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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study

AUTHOR(S)
Koshi Ota; Daisuke Nishioka; Yusuke Katayama (et al.)

Published: December 2022   Journal: BMC Emergency Medicine

Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus 2, has spread rapidly around the world. This study aimed to assess the effect of the COVID-19 pandemic on the emergency medical service (EMS) and hospital admission course for children transported by ambulance. This study was a retrospective, descriptive study with a study period from January 1, 2018 to December 31, 2020 using the Osaka Emergency Information Research Intelligent Operation Network (ORION) system. All children who were transported by ambulance in Osaka Prefecture were included. The main outcome of this study was the rate of difcult-to-transfer cases, which was calculated by univariate and multivariate Poisson regression analyses.

The frequency of infant-feeding presentations at English emergency departments during the SARS-CoV-2 pandemic: a nation-wide electronic health records study

AUTHOR(S)
Steven Wyatt; Patrick Aldridge; Samantha Ross (et al.)

Published: August 2022   Journal: Medical Journeys

This study aims to examine the frequency and distribution of infant feeding-related presentations at emergency departments (EDs) before and during the SARS-CoV-2 pandemic. Attendances at 48 major EDs in England in two 50-week periods before and during the COVID-19 pandemic: period 1, April 2, 2019 to March 10, 2020 and period 2, April 1, 2020 to March 10, 2021.

Parents under stress: Evaluating emergency childcare policies during the first COVID-19 lockdown in Germany

AUTHOR(S)
Simone Schüller; Hannah S. Steinberg

Published: July 2022   Journal: Labour Economics
What are the effects of school and daycare facility closures during the COVID-19 pandemic on parental well-being and parenting behavior? Can emergency childcare policies during a pandemic mitigate increases in parental stress and negative parenting behavior? To answer these questions, this study leverages cross-state variation in emergency childcare eligibility rules during the first COVID-19 lockdown in Germany and draws on unique data from the 2019 and 2020 waves of the German AID:A family panel.
Challenges created by the COVID-19 pandemic: pediatric emergency medicine and disaster management perspectives

AUTHOR(S)
Thomas E. Tanner; Nichole R. Davis; Brent D. Kaziny (et al.)

Published: June 2022   Journal: isaster Medicine and Public Health Preparedness

The COVID-19 pandemic has presented unique challenges to pediatric emergency medicine (PEM) departments. The purpose of this study was to identify these challenges and ascertain how centers overcame barriers in creating solutions to continue to provide high-quality care and keep their workforce safe during the early pandemic. This is a qualitative study based on semi-structured interviews with physicians in leadership positions who have disaster or emergency management experience. Participants were identified through purposive sampling. Interviews were recorded and transcribed electronically. Themes and codes were extracted from the transcripts by two independent coders. Constant comparison analysis was performed until thematic saturation was achieved. Member-checking was completed to ensure trustworthiness.

The role of telemedicine in child and adolescent healthcare in India

AUTHOR(S)
Preeti M. Galagali; Sreyoshi Ghosh; Hemant Bhargav

Published: October 2021   Journal: Current Pediatrics Reports

This study highlights the evolution and use of telemedicine in child and adolescent healthcare in India, in pre and post pandemic eras. The latest research endorses telemedicine as a successful strategy in resource-limited settings to provide accessible and equitable healthcare. Telemedicine was initiated in India in 2001. The pandemic restrictions resulted in an increase in its use. The national telemedicine and telepsychiatry guidelines facilitated and enabled its widespread use. Telehealth was used by private and public health establishments, in urban, rural, and remote areas. It was used for triaging cases; managing and monitoring COVID patients in home isolation, in non-COVID medical and psychiatric care, and follow-up; continuing medical education; and health promotion strategies like teleyoga.

The impact of the COVID-19 pandemic on pediatric emergency service

AUTHOR(S)
İlknur Fidancı; Medine Ayşin Taşar; Bahar Akıntuğ (et al.)

Published: May 2021   Journal: The International Journal of Clinical Practice

The aims of this research were to review patients visiting the paediatric emergency department over a 6-month period 1 year before and during the pandemic, to review paediatric emergency department referral ratios and to determine whether there were any significant decreases in mortality and morbidity. All patients from the ages of 0 to 18 years visiting the University of Health Sciences, Ankara Research and Training Hospital, paediatric emergency service from April-October 2019 to April-October 2020 with no missing information in their records were involved in this retrospective cross-sectional study.

The impact of the COVID-19 pandemic on child health and the provision of Care in Paediatric Emergency Departments: a qualitative study of frontline emergency care staff

AUTHOR(S)
Ciara Conlon; Thérèse McDonnell; Michael Barrett (et al.)

Published: March 2021   Journal: BMC Health Services Research
The COVID-19 pandemic and subsequent public health guidance to reduce the spread of the disease have wide-reaching implications for children’s health and wellbeing. Furthermore, paediatric emergency departments (EDs) have rapidly adapted provision of care in response to the pandemic. This qualitative study utilized insight from multidisciplinary frontline staff to understand 1) the changes in paediatric emergency healthcare utilization during COVID-19 2) the experiences of working within the restructured health system.
‘Do I, don’t I?’ a qualitative study addressing parental perceptions about seeking healthcare during the COVID-19 pandemic

AUTHOR(S)
Gabriella Watson; Lucy Pickard; Bhanu Williams (et al.)

Published: March 2021   Journal: Archives of disease in childhood
Paediatric emergency departments have seen reduced attendance during the COVID-19 pandemic. Late paediatric presentations may lead to severe illness and even death. Maintaining provision of healthcare through a pandemic is essential. This qualitative study aims to identify changing care-seeking behaviours in child health during the pandemic and ascertain parental views around barriers to care.
Fever without source as the first manifestation of SARS-CoV-2 infection in infants less than 90 days old

AUTHOR(S)
Daniel Blázquez-Gamero; Cristina Epalza; José Antonio Alonso Cadenas (et al.)

Published: February 2021   Journal: European Journal of Pediatrics
Fever without source (FWS) in infants is a frequent cause of consultation at the emergency department, and the emergence of SARS-CoV-2 could affect the approach to those infants. The aim of this study is to define the clinical characteristics and rates of bacterial coinfections of infants < 90 days with FWS as the first manifestation of SARS-CoV-2 infection. This is a cross-sectional study of infants under 90 days of age with FWS and positive SARS-CoV2 PCR in nasopharyngeal swab/aspirate, attended at the emergency departments of 49 Spanish hospitals (EPICO-AEP cohort) from March 1 to June 26, 2020.
Cite this research | Open access | No. of pages: 8 | Language: English | Topics: Health | Tags: child health, COVID-19, early childhood, emergency aid, hospitalization | Countries: Spain
Impact of the COVID-19 pandemic on the emergency department of a tertiary children’s hospital

AUTHOR(S)
Umberto Raucci; Anna Maria Musolino; Domenico Di Lallo (et al.)

Published: January 2021   Journal: Italian Journal of Pediatrics
Italy was the first country in Europe affected by COVID-19: the emergency started on February 20, 2020, culminating with national lockdown on March 11, which terminated on May 4, 2020. This article describes how the pandemic affected Emergency Department (ED) accesses in a tertiary children’s hospital, composed by two different pediatric centers, one located in Rome’s city center and the second, Palidoro (regional COVID-19 center), in its surrounding metropolitan area, both in the Lazio region, analyzing the profile of admitted patients during the pandemic period in terms of their general characteristics (at presentation in the ED’s) and urgent hospitalizations compared to prepandemic period.
Cite this research | Open access | No. of pages: 12 | Language: English | Topics: Health | Tags: child health, COVID-19 response, emergency aid, hospitalization | Countries: Italy
The challenges of a children’s hospital during the COVID-19 pandemic: the pediatric surgeon’s point of view

AUTHOR(S)
Gloria Pelizzo; Sara Costanzo; Luciano Maestri (et al.)

Published: November 2020   Journal: Pediatric Reports
During the coronavirus disease of 2019 (COVID-19) emergency, in the pediatric surgical setting, it has been essential to avoid and contain infections as well as to protect both the patients and the surgical team. During this emergency, procedures and workflow were adapted to provide the safest possible environment for both the surgical team and the patients. Pediatric surgical activities were reorganized during the COVID-19 pandemic at the “Vittore Buzzi” Children’s Hospital, which is a pediatric/maternal hospital located in Milan (Lombardy Region), Italy. Resources were optimized in order to maintain high levels of care and quality of assistance. During the COVID-19 emergency, the pediatric surgical department at the “Vittore Buzzi” Children’s Hospital became an acute care surgical service.
Children's emergency presentations during the COVID-19 pandemic

AUTHOR(S)
Damian Roland; Rachel Harwood; Nick Bishop (et al.)

Published: August 2020   Journal: The Lancet Child & Adolescent Health

The COVID-19 pandemic has resulted in large-scale changes to the National Health Service (NHS) systems in the UK to accommodate a predicted surge in acutely unwell adults presenting to emergency and critical care departments. This article describes a rapid, multicentre surveillance project with three main aims: (1) to identify the number of children with delayed presentations to hospital in large emergency departments; (2) to find out what proportion of these delays was due to hesitance of parents in attending versus the proportion that was due to advice from primary care staff or NHS 111 referrals; and (3) to find out whether these delays might have resulted in harm to children (using admission to hospital as a proxy).

Cite this research | Open access | Vol.: 4 | Issue: 8 | No. of pages: e32-e33 | Language: English | Topics: Health | Tags: child health, emergency aid, health care facilities, health services, hospitalization | Countries: United Kingdom
French West Indies castaway children as a result of the COVID-19 outbreak

AUTHOR(S)
Jérôme Rambaud; Olivier Flechelles

Published: June 2020   Journal: Acta Paediatrica
This short communication describes the consequences of the COVID-19 pandemic on the paediatric population of French West Indies and it underlines ethical and policy problems.
I would like to insist on the situation
in the West Indies
I would like to insist on the situation
in the West Indies
I would like to insist on the situation
in the West Indies
I would like to insist on the situation
in the West Indies
I would like to insist on the situation
in the West Indies
I would like to insist on the situation
in the West Indies
Cite this research | Open access | Vol.: 109 | Issue: 9 | No. of pages: 1 | Language: English | Topics: Health | Tags: child care services, child health, COVID-19, emergency aid, hospitalization, multi-country
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UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.

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COVID-19 & Children: Rapid Research Response

UNICEF Innocenti is mobilizing a rapid research response in line with UNICEF’s global response to the COVID-19 crisis. The initiatives we’ve begun will provide the broad range of evidence needed to inform our work to scale up rapid assessment, develop urgent mitigating strategies in programming and advocacy, and preparation of interventions to respond to the medium and longer-term consequences of the COVID-19 crisis. The research projects cover a rapid review of evidence, education analysis, and social and economic policies.