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Ocagli H, Azzolina D, Francavilla A, Aydin E, Baldas S, Cocciaglia A, Rodriguez H, Gregori D, Lorenzoni G, Gruber M. Management of Pediatric Foreign Body Injuries during the COVID-19 Pandemic: Results of an International Survey. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1845. [PMID: 38136047 PMCID: PMC10741619 DOI: 10.3390/children10121845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 11/03/2023] [Accepted: 11/20/2023] [Indexed: 12/24/2023]
Abstract
The COVID-19 pandemic has had direct and indirect effects on daily life. In hospitals, the impact of the pandemic was observed in the diagnostic and therapeutic workflow. In this work, we explored potential changes in activities related to the treatment of foreign body injuries (FBIs) in children and the behavioral habits of physicians during the first wave of the pandemic. An online survey was conducted among physicians of the Susy Safe network. The survey comprised items related to respondent information, reference center characteristics, the treatment of FBIs during the COVID-19 pandemic, and a modified COVID-19 Anxiety Scale (CAS). The survey was distributed among the Susy Safe project international network surveillance registry for FBIs. A total of 58 physicians responded to the survey, including 18 (32%) from Europe and 16 (28%) from South America. The respondents indicated that the estimated number of aspirated foreign bodies during the pandemic was lower than or the same as that before the pandemic (43, 74%), and the same was observed for ingested foreign bodies (43, 74%). In univariable logistic regression, no single predictor was associated with a delay in routine care for children or an increasing tendency of medical personnel to avoid procedures. The workflow of physicians involved in the management of FBIs in children has not changed drastically during the COVID-19 pandemic, especially in emergency departments.
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Affiliation(s)
- Honoria Ocagli
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35122 Padova, Italy; (H.O.); (D.A.); (A.F.); (G.L.)
| | - Danila Azzolina
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35122 Padova, Italy; (H.O.); (D.A.); (A.F.); (G.L.)
- Department of Medical Science, University of Ferrara, 44121 Ferrara, Italy
| | - Andrea Francavilla
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35122 Padova, Italy; (H.O.); (D.A.); (A.F.); (G.L.)
| | - Emrah Aydin
- Department of Pediatric Surgery, School of Medicine, Koç University, 34450 Istanbul, Turkey;
| | - Solidea Baldas
- Protecting Children Association (Prochild) Onlus, 34129 Trieste, Italy;
| | | | - Hugo Rodriguez
- Hospital de Pediatría Juan P. Garrahan, Buenos Aires C1245, Argentina;
| | - Dario Gregori
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35122 Padova, Italy; (H.O.); (D.A.); (A.F.); (G.L.)
| | - Giulia Lorenzoni
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35122 Padova, Italy; (H.O.); (D.A.); (A.F.); (G.L.)
| | - Maayan Gruber
- Galilee Medical Center, Azrieli faculty of Medicine, Bar-Ilan University, Haifa 22100, Israel;
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