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Bezzini D, Lanari M, Amaddeo A, Aricò MO, Castagno E, Cherchi G, Giacomini G, Graziani G, Grosso S, Liguoro I, Lombardi F, Manieri S, Moschettini L, Parisi F, Reale A, Romanisio G, Silvagni D, Schiavetti I. Frequency and type of domestic injuries among children during COVID-19 lockdown: what changes from the past? An Italian multicentre cohort study. Eur J Pediatr 2023; 182:3445-3454. [PMID: 37184645 PMCID: PMC10183681 DOI: 10.1007/s00431-023-04990-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 04/14/2023] [Accepted: 04/18/2023] [Indexed: 05/16/2023]
Abstract
Accidents are the main cause of injury in children, more than half events happen at home. Aims of this study were to assess if SARS-CoV-2 lockdown influence emergency department (ED) visits due to children domestic accident (DAs) and to identify factors associated with hospitalization. This was a multicentre, observational, and retrospective cohort study involving 16 EDs in Italy and enrolling children (3-13 years) receiving a visit in ED during March-June 2019 and March-June 2020. Risk factors for hospitalization were identified by logistic regression models. In total, 8860 ED visits due to domestic accidents in children occurred before (4380) and during (4480) lockdown, with a mean incidence of DA of 5.6% in 2019 and 17.9% in 2020 (p < 0.001) (IRR: 3.16; p < 0.001). The risk of hospitalization was influenced by the type of occurred accident, with fourfold higher for poisoning and twofold lower risk for stab-wound ones. In addition, a higher risk was reported for lockdown period vs 2019 (OR: 1.9; p < 0.001), males (OR: 1.4; p < 0.001), and it increased with age (OR: 1.1; p < 0.001). Conclusions: The main limitation of this study is the retrospective collection of data, available only for patients who presented at the hospital. This does highlight possible differences in the total number of incidents that truly occurred. In any case, the COVID-19 lockdown had a high impact on the frequency of DAs and on hospitalization. A public health campaign aimed at caregivers would be necessary to minimize possible risks at home. What is Known: • In Italy, domestic accidents are the second leading cause of paediatric mortality after cancer. • During the first SARS-CoV-2 lockdown in 2020, a sharp decrease in the total number of Emergency Departments visits for all causes was observed, both in children and in adults. What is New: • During the first SARS-CoV-2 lockdown in 2020, domestic accidents involving children increased threefold from the previous year. • Higher risk of hospitalization was showed in minors accessing during 2020 vs 2019, in males than in females and it increased with advancing age. Considering the type of injury, a significant higher risk of hospitalization for poisoning was observed.
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Affiliation(s)
- Daiana Bezzini
- Department of Life Sciences, University of Siena, via Aldo Moro 2, 53100, Siena, Italy.
| | - Marcello Lanari
- Pediatric Emergency Unit, IRCCS Azienda Ospedaliera Universitaria di Bologna, Bologna, Italy
| | - Alessandro Amaddeo
- Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy
| | - Melodie O Aricò
- Pediatric Department, G.B. Morgagni - L. Pierantoni Hospital, Forlì, Italy
| | - Emanuele Castagno
- Department of Paediatric Emergency, Regina Margherita Children's Hospital - A.O.U. Città della Salute e della Scienza di Torino, Turin, Italy
| | | | | | - Giulia Graziani
- Department of Paediatrics, Santa Maria delle Croci Hospital, Ravenna, Italy
| | - Salvatore Grosso
- Clinical Paediatrics, Department of Molecular Medicine and Development, University of Siena, Siena, Italy
| | - Ilaria Liguoro
- Division of Paediatrics, Department of Medicine (DAME), University of Udine, Udine, Italy
- Pediatric Clinic, "Santa Maria della Misericordia" University Hospital - Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Francesca Lombardi
- Pediatric Department, Maggiore Hospital Carlo Alberto Pizzardi, Bologna AUSL, Bologna, Italy
| | - Sergio Manieri
- Department of Paediatrics, San Carlo Hospital, Potenza, Italy
| | | | - Francesca Parisi
- Department of Medicine and Surgery, Pediatric Clinic, University of Perugia, Perugia, Italy
| | - Antonino Reale
- Department of Emergency and General Paediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Giulia Romanisio
- Pediatric and Neonatology Unit, ASL 2 Ospedale San Paolo, Savona, Italy
| | - Davide Silvagni
- Department of Paediatric Emergency, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy
| | - Irene Schiavetti
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Bezzini D, Lanari M, Amaddeo A, Aricò MO, Castagno E, Cherchi G, Giacomini G, Graziani G, Grosso S, Liguoro I, Lombardi F, Manieri S, Moschettini L, Parisi F, Reale A, Romanisio G, Silvagni D, Schiavetti I. Correction to: Frequency and type of domestic injuries among children during COVID-19 lockdown: what changes from the past? An Italian multicentre cohort study. Eur J Pediatr 2023; 182:3455-3456. [PMID: 37421432 PMCID: PMC10460321 DOI: 10.1007/s00431-023-05060-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/10/2023]
Affiliation(s)
- Daiana Bezzini
- Department of Life Sciences, University of Siena, via Aldo Moro 2, 53100, Siena, Italy.
| | - Marcello Lanari
- Pediatric Emergency Unit, IRCCS Azienda Ospedaliera Universitaria di Bologna, Bologna, Italy
| | - Alessandro Amaddeo
- Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy
| | - Melodie O Aricò
- Pediatric Department, G.B. Morgagni - L. Pierantoni Hospital, Forlì, Italy
| | - Emanuele Castagno
- Department of Paediatric Emergency, Regina Margherita Children's Hospital - A.O.U. Città della Salute e della Scienza di Torino, Turin, Italy
| | | | | | - Giulia Graziani
- Department of Paediatrics, Santa Maria delle Croci Hospital, Ravenna, Italy
| | - Salvatore Grosso
- Clinical Paediatrics, Department of Molecular Medicine and Development, University of Siena, Siena, Italy
| | - Ilaria Liguoro
- Division of Paediatrics, Department of Medicine (DAME), University of Udine, Udine, Italy
- Pediatric Clinic, "Santa Maria della Misericordia" University Hospital - Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Francesca Lombardi
- Pediatric Department, Maggiore Hospital Carlo Alberto Pizzardi, Bologna AUSL, Bologna, Italy
| | - Sergio Manieri
- Department of Paediatrics, San Carlo Hospital, Potenza, Italy
| | | | - Francesca Parisi
- Department of Medicine and Surgery, Pediatric Clinic, University of Perugia, Perugia, Italy
| | - Antonino Reale
- Department of Emergency and General Paediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Giulia Romanisio
- Pediatric and Neonatology Unit, ASL 2 Ospedale San Paolo, Savona, Italy
| | - Davide Silvagni
- Department of Paediatric Emergency, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy
| | - Irene Schiavetti
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Romanisio G, Chelleri C, Scala M, Piccolo G, Carlini B, Gatti L, Capra V, Zara F, Bersano A, Pavanello M, De Marco P, Diana MC. RNF213 variant in a patient with Legius syndrome associated with moyamoya syndrome. Mol Genet Genomic Med 2021; 9:e1669. [PMID: 33939317 PMCID: PMC8222830 DOI: 10.1002/mgg3.1669] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Giulia Romanisio
- Pediatric Neurology and Neuromuscular Diseases Unit, IRCCS Giannina Gaslini Institute, Genoa, Italy
| | - Cristina Chelleri
- Pediatric Neurology and Neuromuscular Diseases Unit, IRCCS Giannina Gaslini Institute, Genoa, Italy
| | - Marcello Scala
- Pediatric Neurology and Neuromuscular Diseases Unit, IRCCS Giannina Gaslini Institute, Genoa, Italy.,Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), University of Genoa, Genoa, Italy
| | - Gianluca Piccolo
- Pediatric Neurology and Neuromuscular Diseases Unit, IRCCS Giannina Gaslini Institute, Genoa, Italy
| | - Barbara Carlini
- Medical Genetics Unit, IRCCS Giannina Gaslini Institute, Genoa, Italy
| | - Laura Gatti
- Neurobiology Laboratory, Cerebrovascular Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Valeria Capra
- Medical Genetics Unit, IRCCS Giannina Gaslini Institute, Genoa, Italy
| | - Federico Zara
- Medical Genetics Unit, IRCCS Giannina Gaslini Institute, Genoa, Italy
| | - Anna Bersano
- Cerebrovascular Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Marco Pavanello
- Pediatric Neurosurgery Unit, IRCCS Giannina Gaslini Institute, Genoa, Italy
| | - Patrizia De Marco
- Medical Genetics Unit, IRCCS Giannina Gaslini Institute, Genoa, Italy
| | - Maria Cristina Diana
- Pediatric Neurology and Neuromuscular Diseases Unit, IRCCS Giannina Gaslini Institute, Genoa, Italy
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Romanisio G, Salina A, Aloi C, Schiaffino MC, Virgone A, d'Annunzio G. A mild impairment of K +ATP channel function caused by two different ABCC8 defects in an Italian newborn. Acta Diabetol 2018; 55:201-203. [PMID: 28929366 DOI: 10.1007/s00592-017-1052-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Accepted: 09/07/2017] [Indexed: 02/06/2023]
Affiliation(s)
- Giulia Romanisio
- Pediatric Clinic, Regional Center for Pediatric Diabetes, Istituto Giannina Gaslini, Via Gaslini 5, 16147, Genoa, Italy
| | - Alessandro Salina
- Laboratory of Diabetology - Laboratory for the Study of Inborn Errors of Metabolism, Istituto Giannina Gaslini, Genoa, Italy
| | - Concetta Aloi
- Laboratory of Diabetology - Laboratory for the Study of Inborn Errors of Metabolism, Istituto Giannina Gaslini, Genoa, Italy
| | | | - Alfredo Virgone
- Division of Cardiovascular Surgery, Istituto Giannina Gaslini, Genoa, Italy
| | - Giuseppe d'Annunzio
- Pediatric Clinic, Regional Center for Pediatric Diabetes, Istituto Giannina Gaslini, Via Gaslini 5, 16147, Genoa, Italy.
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d’Annunzio G, Tosca M, Pistorio A, Silvestri M, Romanisio G, Lorini R, Rossi G, Ciprandi G. Type 1 diabetes mellitus and asthma: A follow-up study. Allergol Immunopathol (Madr) 2015; 43:225-7. [PMID: 24948182 DOI: 10.1016/j.aller.2014.01.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2013] [Revised: 01/04/2014] [Accepted: 01/13/2014] [Indexed: 11/26/2022]
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Chinazzo C, De Alessandri A, Menoni S, Romanisio G, Rebora A, Rongioletti F. Aquagenic Wrinkling of the Palms and Cystic Fibrosis: An Italian Study with Controls and Genotype-Phenotype Correlations. Dermatology 2014; 228:60-5. [DOI: 10.1159/000355183] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Accepted: 08/15/2013] [Indexed: 11/19/2022] Open
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