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Rousset S, Camussi E, Piccinelli C, Senore C, Armaroli P, Giordano L, Ferrante G, Bert F, Siliquini R. Depression and post-traumatic stress disorder symptoms during the COVID-19 pandemic in Italy. Eur J Public Health 2021. [PMCID: PMC8574706 DOI: 10.1093/eurpub/ckab164.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Introduction Social restrictions imposed by the Italian Government during the COVID-19 emergency might have had a significant impact on mental health. The purpose of this study was to estimate the prevalence of depressive and post-traumatic stress disorder (PTDS) symptoms in a sample of Italian citizens during the first COVID-19 pandemic wave. Materials and methods A cross-sectional survey was carried out between April and June 2020 using a snowball sampling. Depressive symptoms were explored through the Patient Heath Questionnaire-2 (PHQ-2), while the post-traumatic stress disorder (PTDS) was investigated through the SPAN (Startle, Physical arousal, Anger, Numbness) questionnaire. Poisson regression models were used to explore the association between the outcomes under study and sociodemographic/housing characteristics. Results A total of 10.758 interviews were collected and 7.847 (73%), complete for a minimum set of indicators (age, sex, area of residence), were included in the final analysis. The majority of the respondents were females (71%). Sample mean age was 48.6 years. The prevalence of depressive symptoms was 21.2% and that of PTDS was 43.8%. Symptoms of depression and PTDS significantly diminished across age groups, in particular in people over 70 years compared with people aged 14-29 years (PR 0.65, 95% CI 0.49-0.86). A higher prevalence was found in students compared with retired people, both for depressive symptoms (PR 1.49, 95% CI: 1.05-2.10) and PTDS (PR 1.31, 95% CI: 1.02-1.69). Conclusions Prevalence of depressive and PTDS symptoms was high, in particular among younger people and students. That could potentially lead to adverse mental health outcomes in the future, with serious public health consequences. As the pandemic emergency is not solved yet, it is necessary to implement preventive strategies in order to protect the mental well-being of particularly vulnerable subgroups in the population. Key messages The prevalence of psychological symptoms was high in this sample during the first wave of COVID-19 pandemic. The subgroups of the population at higher risk for adverse psychological outcomes were younger people and students.
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Affiliation(s)
- S Rousset
- Dipartimento di Scienze della Sanità Pubbliche e Pediatriche, Università di Torino, Turin, Italy
- Epidemiologia e Screening, CPO, Turin, Italy
| | - E Camussi
- Epidemiologia e Screening, CPO, Turin, Italy
| | | | - C Senore
- Epidemiologia e Screening, CPO, Turin, Italy
| | - P Armaroli
- Epidemiologia e Screening, CPO, Turin, Italy
| | - L Giordano
- Epidemiologia e Screening, CPO, Turin, Italy
| | - G Ferrante
- Epidemiologia e Screening, CPO, Turin, Italy
| | - F Bert
- Dipartimento di Scienze della Sanità Pubbliche e Pediatriche, Università di Torino, Turin, Italy
| | - R Siliquini
- Dipartimento di Scienze della Sanità Pubbliche e Pediatriche, Università di Torino, Turin, Italy
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Lesa L, Brunelli L, Valent F, Aprili I, Cametti E, Ferrari S, Camussi E, Degan S, De Corti D, Bellomo F, Tardivo S, Siliquini R, Brusaferro S. The underestimated burden of aspiration event and pneumonia within hospitals: what happens after dysphagia. Ann Ig 2021; 33:555-563. [PMID: 33565565 DOI: 10.7416/ai.2021.2436] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Study design Prospective observational study. Background Despite dysphagia large prevalence and the growing ageing phenomenon occurring in European countries, aspiration events among inpatients are often underestimated, given their frequent spontaneous resolution or silent contribution to aspiration syndromes. Our main objective was to evaluate the incidence of aspiration events among medical inpatients and to identify risk factors influencing the outcome of the event. Methods Data about aspiration events - day, hour, type and outcome of the event occurred - along with underlying patient clinical conditions at the admission were collected. Between May 2015 and September 2016, data about aspiration event occurred among medical inpatients were collected in three large Italian hospitals. Results Patients affected by aspiration events were 135 on 102,619 cumulative days of hospitalization; they were mostly females (53%) with an average age of 82. The total incidence of aspiration events was of 1.4 every 1,000 days of hospitalization (C.I. 95%: 1.2-1.7) and the most frequent manifestation was cough (61.6%). The addition of drugs or an infection diagnosis during the 24 hours preceding the event acted as risk factors for those events that needed additional interventions during the hospitalization (OR 3.1 e OR 1.9 respectively), while the elimination of one or more prescribed drugs seemed to lead to aspiration events without impact on the hospitalization. Conclusions Results showed a large incidence of aspiration events within medical wards, many of them influencing patient outcomes. Healthcare professionals' attention concerning aspiration events should be fostered during the first hours and days of hospitalization.
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Affiliation(s)
- L Lesa
- Department of Medicine, University of Udine, Italy.,Medical Directorate, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - L Brunelli
- Department of Medicine, University of Udine, Italy.,Quality Unit, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - F Valent
- Hygiene and Clinical Epidemiology Unit, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - I Aprili
- Diagnostic and Public Health Department, University of Verona, Italy
| | - E Cametti
- Diagnostic and Public Health Department, University of Verona, Italy
| | - S Ferrari
- Diagnostic and Public Health Department, University of Verona, Italy
| | - E Camussi
- Public Health and Pediatric Science Department, University of Torino, Italy
| | - S Degan
- Quality Unit, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - D De Corti
- Quality Unit, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - F Bellomo
- Quality Unit, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - S Tardivo
- Diagnostic and Public Health Department, University of Verona, Italy
| | - R Siliquini
- Public Health and Pediatric Science Department, University of Torino, Italy
| | - S Brusaferro
- Department of Medicine, University of Udine, Italy
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Quattrocolo F, D'Ambrosio A, Blanco V, Voglino G, Clemente S, Camussi E, Martorana M, Zotti CM. Prevalence of healthcare associated infections and antibiotic use in Piedmont’s acute care hospitals. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky212.551] [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] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- F Quattrocolo
- Department of Public Health and Pediatric Sciences, University of Turin, Turin, Italy
| | - A D'Ambrosio
- Department of Public Health, University of Turin, Turin, Italy
| | - V Blanco
- Department of Public Health, University of Turin, Turin, Italy
| | - G Voglino
- Department of Public Health, University of Turin, Turin, Italy
| | - S Clemente
- Department of Public Health, University of Turin, Turin, Italy
| | - E Camussi
- Department of Public Health, University of Turin, Turin, Italy
| | - M Martorana
- Department of Public Health, University of Turin, Turin, Italy
| | - CM Zotti
- Department of Public Health, University of Turin, Turin, Italy
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Scaioli G, Bert F, Gualano MR, Camussi E, Siliquini R. Inter-hospitals care pathway for Centers of Welcoming and Services for oncologic patients in Italy. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.154] [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] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- G Scaioli
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - F Bert
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - MR Gualano
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - E Camussi
- Department of Public Health Sciences, University of Turin, Turin, Italy
| | - R Siliquini
- Department of Public Health Sciences, University of Turin, Turin, Italy
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Voglino G, Gualano MR, Bert F, Camussi E, Thomas R, Siliquini R. The impact of intergenerational programs on children and elder adults. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx186.023] [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] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- G Voglino
- Department of Public Health, University of Torino, Torino, Italy
| | - MR Gualano
- Department of Public Health, University of Torino, Torino, Italy
| | - F Bert
- Department of Public Health, University of Torino, Torino, Italy
| | - E Camussi
- Department of Public Health, University of Torino, Torino, Italy
| | - R Thomas
- Department of Public Health, University of Torino, Torino, Italy
| | - R Siliquini
- Department of Public Health, University of Torino, Torino, Italy
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Gualano MR, Bert F, Camussi E, Pieve G, Voglino G, Siliquini R. Could Animal Assisted Intervention be implemented in public health programs? Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw165.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Camussi E, Gualano MR, Amprino V, Bert F, Siliquini R. A meta-analysis of Hepatitis B, Hepatitis C and HIV prevalence in prisons of high-income countries. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw166.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Bert F, Gualano MR, Biancone P, Brescia V, Camussi E, Martorana M, Secinaro S, Siliquini R. HIV-screening in pregnant women: a systematic review of cost-effectiveness studies. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw174.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Lasagni A, Giordano P, Lacilla M, Raviolo A, Trento M, Camussi E, Grassi G, Charrier L, Cavallo F, Albera R, Porta M, Zanone MM. Cochlear, auditory brainstem responses in Type 1 diabetes: relationship with metabolic variables and diabetic complications. Diabet Med 2016; 33:1260-7. [PMID: 26605750 DOI: 10.1111/dme.13039] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/18/2015] [Indexed: 01/29/2023]
Abstract
AIMS Few studies have analysed the presence of hearing abnormalities in diabetes. We assessed the presence of subclinical auditory alterations and their possible association with early vascular and neurological dysfunction in young adults with Type 1 diabetes of long duration. METHODS Thirty-one patients with Type 1 diabetes (mean age 33 ± 2.3 years, disease duration 25.7 ± 4.2 years) and 10 healthy controls underwent pure tone audiometry (PTA), distortion product otoacoustic emission (DPOAE) and auditory brainstem response (ABR) analyses. Associations with metabolic variables and chronic complications were explored. RESULTS Compared with healthy controls, patients with diabetes had significantly higher mean hearing thresholds, although still within the normoacusic range. DPOAE intensities at medium frequencies (2.8-4 kHz) were significantly lower in patients with diabetes. In ABR, in addition to waves I, III and V, we observed the appearance of a visible wave IV in patients with diabetes compared with controls (prevalence 61% vs. 10%, P < 0.05), and its appearance was related to a prolonged I-V interval (4.40 ± 0.62 ms vs. 4.19 ± 0.58 ms, P < 0.05). Diastolic blood pressure was higher in people with abnormal DPOAE (P < 0.05), whereas systolic blood pressure correlated with wave V and interpeak I-V interval latencies. A trend towards an association between evidence of wave IV and the presence of somatic neuropathy or abnormal cardiovascular autonomic tests was observed. CONCLUSIONS Young adults with long-term Type 1 diabetes have subclinical abnormalities in qualitative auditory perception, despite normal hearing thresholds, which might reflect neuropathic and/or vascular alterations.
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Affiliation(s)
- A Lasagni
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - P Giordano
- Department of Surgical Sciences, University of Turin, Turin, Italy
| | - M Lacilla
- Department of Surgical Sciences, University of Turin, Turin, Italy
| | - A Raviolo
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - M Trento
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - E Camussi
- Department of Public Health and Pediatric Sciences, University of Turin, Turin, Italy
| | - G Grassi
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - L Charrier
- Department of Public Health and Pediatric Sciences, University of Turin, Turin, Italy
| | - F Cavallo
- Department of Public Health and Pediatric Sciences, University of Turin, Turin, Italy
| | - R Albera
- Department of Surgical Sciences, University of Turin, Turin, Italy
| | - M Porta
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - M M Zanone
- Department of Medical Sciences, University of Turin, Turin, Italy
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Camussi E, Bert F, Gualano MR, Siliquini R. Risks and threats of social media websites: Twitter and the pro-Ana movement. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv171.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Bazzucchi M, Camussi E, Diani GM, Frattegiani T, Guerra M. [Radiologic and histologic aspects of 100 cases of ameloblastoma of the jaws]. Dent Cadmos 1987; 55:73-80. [PMID: 3477493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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