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Extremely Preterm Infant Admissions Within the SafeBoosC-III Consortium During the COVID-19 Lockdown / MI. Rasmussen, ML. Hansen, G. Pichler, E. Dempsey, A. Pellicer, A. El-Khuffash, S. A, S. Piris-Borregas, M. Alsina, M. Cetinkaya, L. Chalak, H. Özkan, M. Baserga, J. Sirc, H. Fuchs, E. Ergenekon, L. Arruza, A. Mathur, M. Stocker, O. Otero Vaccarello, T. Szczapa, K. Sarafidis, B. Królak-Olejnik, A. Memisoglu, H. Reigstad, E. Rafińska-Ważny, E. Hatzidaki, Z. Peng, D. Gkentzi, R. Viellevoye, J. De Bu
Rasmussen, Marie Isabel
Department of Neonatology, Rigshospitalet, Copenhagen, Denmark

Hansen, Mathias Lühr
Department of Neonatology, Rigshospitalet, Copenhagen, Denmark

Pichler, Gerhard
Department of Pediatrics, Medical University of Graz, Graz, Austria

Dempsey, Eugene
Infant Centre and Department of Paediatrics and Child Health, University College Cork, Cork, Ireland

Pellicer, Adelina
Department of Neonatology, La Paz University Hospital, Madrid, Spain

EL-Khuffash, Afif
Department of Pediatrics, The Royal College of Surgeons in Ireland, Dublin, Ireland

A, Shashidhar
St. Johns Medical College Hospital, Bengaluru, India

Piris-Borregas, Salvador
Department of Neonatology, 12 Octubre University Hospital, Madrid, Spain

Alsina, Miguel
Neonatology Department, Hospital Clínic-Maternintat, Barcelona, Spain

Cetinkaya, Merih
Department of Neonatology, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey

Chalak, Lina
Division of Pediatrics - Neonatal-Perinatal, University of Texas (UT) Southwestern, Dallas, TX, United States

Özkan, Hilal
Division of Neonatology, Department of Pediatrics, Uludag University Medical Faculty, Uludag, Turkey

Baserga, Mariana
Division of Neonatology, Department of Pediatrics, University of Utah, Salt Lake City, UT, United States

Sirc, Jan
Third Faculty of Medicine, Institute for the Care of the Mother and Child, Charles University, Prague, Czechia

Fuchs, Hans
Center for Pediatrics, Department of Neonatology, Medical Center, University of Freiburg, Freiburg, Germany

Ergenekon, Ebru
Department of Neonatology, Gazi University Hospital, Ankara, Turkey

Arruza, Luis
Division of Neonatology, Instituto del Niño y del Adolescente, Hospital Clinico San Carlos-Health Research Institute San Carlos (IdISSC), Madrid, Spain

Mathur, Amit
Department of Neonatal-Perinatal Medicine, Saint Louis University School of Medicine, St. Louis, MO, United States

Stocker, Martin
Neonatal and Pediatric Intensive Care Unit, Children's Hospital Lucerne, Lucerne, Switzerland

Otero Vaccarello, Olalla
Department of Neonatology, Hospital Universitario de Tarragona Juan XXIII, Tarragona, Spain

Szczapa, Tomasz
Department of Neonatology, Neonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Poznan University of Medical Sciences, Poznań, Poland

Sarafidis, Kosmas
First Department of Neonatology, Aristotle University, Hippokrateion General Hospital, Thessaloniki, Greece

Królak-Olejnik, Barbara
Department of Neonatology, Wrocław Medical University, Wrocław, Poland

Memisoglu, Asli
Department of Neonatology, Marmara University Pendik Training and Research Hospital, Istanbul, Turkey

Reigstad, Hallvard
Department of Neonatology, Haukeland University Hospital, Bergen, Norway

Rafińska-Ważny, Elżbieta
Department of Neonatology, Centrum Medyczne "Ujastek", Krakow, Poland

Hatzidaki, Eleftheria
Department of Neonatology and Neonatal Intensive Care Unit (NICU), University Hospital of Heraklion, Crete, Greece

Peng, Zhang
Department of Neonatology, Children's Hospital of Fudan University, Shanghai, China

Gkentzi, Despoina
Neonatal Intensive Care Unit (NICU), Department of Pediatrics, Patras Medical School, Patras, Greece

Viellevoye, Renaud
Neonatal Intensive Care Unit, Department of Pediatrics, University of Liege, Liege, Belgium

De Buyst, Julie
Neonatal Intensive Care Unit (NICU), Tivoli Hospital, La Louviere, Belgium

Mastretta, Emmanuele
S.C. Neonatologia - Pres Osp S. Anna - Citta della Salute e della Scienza di Torino, Torino, Italy

Wang, Ping
Department of Neonatology, Guangzhou Women and Children's Medical Center, Guangzhou, China

Hahn, Gitte Holst
Department of Neonatology, Rigshospitalet, Copenhagen, Denmark

Bender, Lars
Department of Neonatology, Aalborg University Hospital, Aalborg, Denmark

Cornette, Luc
Department of Neonatology, AZ St-Jan Bruges, Bruges, Belgium

Tkaczyk, Jakub
Department of Neonatology, University Hospital Motol, Prague, Czechia

Del Rio, Ruth
Department of Neonatology, Hospital Sant Joan de Déu, Barcelona, Spain

Fumagalli, Monica
Department of Neonatology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan, Milan, Italy
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy

Papathoma, Evangelia
Neonatal Intensive Care Unit, "Alexandra" University and State Maternity Hospital, Athens, Greece

Wilinska, Maria
Neonatology Department, Centre of Postgraduate Medical Education, Warsaw, Poland

Naulaers, Gunnar
Department of Neonatology, University Hospital Leuven, Leuven, Belgium

Sadowska-Krawczenko, Iwona
Department of Neonatology, Collegium Medicum in Bydgoszcz Nicolaus Copernicus University, Toruń, Poland

Lecart, Chantal
Department of Neonatology, Grand Hôpital de Charleroi (GHdC), Charleroi, Belgium

Couce, Maria Luz
Neonatology Department, University Clinical Hospital of Santiago de Compostela, Health Research Institute of Santiago de Compostela, Santiago, Spain

Fredly, Siv
Department of Neonatology, Oslo University Hospital, Oslo, Norway

Heuchan, Anne Marie
Department of Neonatology, Royal Hospital for Children, Glasgow, United Kingdom

Karen, Tanja
Department of Neonatology, University Hospital Zurich, Zurich, Switzerland

Greisen, Gorm
Department of Neonatology, Rigshospitalet, Copenhagen, Denmark

Cited source
Frontiers in pediatrics. 2021, roč. 9, č. -, s. 647880. ISSN: 2296-2360.
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English Abstract
Objective: To evaluate if the number of admitted extremely preterm (EP) infants (born before 28 weeks of gestational age) differed in the neonatal intensive care units (NICUs) of the SafeBoosC-III consortium during the global lockdown when compared to the corresponding time period in 2019. Design: This is a retrospective, observational study. Forty-six out of 79 NICUs (58%) from 17 countries participated. Principal investigators were asked to report the following information: (1) Total number of EP infant admissions to their NICU in the 3 months where the lockdown restrictions were most rigorous during the first phase of the COVID-19 pandemic, (2) Similar EP infant admissions in the corresponding 3 months of 2019, (3) the level of local restrictions during the lockdown period, and (4) the local impact of the COVID-19 lockdown on the everyday life of a pregnant woman. Results: The number of EP infant admissions during the first wave of the COVID-19 pandemic was 428 compared to 457 in the corresponding 3 months in 2019 (-6.6%, 95% CI -18.2 to +7.1%, p = 0.33). There were no statistically significant differences within individual geographic regions and no significant association between the level of lockdown restrictions and difference in the number of EP infant admissions. A post-hoc analysis based on data from the 46 NICUs found a decrease of 10.3%in the total number of NICU admissions (n = 7,499 in 2020 vs. n = 8,362 in 2019). Conclusion: This ad hoc study did not confirm previous reports of a major reduction in the number of extremely pretermbirths during the first phase of the COVID-19 pandemic. Clinical Trial Registration:, identifier: NCT04527601 (registered August 26, 2020),
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