Publications by authors named "Martina Pacifici"

Objectives: To investigate seasonality, epidemiologic characteristics, and clinical severity variations of respiratory syncytial virus (RSV)-associated hospitalizations following the easing of COVID-19 restrictions in Tuscany, Italy, up to the 2022-2023 season.

Methods: From 2017 to 2023, a dynamic cohort consisting of all resident children aged ≤2 years was followed up in regional registries. The person-time incidence rate of RSV-associated hospitalizations per 1,000 person-years and risk of severe hospitalization (intensive care unit, continuous positive airway pressure, or mechanical ventilation) per 100 RSV hospitalizations were calculated.

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A few months after the COVID-19 pandemic onset, knowledge of SARS-CoV-2 infection and outcomes and treatments blew up. This paper aimed to evaluate the features of a Tuscany COVID-19 hospitalized cohort and to identify risk factors for COVID-19 severity. This retrospective observational COVID-19 cohort study (1 March 2020-1 March 2021) was conducted on patients ≥ 18 years old, admitted to Tuscany Hospital, and subjected to follow-up within 12 months after discharge.

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Objective: To assess the prevalence of endometriosis of the appendix and the association with other pelvic localizations of the disease and to provide pathogenesis hypotheses.

Methods: Monocentric, observational, retrospective, cohort study. Patients undergoing laparoscopic endometriosis surgery in our tertiary referral center were consecutively enrolled.

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On March 31, 2022, severe acute hepatitis of unknown origin was first reported from the Royal Glasgow Children's Hospital in Scotland. According to the criteria by WHO-ECDC, a probable case of unknown acute hepatitis in children is defined as a subject under 16 years of age, who tested negative for viral hepatitis and transaminases >500 U/L, starting from the 1st of October 2021. WHO invites Member States to participate in the global effort to collect anonymized clinical data on probable cases of severe acute hepatitis of unknown aetiology.

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Article Synopsis
  • Prisons are hotspots for infectious diseases like SARS-CoV-2 due to crowded living conditions, which prompted this study on infection rates among inmates.
  • The study tracked 1,744 prisoners during nasopharyngeal swab testing, revealing a 6.2% positivity rate for SARS-CoV-2 and highlighting a higher risk for foreign inmates and those with nervous system disorders.
  • The incidence of SARS-CoV-2 in the prison population was lower than in the general population of Tuscany, suggesting that timely screening and health access were effective in controlling the virus spread within this vulnerable group.
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Objective: To assess the prevalence of adenomyosis at pathologic examination, and its association with obstetric complications, peripartum maternal clinical characteristics and neonatal birth weight in patients undergoing postpartum hysterectomy due to postpartum hemorrhage (PPH).

Methods: A multicenter, observational, retrospective, cohort study was carried out including all women who underwent postpartum hysterectomy due to PPH at gestational week 23+0 or later, between January 2010 and May 2023. Patients were categorized into two groups based on the presence of adenomyosis at pathologic examination, and were compared for obstetric complications, peripartum maternal clinical characteristics, and neonatal birth weight.

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Objectives: to describe the monthly trend of breastfeeding during hospitalization and the presence of companion of woman's choice during labour and birth, and the key regional responders' perspective of homogeneity/heterogeneity of the presence of the support person, before, during (February-May 2020), and after the first COVID-19 pandemic wave in a few Italian Regions.

Design: two-phase study.

Setting And Participants: data from the italian birth certificate of six Italian Regions between 01.

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Article Synopsis
  • The study aimed to evaluate preterm birth (PTB) and stillbirth rates in Italy during the COVID-19 pandemic (March 2020-March 2021) compared to the three years prior (2017-2020).* -
  • Researchers analyzed data from over 1.4 million births, using statistical methods to assess trends, finding a significant reduction in PTB rates during the pandemic while stillbirth rates remained unchanged.* -
  • The results indicate that COVID-19 restrictions may have contributed to a decrease in PTB rates without causing an increase in stillbirths, highlighting a potential positive outcome amid the pandemic.*
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Preterm and small-for-gestational-age (SGA) infants are more susceptible to vaccine-preventable diseases. To evaluate routine vaccination timeliness in these high-risk groups, a full birth cohort of infants ( = 41,502) born in 2017 and 2018 in Tuscany was retrospectively followed up until 24 months of age. Infants were classified by gestational age (GA) and SGA status.

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