Objective: To evaluate the impact of the COVID-19 lockdown on admissions to gynecological emergency departments (ED) of three Italian university hospitals with different rates of COVID-19 incidence. Methods: A retrospective study was conducted in the gynecological EDs of Modena (Emilia-Romagna), Sassari and Cagliari (Sardinia) regarding all admissions to gynecological EDs during November 1 to 30, 2019, and March 11 to April 9, 2020 (lockdown period). Results: A total of 691 women (mean age 38.3 ± 14.3 years) who were admitted to the gynecological EDs were included. The relative decrease in women evaluated from March 11 to April 9, 2020, was −56.6% (95% confidence interval [CI] 52.2–61.1). Time spent in the ED was also significantly shorter during this period (P=0.02) in comparison to November 1 to 30, 2019. The most evident decrease was observed for pelvic pain (−68.9% [95% CI 60.3–76.7]; −91 cases). The management of women suggests a more effective use of the ED, with higher rates of hospitalization (P=0.001) and recourse to emergent surgeries (P=0.005) and lower rates of discharge to home (P=0.03). Conclusion: The COVID-19 lockdown greatly reduced the rate of admission to gynecological EDs, but the real emergencies were filtered from the more deferrable ones.

The impact of COVID-19 lockdown on admission to gynecological emergency departments: Results from a multicenter Italian study / Grandi, G.; Del Savio, M. C.; Caroli, M.; Capobianco, G.; Dessole, F.; Tupponi, G.; Petrillo, M.; Succu, C.; Paoletti, A. M.; Facchinetti, F.. - In: INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS. - ISSN 0020-7292. - 151:1(2020), pp. 39-42. [10.1002/ijgo.13289]

The impact of COVID-19 lockdown on admission to gynecological emergency departments: Results from a multicenter Italian study

Grandi G.;Del Savio M. C.;Caroli M.;Facchinetti F.
2020

Abstract

Objective: To evaluate the impact of the COVID-19 lockdown on admissions to gynecological emergency departments (ED) of three Italian university hospitals with different rates of COVID-19 incidence. Methods: A retrospective study was conducted in the gynecological EDs of Modena (Emilia-Romagna), Sassari and Cagliari (Sardinia) regarding all admissions to gynecological EDs during November 1 to 30, 2019, and March 11 to April 9, 2020 (lockdown period). Results: A total of 691 women (mean age 38.3 ± 14.3 years) who were admitted to the gynecological EDs were included. The relative decrease in women evaluated from March 11 to April 9, 2020, was −56.6% (95% confidence interval [CI] 52.2–61.1). Time spent in the ED was also significantly shorter during this period (P=0.02) in comparison to November 1 to 30, 2019. The most evident decrease was observed for pelvic pain (−68.9% [95% CI 60.3–76.7]; −91 cases). The management of women suggests a more effective use of the ED, with higher rates of hospitalization (P=0.001) and recourse to emergent surgeries (P=0.005) and lower rates of discharge to home (P=0.03). Conclusion: The COVID-19 lockdown greatly reduced the rate of admission to gynecological EDs, but the real emergencies were filtered from the more deferrable ones.
2020
151
1
39
42
The impact of COVID-19 lockdown on admission to gynecological emergency departments: Results from a multicenter Italian study / Grandi, G.; Del Savio, M. C.; Caroli, M.; Capobianco, G.; Dessole, F.; Tupponi, G.; Petrillo, M.; Succu, C.; Paoletti, A. M.; Facchinetti, F.. - In: INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS. - ISSN 0020-7292. - 151:1(2020), pp. 39-42. [10.1002/ijgo.13289]
Grandi, G.; Del Savio, M. C.; Caroli, M.; Capobianco, G.; Dessole, F.; Tupponi, G.; Petrillo, M.; Succu, C.; Paoletti, A. M.; Facchinetti, F.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1246827
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