TY - JOUR
T1 - Preparedness and Response to Pediatric COVID-19 in European Emergency Departments
T2 - A Survey of the REPEM and PERUKI Networks
AU - Country Leads
AU - Bressan, Silvia
AU - Buonsenso, Danilo
AU - Farrugia, Ruth
AU - Parri, Niccolo’
AU - Oostenbrink, Rianne
AU - Titomanlio, Luigi
AU - Roland, Damian
AU - Nijman, Ruud G.
AU - Maconochie, Ian
AU - Da Dalt, Liviana
AU - Mintegi, Santiago
AU - Hachimi-Idrissi, Said
AU - Sjølin Frederiksen, Marianne
AU - Uustalu, Ulle
AU - Cheron, Gerard
AU - Hoffmann, Florian
AU - Thors, Valtyr
AU - Barrett, Michael J.
AU - Shavit, Itai
AU - Pucuka, Zanda
AU - Jankauskaite, Lina
AU - Mação, Patrícia
AU - Orfanos, Ioannis
AU - Lacroix, Laurence
N1 - Funding Information:
The authors acknowledge all the respondents to the survey who gave permission for their names to be included: Carlos Luaces Cubells, Head Pediatric Emergency Department Hospital Sant Joan de Deu, Barcelona, Spain; Aline Malterre, Center Hospitalier Intercommunal de Cr?teil, France; Anne Louise Bischoff, Hilleroed Hospital the Capital Region of Denmark, Denmark; Letitia Pantalone, GHT NOVO, CH Ren? Dubos, Pontoise, France; Silvia Oliva Rodriguez-Pastor, Hospital Regional Universitario M?laga, Spain; Elias Ossam, Center Hospitalier de Gonesse, France; Sheena Durnin, Children's Health Ireland at Tallaght University Hospital, Dublin, Ireland; Ar?stides Rivas, Gregorio Mara??n University Hospital, Madrid, Spain; Ant?n Casta?o-Rivero, Hospital Universitario de Cabue?es, Gij?n, Asturias, Spain; Mercedes de la Torre, Hospital infantil universitario Ni?o Jes?s, Madrid, Spain; Orla Neylon, University Hospital Limerick, Ireland; Donatella De Martiis, Pronto Soccorso Pediatrico, ASST Spedali Civili Brescia, Italy; Vincenzo Tipo and Angela Mauro, Pediatric Emergency Department, Santobono-Pausilipon Children's Hospital, Naples, Italy; Antonio Chiaretti, Pediatric Emergency Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Marcello Lanari, Pediatric Emergency Department, Bologna, Italy; Claudio Germani, Pediatric Emergency Department, Institute for Maternal and Child Health IRCCS, Burlo Garofolo, Trieste, Italy; Antonio Francesco Urbino, Pediatria d'Urgenza?AOU Citt? della Salute e della Scienza, Turin, Italy; Olivier Richer, Emergency Department, Hopital des Enfants CHU, Bordeaux, France; Faraaz Bhatti, Department of Emergency Medicine, Gozo General Hospital, Malta; Patricia Ma??o, Pediatric Emergency Service, Hospital Pedi?trico, Centro Hospitalar e Universit?rio de Coimbra, Portugal; Roberto Velasco, Pediatric Emergency Unit, Rio Hortega Universitary Hospital, Valladolid, Spain; Teresa Castro, Hospital Esp?rito Santo de ?vora, Portugal; Fuchs Hans, Center for Pediatrics, University of Freiburg, Germany; Kathryn Allison and Asim Ijaz, Children's Research Practitioner Royal Lancaster, Lancaster, United Kingdom; Isabelle Claudet, Pediatric Emergency Department, Children Hospital, Toulouse University Hospital, Toulouse, France; Anne Cavau, and M?lusine Kiener, Pediatric Emergency Department, Armand Trousseau University Hospital, Paris, France; Rouget Sebastien, Service de pediatrie Center Hospitalier Sud-Francilien, Corbeil-Essonnes, France; Mia Ferch, Pediatric Department, Aarhus University Hospital, Denmark; Shrouk Messahel, Alder Hey Children's Hospital NHS Foundation Trust, Liverpool, United Kingdom; Grosse Lordemann Anja, Altoner Kinderkrankenhaus, Hamburg, Germany; Vanda Anacleto Bento, Hospital Fernando Fonseca, Amadora, Portugal; Mark D. Lyttle, Emergency Department, Bristol Royal Hospital for Children, Bristol, United Kingdom; Rikke M?ller Andersen, Pediatric Department Hospital of Lillebelt, Kolding, Denmark; Jorge Sotoca Fern?ndez and Ingunn Olafsdotter, Sk?ne University Hospital, Malm? & Lund, Sweden; Andr?s Gonzalez Hermosa, Pediatric Emergency, Basurto University Hospital, Bilbao, Spain; Escoda Simon, Pediatric Emergency Department, Center Hospitalier Delafontaine de Saint-Denis, France; Cosette Pharisa Rochat, HFR-Fribourg, Fribourg, Switzerland; Paddy Fitzpatrick, Children's Health Ireland at Temple Street, Dublin, Ireland; Emily Walton, Royal Alexandra Children's Hospital, Brighton, United Kingdom; Idanna Sforzi, Emergency Department, Meyer Children's Hospital, Florence, Italy; Hoeffe Julia, Pediatric Emergency Department, Inselspital University Hospital Bern, Switzerland; Marta Romanengo, Pediatric Emergency, Ospedale Gaslini, Genova, Italy; Susana Castanhinha, Hospital Dona Estef?nia?Centro Hospitalar Lisboa Central, Portugal; Helle Christiansen, Department of Pediatrics, Hvidovre Hospital, Denmark; Barbara Maria Cantoni, Dipartimento delle Professioni Sanitarie, IRCCS Ca Granda Ospedale Maggiore Policlinico, Milan, Italy; Sofia Reis, Centro Hospitalar Tondela-Viseu, Viseu, Portugal; Eich Christoph Bernhard, Pediatric Intensive Care and Emergency Medicine, Auf der Bult Children's Hospital, Hannover, Germany; Georg Staubli, Universitiy Hospital Z?rich, Z?rich, Switzerland; Wolf Pauline, Antoine B?cl?re Hospital, Clamart, France; Rachel Pellaton, H?pital de l'Enfance de Lausanne, Lausanne, Switzerland; Kurt Anseeuw, ZNA Stuivenberg, Antwerp, Belgium; Davide Silvagni and Pietro Soloni, Pediatric Emergency Department and Critical Care Unit, Azienda Ospedaliera Universitaria integrata, Verona, Italy; Higuet Adeline, Emergency Sint Maria Halle, Belgium; Mirjam van Veen, Groene hart ziekenhuis, Gouda, the Netherlands; Gerlant van Berler, Department of Emergency and Disaster Medicine, Universitair Ziekenhuis Brussels, Brussels, Belgium; Giora Weiser, Pediatric Emergency Department, Shaare Zedek Medical Center, Jerusalem, Israel; Nicolas Mpotos, St Lucas General Hospital, Ghent, Belgium; Nir Friedman, Pediatric Emergency Medicine, Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel; Michal Maimon, Pediatric Emergency Medicine, Soroka University Medical Center, Beer Sheva, Israel; Uri Balla, Pediatric Emergency Department of Kaplan Medical Center, Rehovot, Israel; Ayelet Rimon, Division of Pediatric Emergency Medicine, Department of Pediatrics, Dana-Dwek Children Hospital, Sackler School of Medicine, University of Tel Aviv, Israel; Karin Biswanger, Department of Pediatrics, S?dra ?lvsborgs Hospital, Sweden; and Virginia G?mez Barrena, Pediatric Emergency, Hospital Universitario Miguel Servet, Zaragoza, Spain. Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist.
Publisher Copyright:
© 2020 American College of Emergency Physicians
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/12
Y1 - 2020/12
N2 - Study objective: We aim to describe the variability and identify gaps in preparedness and response to the coronavirus disease 2019 pandemic in European emergency departments (EDs) caring for children. Methods: A cross-sectional point-prevalence survey was developed and disseminated through the pediatric emergency medicine research networks for Europe (Research in European Pediatric Emergency Medicine) and the United Kingdom and Ireland (Paediatric Emergency Research in the United Kingdom and Ireland). We aimed to include 10 EDs for countries with greater than 20 million inhabitants and 5 EDs for less populated countries, unless the number of eligible EDs was less than 5. ED directors or their delegates completed the survey between March 20 and 21 to report practice at that time. We used descriptive statistics to analyze data. Results: Overall, 102 centers from 18 countries (86% response rate) completed the survey: 34% did not have an ED contingency plan for pandemics and 36% had never had simulations for such events. Wide variation on personal protective equipment (PPE) items was shown for recommended PPE use at pretriage and for patient assessment, with 62% of centers experiencing shortage in one or more PPE items, most frequently FFP2 and N95 masks. Only 17% of EDs had negative-pressure isolation rooms. Coronavirus disease 2019–positive ED staff was reported in 25% of centers. Conclusion: We found variation and identified gaps in preparedness and response to the coronavirus disease 2019 epidemic across European referral EDs for children. A lack in early availability of a documented contingency plan, provision of simulation training, appropriate use of PPE, and appropriate isolation facilities emerged as gaps that should be optimized to improve preparedness and inform responses to future pandemics.
AB - Study objective: We aim to describe the variability and identify gaps in preparedness and response to the coronavirus disease 2019 pandemic in European emergency departments (EDs) caring for children. Methods: A cross-sectional point-prevalence survey was developed and disseminated through the pediatric emergency medicine research networks for Europe (Research in European Pediatric Emergency Medicine) and the United Kingdom and Ireland (Paediatric Emergency Research in the United Kingdom and Ireland). We aimed to include 10 EDs for countries with greater than 20 million inhabitants and 5 EDs for less populated countries, unless the number of eligible EDs was less than 5. ED directors or their delegates completed the survey between March 20 and 21 to report practice at that time. We used descriptive statistics to analyze data. Results: Overall, 102 centers from 18 countries (86% response rate) completed the survey: 34% did not have an ED contingency plan for pandemics and 36% had never had simulations for such events. Wide variation on personal protective equipment (PPE) items was shown for recommended PPE use at pretriage and for patient assessment, with 62% of centers experiencing shortage in one or more PPE items, most frequently FFP2 and N95 masks. Only 17% of EDs had negative-pressure isolation rooms. Coronavirus disease 2019–positive ED staff was reported in 25% of centers. Conclusion: We found variation and identified gaps in preparedness and response to the coronavirus disease 2019 epidemic across European referral EDs for children. A lack in early availability of a documented contingency plan, provision of simulation training, appropriate use of PPE, and appropriate isolation facilities emerged as gaps that should be optimized to improve preparedness and inform responses to future pandemics.
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U2 - 10.1016/j.annemergmed.2020.05.018
DO - 10.1016/j.annemergmed.2020.05.018
M3 - Article
C2 - 32419713
AN - SCOPUS:85086393936
VL - 76
SP - 788
EP - 800
JO - Annals of Emergency Medicine
JF - Annals of Emergency Medicine
SN - 0196-0644
IS - 6
ER -