Table 3.
Interrupted time series analysis results on PED attendance rates for Symptoms, Signs and Ill-defined Conditions, Injury and Poisoning, Diseases of the Respiratory System and Mental Disorders.
Symptoms, signs and Ill-defined conditions | Injury and poisoning | Diseases of the respiratory system | Mental disorders | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
IRR | 95%CI | p-value | IRR | 95%CI | p-value | IRR | 95%CI | p-value | IRR | 95%CI | p-value | |
Level changea | ||||||||||||
SC vs. PC | 0.18 | 0.11–0.28 | <0.001 | 0.24 | 0.16–0.37 | <0.001 | 0.06 | 0.02–0.21 | <0.001 | 0.28 | 0.18–0.43 | <0.001 |
MM vs. PC | 0.36 | 0.28–0.45 | <0.001 | 0.61 | 0.48–0.78 | <0.001 | 0.17 | 0.10–0.28 | <0.001 | 0.65 | 0.52–0.82 | <0.001 |
MM vs. SC | 2.02 | 1.24–3.32 | 0.005 | 2.52 | 1.59–4.00 | <0.001 | 2.61 | 0.74–9.26 | 0.137 | 2.32 | 1.48–3.65 | <0.001 |
Slope changeb | ||||||||||||
SC vs. PC | 1.20 | 1.09–1.31 | <0.001 | 1.21 | 1.11–1.31 | <0.001 | 1.36 | 1.09–1.72 | 0.008 | 1.18 | 1.09–1.28 | <0.001 |
MM vs. PC | 1.04 | 1.02–1.06 | <0.001 | 1.03 | 1.01–1.05 | 0.014 | 1.10 | 1.06–1.14 | <0.001 | 1.03 | 1.01–1.04 | 0.004 |
MM vs. SC | 0.87 | 0.79–0.96 | 0.005 | 0.85 | 0.78–0.92 | <0.001 | 0.80 | 0.64–1.01 | 0.065 | 0.87 | 0.80–0.95 | 0.001 |
Time trendc | 1.00 | 0.99–1.01 | 0.414 | 1.00 | 0.99–1.01 | 0.669 | 1.00 | 0.99–1.01 | 0.688 | 1.01 | 1.00–1.01 | 0.005 |
Season | ||||||||||||
Summer | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
Winter | 1.28 | 1.13–1.44 | <0.001 | 0.70 | 0.62–0.80 | <0.001 | 1.84 | 1.44–2.33 | <0.001 | 0.89 | 0.78–1.01 | 0.074 |
Spring | 1.20 | 1.06–1.36 | 0.004 | 1.08 | 0.96–1.21 | 0.186 | 1.35 | 1.04–1.74 | 0.023 | 0.99 | 0.87–1.13 | 0.868 |
Autumn | 1.29 | 1.14–1.45 | <0.001 | 0.75 | 0.66–0.85 | <0.001 | 1.88 | 1.48–2.39 | <0.001 | 0.86 | 0.76–0.98 | 0.026 |
a Level change refers to an abrupt level change of the Incidence rate between the phases; b Slope change refers to slope change of the incidence rate over time between the phases; c Time trend refers to the change of Incidence rate associated with a time unit increase. PED, Pediatric Emergency Department; IRR, incidence rate ratio; PC, Pre-COVID19 phase; SC, School closure phase; MM, Mitigation Measures phase; 95%CI, 95% confidence interval. Pseudo R2 = 0.84 for Signs and Ill-defined Conditions, 0.77 for Injury & Poisoning model, 0.78 for Diseases of the Respiratory System model; 0.30 for Mental Disorders. MM vs. SC contrasts were manually added for interpretative purposes without p-value adjustment for multiple comparison.