Background The Emergency Department (ED) services play a fundamental role in managing the accesse... more Background The Emergency Department (ED) services play a fundamental role in managing the accesses of potential Sars-Cov-2 cases. The aim of this study is to evaluate the impact of the SARS COV-2 pandemic on pediatric accesses in Emergency Department of Lazio Region. Methods The population includes all pediatric accesses (0–17 years) in the ED of Lazio Region during 2019 and 2020. Accesses were characterized by age, week and calendar period. Four periods were defined: pre-lockdown, lockdown, post-lockdown and the second wave. The trend of ED accesses (total or for specific cause) in 2020 (by period and week) were compared to them occurred in 2019. ED visits have been described by absolute frequency and percentage variation. Percentage variation of adult was also reported to compare the trend in adult and young population. The Chi-square test was used to compare characteristics of admissions in 2019 and 2020. Results There is a large decrease of pediatric accesses in 2020 compared to...
INTRODUCTION Due to the ongoing demographic and epidemiological changes, today stakeholders need ... more INTRODUCTION Due to the ongoing demographic and epidemiological changes, today stakeholders need to have available information, based on population stratification, in order to plan the most suitable organizational model to meet the population health needs. METHODS The legally adult population assisted and resident in Lazio Region on 31/12/2019 was equally and casually divided in two samples: the training sample (to define the model) and the validation sample (to measure model performances). On the base of the more complex model of Lazio Region, three population strata were defined: multi-chronic population, multi-chronic population with a high clinical complexity, multi-chronic population with socioeconomic vulnerability. Hospital discharge records were identified in the previous five years prior to 31/12/2019. Through appropriate classification models, it was evaluated the level with which the simplified system "from SDO" is able to approximate the more complex algorithm ...
Natural gas hazard was assessed at Cava dei Selci, a residential neighbourhood of Marino (Rome) b... more Natural gas hazard was assessed at Cava dei Selci, a residential neighbourhood of Marino (Rome) by a joint study of gas emissions and related health problems. Here a densely urbanized zone with 4000 residents surrounds a dangerous natural gas discharge where, along the years, dozens of animals were killed by the gas. Gas originates from Colli Albani volcano and consists mostly of CO2 with ~ 1 vol% of H2S. In recent years, several gas-related accidents occurred in the urbanized zone (gas blowouts and road collapses). Some houses were evacuated because of hazardous indoor air gas concentration. Gas hazard was assessed by soil CO2 flux and concentration surveys and indoor and outdoor air CO2 and H2S concentration measurements. Open fields and house gardens release a high quantity of CO2 (32.23 tonnes * day−1). Inside most houses, CO2 air concentration exceeds 0.1 vol%, the acceptable long-term exposure range. In several houses both CO2 and H2S exceed the IDLH level (Immediately Dangero...
Carla Ancona, Department of Epidemiology Lazio Regional Health Service, Italy Francesca Mataloni,... more Carla Ancona, Department of Epidemiology Lazio Regional Health Service, Italy Francesca Mataloni, Department of Epidemiology Lazio Regional Health Service, Italy Marta Bacigalupi, Child Psychiatry Unit, Pertini Hospital, ASLRMB, Italy AnnaClara Cruciani, Child Psychiatry Unit, Pertini Hospital, ASLRMB, Italy Giovanna Todini, Child Psychiatry Unit, Pertini Hospital, ASLRMB, Italy Eleonora Zirro, Department of Epidemiology Lazio Regional Health Service, Italy Marina Davoli, Department of Epidemiology Lazio Regional Health Service, Italy Francesco Forastiere, Department of Epidemiology Lazio Regional Health Service, Italy SAMBA Study Team, Aiello C, Ancona C, Ancona L, Bacigalupi M, Citeroni A, Cruciani AC, Forastiere F, Imperatore A, Marciano C, Nataletti P, Salatino C, Sisto R, Todini G , Ziroli V, Zirro E
Francesca Mataloni, Department of Epidemiology Lazio Regional Health Service, Italy Carla Ancona,... more Francesca Mataloni, Department of Epidemiology Lazio Regional Health Service, Italy Carla Ancona, Department of Epidemiology Lazio Regional Health Service, Italy Marina Davoli, Department of Epidemiology Lazio Regional Health Service, Italy Maria Luisa Carapezza, ItalyDepartment of Geological Science, Roma Tre University, italy Francesco Forastiere, Department of Epidemiology Lazio Regional Health Service, Italy
Background and Aims: In the area of Malagrotta, a suburb of Rome (Italy), a large waste landfill,... more Background and Aims: In the area of Malagrotta, a suburb of Rome (Italy), a large waste landfill, an incinerator and an oil refinery plant have been operating since the early 1960s. To evaluate the...
OBJECTIVES to evaluate equity in the Lazio regional Health System, both in terms of unequal acces... more OBJECTIVES to evaluate equity in the Lazio regional Health System, both in terms of unequal access to health care among individuals with different educational levels and of heterogeneity in hospital performance, between 2012 and 2017. DESIGN retrospective cohort study. SETTING AND PARTICIPANTS all patients living in Lazio region and discharged from a regional facility between 2012 and 2017 were enrolled. Three cohorts of hospitalizations were selected: acute myocardial infarctions with ST segment elevation (STEMI), hip fractures, and deliveries. MAIN OUTCOME MEASURES the proportions of STEMIs with PCI within 90 minutes, of patients with a hip fracture who underwent surgery within 2 days, and of deliveries with primary caesarean section were evaluated, accounting for patient demographic characteristics and comorbidities that could affect the outcome under study. These proportions were calculated by education and by hospital of admission. The heterogeneity among facilities was assesse...
BACKGROUND one of the most affected European countries by the COVID-19 epidemic is Italy; data sh... more BACKGROUND one of the most affected European countries by the COVID-19 epidemic is Italy; data show the strong geographical heterogeneity of the epidemic. OBJECTIVES to propose an analysis strategy to ascertain the non-random nature of the spatial spread of COVID-19 cases infection and identify any territorial aggregations, in order to enhance contact tracing activities in specific areas of the Lazio Region (Central Italy) and a large urban area as Rome. METHODS all cases of COVID-19 of the Lazio Region notified to the Regional Service for Epidemiology, Surveillance, and Control of Infectious Diseases (Seresmi) with daily updates from the beginning of the epidemic to April 27, 2020 were considered. The analyses were carried out considering two periods (the first from the beginning of the epidemic to April 6 and the second from the beginning of the epidemic to April 27) and two different levels of spatial aggregation: the entire Lazio region excluding the Municipality of Rome, where ...
OBJECTIVES to evaluate the impact of the SARS-CoV-2 epidemic on the access to the emergency servi... more OBJECTIVES to evaluate the impact of the SARS-CoV-2 epidemic on the access to the emergency services of the Lazio Region (Central Italy) for time-dependent pathologies, for suspected SARS-CoV-2 symptoms, and for potentially inappropriate conditions. DESIGN observational study. SETTING AND PARTICIPANTS accesses to the emergency departments (EDs) of Lazio Region hospitals in the first three months of 2017, 2018, 2019, and 2020. MAIN OUTCOME MEASURES total number of accesses to the emergency room and number of specific accesses for cardio and cerebrovascular diseases, for severe trauma, for symptoms, signs, and ill-defined conditions, and for symptoms related to pneumonia. RESULTS in the first 3 months of 2019, there were 429,972 accesses to the EDs of Lazio Region; in the same period of 2020, accesses arise to 353,806, (reduction of 21.5%), with a 73% reduction in the last three weeks of march 2020 as compared with the corresponding period of 2019. Comparing the first 3 months of the ...
Background The Emergency Department (ED) services play a fundamental role in managing the accesse... more Background The Emergency Department (ED) services play a fundamental role in managing the accesses of potential Sars-Cov-2 cases. The aim of this study is to evaluate the impact of the SARS COV-2 pandemic on pediatric accesses in Emergency Department of Lazio Region. Methods The population includes all pediatric accesses (0–17 years) in the ED of Lazio Region during 2019 and 2020. Accesses were characterized by age, week and calendar period. Four periods were defined: pre-lockdown, lockdown, post-lockdown and the second wave. The trend of ED accesses (total or for specific cause) in 2020 (by period and week) were compared to them occurred in 2019. ED visits have been described by absolute frequency and percentage variation. Percentage variation of adult was also reported to compare the trend in adult and young population. The Chi-square test was used to compare characteristics of admissions in 2019 and 2020. Results There is a large decrease of pediatric accesses in 2020 compared to...
INTRODUCTION Due to the ongoing demographic and epidemiological changes, today stakeholders need ... more INTRODUCTION Due to the ongoing demographic and epidemiological changes, today stakeholders need to have available information, based on population stratification, in order to plan the most suitable organizational model to meet the population health needs. METHODS The legally adult population assisted and resident in Lazio Region on 31/12/2019 was equally and casually divided in two samples: the training sample (to define the model) and the validation sample (to measure model performances). On the base of the more complex model of Lazio Region, three population strata were defined: multi-chronic population, multi-chronic population with a high clinical complexity, multi-chronic population with socioeconomic vulnerability. Hospital discharge records were identified in the previous five years prior to 31/12/2019. Through appropriate classification models, it was evaluated the level with which the simplified system "from SDO" is able to approximate the more complex algorithm ...
Natural gas hazard was assessed at Cava dei Selci, a residential neighbourhood of Marino (Rome) b... more Natural gas hazard was assessed at Cava dei Selci, a residential neighbourhood of Marino (Rome) by a joint study of gas emissions and related health problems. Here a densely urbanized zone with 4000 residents surrounds a dangerous natural gas discharge where, along the years, dozens of animals were killed by the gas. Gas originates from Colli Albani volcano and consists mostly of CO2 with ~ 1 vol% of H2S. In recent years, several gas-related accidents occurred in the urbanized zone (gas blowouts and road collapses). Some houses were evacuated because of hazardous indoor air gas concentration. Gas hazard was assessed by soil CO2 flux and concentration surveys and indoor and outdoor air CO2 and H2S concentration measurements. Open fields and house gardens release a high quantity of CO2 (32.23 tonnes * day−1). Inside most houses, CO2 air concentration exceeds 0.1 vol%, the acceptable long-term exposure range. In several houses both CO2 and H2S exceed the IDLH level (Immediately Dangero...
Carla Ancona, Department of Epidemiology Lazio Regional Health Service, Italy Francesca Mataloni,... more Carla Ancona, Department of Epidemiology Lazio Regional Health Service, Italy Francesca Mataloni, Department of Epidemiology Lazio Regional Health Service, Italy Marta Bacigalupi, Child Psychiatry Unit, Pertini Hospital, ASLRMB, Italy AnnaClara Cruciani, Child Psychiatry Unit, Pertini Hospital, ASLRMB, Italy Giovanna Todini, Child Psychiatry Unit, Pertini Hospital, ASLRMB, Italy Eleonora Zirro, Department of Epidemiology Lazio Regional Health Service, Italy Marina Davoli, Department of Epidemiology Lazio Regional Health Service, Italy Francesco Forastiere, Department of Epidemiology Lazio Regional Health Service, Italy SAMBA Study Team, Aiello C, Ancona C, Ancona L, Bacigalupi M, Citeroni A, Cruciani AC, Forastiere F, Imperatore A, Marciano C, Nataletti P, Salatino C, Sisto R, Todini G , Ziroli V, Zirro E
Francesca Mataloni, Department of Epidemiology Lazio Regional Health Service, Italy Carla Ancona,... more Francesca Mataloni, Department of Epidemiology Lazio Regional Health Service, Italy Carla Ancona, Department of Epidemiology Lazio Regional Health Service, Italy Marina Davoli, Department of Epidemiology Lazio Regional Health Service, Italy Maria Luisa Carapezza, ItalyDepartment of Geological Science, Roma Tre University, italy Francesco Forastiere, Department of Epidemiology Lazio Regional Health Service, Italy
Background and Aims: In the area of Malagrotta, a suburb of Rome (Italy), a large waste landfill,... more Background and Aims: In the area of Malagrotta, a suburb of Rome (Italy), a large waste landfill, an incinerator and an oil refinery plant have been operating since the early 1960s. To evaluate the...
OBJECTIVES to evaluate equity in the Lazio regional Health System, both in terms of unequal acces... more OBJECTIVES to evaluate equity in the Lazio regional Health System, both in terms of unequal access to health care among individuals with different educational levels and of heterogeneity in hospital performance, between 2012 and 2017. DESIGN retrospective cohort study. SETTING AND PARTICIPANTS all patients living in Lazio region and discharged from a regional facility between 2012 and 2017 were enrolled. Three cohorts of hospitalizations were selected: acute myocardial infarctions with ST segment elevation (STEMI), hip fractures, and deliveries. MAIN OUTCOME MEASURES the proportions of STEMIs with PCI within 90 minutes, of patients with a hip fracture who underwent surgery within 2 days, and of deliveries with primary caesarean section were evaluated, accounting for patient demographic characteristics and comorbidities that could affect the outcome under study. These proportions were calculated by education and by hospital of admission. The heterogeneity among facilities was assesse...
BACKGROUND one of the most affected European countries by the COVID-19 epidemic is Italy; data sh... more BACKGROUND one of the most affected European countries by the COVID-19 epidemic is Italy; data show the strong geographical heterogeneity of the epidemic. OBJECTIVES to propose an analysis strategy to ascertain the non-random nature of the spatial spread of COVID-19 cases infection and identify any territorial aggregations, in order to enhance contact tracing activities in specific areas of the Lazio Region (Central Italy) and a large urban area as Rome. METHODS all cases of COVID-19 of the Lazio Region notified to the Regional Service for Epidemiology, Surveillance, and Control of Infectious Diseases (Seresmi) with daily updates from the beginning of the epidemic to April 27, 2020 were considered. The analyses were carried out considering two periods (the first from the beginning of the epidemic to April 6 and the second from the beginning of the epidemic to April 27) and two different levels of spatial aggregation: the entire Lazio region excluding the Municipality of Rome, where ...
OBJECTIVES to evaluate the impact of the SARS-CoV-2 epidemic on the access to the emergency servi... more OBJECTIVES to evaluate the impact of the SARS-CoV-2 epidemic on the access to the emergency services of the Lazio Region (Central Italy) for time-dependent pathologies, for suspected SARS-CoV-2 symptoms, and for potentially inappropriate conditions. DESIGN observational study. SETTING AND PARTICIPANTS accesses to the emergency departments (EDs) of Lazio Region hospitals in the first three months of 2017, 2018, 2019, and 2020. MAIN OUTCOME MEASURES total number of accesses to the emergency room and number of specific accesses for cardio and cerebrovascular diseases, for severe trauma, for symptoms, signs, and ill-defined conditions, and for symptoms related to pneumonia. RESULTS in the first 3 months of 2019, there were 429,972 accesses to the EDs of Lazio Region; in the same period of 2020, accesses arise to 353,806, (reduction of 21.5%), with a 73% reduction in the last three weeks of march 2020 as compared with the corresponding period of 2019. Comparing the first 3 months of the ...
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