Preparedness and Response to Pediatric COVID-19 in European Emergency Departments: A Survey of the REPEM and PERUKI Networks

  1. Silvia Bressan
  2. Danilo Buonsenso
  3. Ruth Farrugia
  4. Niccolo’ Parri
  5. Rianne Oostenbrink
  6. Luigi Titomanlio
  7. Damian Roland
  8. Ruud G. Nijman
  9. Ian Maconochie
  10. Liviana Da Dalt
  11. Santiago Mintegi
  12. Said Hachimi-Idrissi
  13. Marianne Sjølin Frederiksen
  14. Ulle Uustalu
  15. Gerard Cheron
  16. Florian Hoffmann
  17. Valtyr Thors
  18. Michael J. Barrett
  19. Itai Shavit
  20. Zanda Pucuka
  21. Lina Jankauskaite
  22. Patrícia Mação
  23. Ioannis Orfanos
  24. Laurence Lacroix

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Abstract

No abstract available

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  1. Version published to 10.1016/j.annemergmed.2020.05.018
  2. ScreenIT

    SciScore for 10.1101/2020.04.28.20075481: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementIRB: Ethics: This survey accessed clinicians via a research collaborative to assess their departmental practice and therefore did not require formal ethics review, as per consultation with the ethics committee of the University Hospital of Padova, Italy.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    Software and Algorithms
    SentencesResources
    Survey responses were collected in REDCap, a validated online data collection system.
    REDCap
    suggested: (REDCap, RRID:SCR_003445)
    Data were analysed using Stata (version 13, StataCorp, College Station, Texas, USA).
    StataCorp
    suggested: (Stata, RRID:SCR_012763)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).

    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    This is in contrast to barriers related to structural limitations and constraints affecting the organization of ED patient flow and isolation capacity, which may be difficult to overcome in a short time frame. Infection control measures were more consistently reported in the survey, including re-arrangement of ED patient flow, changing of staff work shift to optimize resource utilization, reduction in the number of care givers allowed with the child and home quarantine for confirmed COVID-19 pediatric cases fit for discharge. Another interesting finding from our survey is the substantial reduction in pediatric ED presentations during the pandemic, which greatly helped centers with more limited isolation capacity better manage suspected COVID-19 cases. Centers from countries with a longer time since first case experienced higher reductions in the number of ED presentations. Parents’ fear of contagion in a healthcare environment, improved hygiene measures, reduced community transmission of communicable diseases, reduced opportunities to sustain injuries owing to the strict containment measures enforced by governments, and reduction in stress-related functional diseases may be the reasons underlying this phenomenon. Reports from previous epidemics also showed an overall decrease in PED attendances.27,28 The MERS outbreak had resulted in a significantly higher proportion of high acuity ED pediatric presentations and an increase in delayed presentations.9,29 High levels of care fo...

    Results from TrialIdentifier: No clinical trial numbers were referenced.

    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.

    Results from JetFighter: We did not find any issues relating to colormaps.

    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.

  3. Version published to 10.1101/2020.04.28.20075481v1 on medRxiv