Triassi, M. (2020, November). Management of the Diabetic Patient in the Diagnostic Care Pathway. In European Medical and Biological Engineering Conference (pp. 784-792). Springer, ChamGoogle Scholar
- Improta, G., Simone, T., & Bracale, M. (2009). HTA (Health Technology Assessment): a means to reach governance goals and to guide health politics on the topic of clinical Risk management. Proceedings of the 11th World Congress on Medical Physics and Biomedical Engineering (IUPESM 2009), Munich, Germany, September 7-12.Google ScholarCross Ref
- Ricciardi, C., Gubitosi, A., Lanzano, G., Parisi, S., Grella, E., Ruggiero, R., ... & Improta, G. (2021). Health Technology Assessment Through the Six Sigma Approach in Abdominoplasty: Scalpel vs Electrosurgery. Medical Engineering & PhysicsGoogle Scholar
- Cesarelli, G., Montella, E., Scala, A., Raiola, E., Triassi, M., & Improta, G. (2020, November). DMAIC Approach for the Reduction of Healthcare-Associated Infections in the Neonatal Intensive Care Unit of the University Hospital of Naples ‘Federico II’. In European Medical and Biological Engineering Conference (pp. 414-423). Springer, Cham.Google Scholar
- Latessa I, Fiorillo A, Picone I, Balato G, Trunfio T A, Scala A and Triassi M 2021 Implementing fast track surgery in hip and knee arthroplasty using the lean Six Sigma methodology TQM J. 33 131–47Google Scholar
- Scala, A., Ponsiglione, A. M., Loperto, I., Della Vecchia, A., Borrelli, A., Russo, G., ... & Improta, G. (2021). Lean six sigma approach for reducing length of hospital stay for patients with femur fracture in a university hospital. International Journal of Environmental Research and Public Health, 18(6), 2843.Google ScholarCross Ref
Index Terms
- The study of variation in the Diagnostic Related Group Weight in a Complex Operative Units of Paediatrics and Paediatric Surgery due to CoViD-19 pandemic
Index terms have been assigned to the content through auto-classification.
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