id author title date pages extension mime words sentences flesch summary cache txt cord-285491-ad6jiqh9 Lazzerini, Marzia Delayed access or provision of care in Italy resulting from fear of COVID-19 2020-04-09 .txt text/plain 1188 55 51 During Italy's national lockdown for coronavirus disease 2019 (COVID-19), official hospital statistics in the period March 1-27, 2020, show substantial decreases-ranging from 73% to 88%in paediatric emergency department visits compared with the same time period in 2019 and 2018 (figure). The substantial decreases in paediatric care access in Italy might reflect scarcity of available resources due to pandemic-related redistribution, or reticence on the part of parents and caregivers to risk exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a health-care setting, in addition to lower rates of acute infections and trauma. Two children presented to the emergency department with acuteonset type 1 diabetes and severe ketoacidosis due to delayed access to hospital care, even though parents had recognised abnormal symptoms (eg, polydipsia, polyuria, and dyspnoea); both required admission to the intensive care unit (ICU). ./cache/cord-285491-ad6jiqh9.txt ./txt/cord-285491-ad6jiqh9.txt