Such a reduction can easily be attributable to lockdown, which significantly reduced risk of traumatic events such as car, sports or work accidents. It is also interesting to observe the reduction in cases of multiple trauma. The fear of getting infected has especially affected individuals who probably would have required less intensive care, such as that of white and green triage codes. This result suggests that the hypothesis may also be generalized to other hospitals in Italy.
The data clearly reveal how the pandemic has conditioned access to the emergency room for the populations of Northern and Central Italy, with a uniform distribution in the analyzed hospitals.
They do not, however, reach the values of those from the same months in 2019. The parameters measured tend to rise in the months following the lockdown. The same can be said for trauma (a decrease of 80%), as well as for abdominal and chest pain (70 and 60%, respectively). An even more marked reduction (30%) can be seen in the numbers of accesses to the Department of Cardiology (Fig. The total number of hospitalizations from the Emergency Department, during the two months of lockdown, was reduced by about 20% when compared to the same period in 2019 (Fig. While the red codes remain stable over time, there is a dramatic collapse of the white and green triage codes, as well as a slight reduction of the yellow triage codes. In the following months of May and June 2020, there was a recovery that was clearly below the previous year’s number. Out of a total of about 35,000 monthly accesses, hospital visits were reduced by more than 50% during lockdown. – number of triage macro-diagnoses, such as trauma, burns, chest pain and abdominal pain. – total number of hospitalizations of patients from the Emergency Room and admissions to the Department of Cardiology
ITALY LOCKDOWN COVID 19 CODE
– total number of hospital accesses and subdivision by triage priority color code Specifically, the following variables were identified: The study involved 5 hospitals in Northern and Central Italy (Bologna, Brescia, Milan, Pisa and Savona). The data collected were compared to those of the same time period in the year 2019. The retrospective observational study in question was conducted by the Academy of Emergency Medicine and Care (AcEMC), with the aim of analyzing the phenomenon and measuring both in qualitative and quantitative terms which types of patients markedly avoided accessing the emergency service during the period under review (March – April 2020). The factors that played a key role in this trend were certainly both the advice from Health Authorities to avoid the Emergency room if not for urgent necessity, and the fear of being infected. Hospitals faced a large increase in admissions of COVID-19 patients, accompanied by a drastic decrease in admissions to the Emergency Room for other pathologies. Northern Italy was hit hard beginning late February 2020, with peaks in March and April. The Coronavirus pandemic has profoundly changed the life of each of us from many points of view, including the use of Health Services, especially in relation to problems not attributable to Covid itself (1) (2). These changes represent another dramatic side of the current pandemic. In the retrospective study presented, this phenomenon is analyzed both in terms of reduced access to the Emergency Departments in Italy, and in terms of the triage priority color code assigned based on severity of the patient’s condition. The increase in hospitalizations of patients affected by COVID-19 led to a dramatic decrease in the admissions to the Emergency Department of patients suffering from other pathologies. The COVID-19 infection has spread rapidly in northern Italy since February 2020. (2021) Impact of COVID-19 pandemic and lockdown on emergency room access in Northern and Central Italy, Emergency Care Journal, 17: 9705 At a glance Giostra, F Mirarchi, MG Farina,1G Paolillo,C Sepe, C Benedusi, F Bellone, A Ghiadoni, L Santini, M Barbieri, G Guiddo,G Riccardi, A Lerza, R Coen, D.
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