[Access to the Emergency Department in the time of COVID-19: an analysis of the first three months in the Lazio Region (Central Italy)]

• DOI: 10.19191/ep20.5-6.p359.011
• Publication Date: 2020-09-01
• Authors: Luigi Pinnarelli; Paola Colais; Francesca Mataloni; Silvia Cascini; Danilo Fusco; Sara Farchi; Arianna Polo; Marco Lacalamita; Giuseppe Spiga; Sergio Ribaldi; Massimo Magnanti; Marina Davoli
• Keywords: Italy; COVID-19; Humans; Emergency Service, Hospital; Health Services Accessibility

Objectives to evaluate the impact of SARS-CoV-2 epidemic on access emergency services Lazio Region (Central Italy) for time-dependent pathologies, suspected symptoms, and potentially inappropriate conditions. Design observational study. Setting participants accesses departments (EDs) hospitals in first three months 2017, 2018, 2019, 2020. Main outcome measures total number room specific cardio cerebrovascular diseases, severe trauma, signs, ill-defined conditions, symptoms related pneumonia. Results 3 there were 429,972 EDs Region; same period 2020, arise 353,806, (reduction 21.5%), with a 73% reduction last weeks march 2020 as compared corresponding 2019. Comparing 2017-2019 acute coronary syndrome disease decreased since 10th week up more than 57% 50%, respectively. The due proxy 8th week, maximum 70%. Access trauma by 70% 11th week. pneumonia increased increment 12th Conclusions evaluation during can provide useful elements promotion improvement planning, management critical situations, reprogramming healthcare offer based clinical organizational appropriateness.