{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T20:12:30Z","timestamp":1769544750358,"version":"3.49.0"},"reference-count":13,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,9,4]],"date-time":"2013-09-04T00:00:00Z","timestamp":1378252800000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2013,9]]},"abstract":"Abstract<\/jats:title>On 6 A<\/jats:styled-content>pril 2009, an earthquake struck L<\/jats:styled-content>'A<\/jats:styled-content>quila. The S<\/jats:styled-content>an S<\/jats:styled-content>alvatore H<\/jats:styled-content>ospital was evacuated, and a field hospital was built. The study aimed to assess the epidemiologic impact of the earthquake through the analysis of patient population admitted to the field hospital during a 2\u2010month period following the disaster. We retrospectively evaluated causes of hospitalisation and demographic data of patients admitted to (i) the D<\/jats:styled-content>ivision of I<\/jats:styled-content>nternal M<\/jats:styled-content>edicine and (ii) the D<\/jats:styled-content>ivision of E<\/jats:styled-content>mergency M<\/jats:styled-content>edicine of the field hospital from 6 April, 2009 to 29 May, 2009. All data were compared with the admissions made at the same divisions of the S<\/jats:styled-content>an S<\/jats:styled-content>alvatore H<\/jats:styled-content>ospital during the same period of previous year. (i) Patient group (n<\/jats:italic> = 102) and comparison group (n<\/jats:italic> = 108). Mean patient age was higher, patients living in L<\/jats:styled-content>'A<\/jats:styled-content>quila were more numerous, while mean length of stay was lower after than before the earthquake. Infectious diseases increased, while \u2018other\u2019 diseases decreased after the disaster both in admission and in discharge diagnoses. Gastroenterological diseases decreased with the earthquake but only in admission diagnoses. (ii) Patient group (n<\/jats:italic> = 5255) and comparison group (n<\/jats:italic> = 6564). Triage codes changed with the earthquake. Cardiovascular, psychiatric, gynaecological, infectious and chronic diseases increased, while pneumologic, gastroenterological, traumatic and \u2018other\u2019 diseases decreased after the quake. The number of hospitalised patients decreased with the tremor, while those discharged transferred to other hospitals and those who rejected hospitalisation increased. A natural disaster completely changes causes of hospitalisation in the D<\/jats:styled-content>ivisions of I<\/jats:styled-content>nternal and E<\/jats:styled-content>mergency M<\/jats:styled-content>edicine. These findings can be useful for the design of specific intervention programmes and for softening the detrimental effects of quakes.<\/jats:p>","DOI":"10.1111\/imj.12238","type":"journal-article","created":{"date-parts":[[2013,9,5]],"date-time":"2013-09-05T04:49:14Z","timestamp":1378356554000},"page":"1031-1034","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Causes of hospitalisation before and after the 2009 L<\/scp>'A<\/scp>quila earthquake"],"prefix":"10.1111","volume":"43","author":[{"given":"L.","family":"Petrazzi","sequence":"first","affiliation":[{"name":"Department of Life, Health and Environmental Sciences University of L'Aquila San Salvatore Hospital L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Striuli","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences University of L'Aquila San Salvatore Hospital L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Polidoro","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences University of L'Aquila San Salvatore Hospital L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Petrarca","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences University of L'Aquila San Salvatore Hospital L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Scipioni","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences University of L'Aquila San Salvatore Hospital L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Struglia","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences University of L'Aquila San Salvatore Hospital L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Giorgini","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences University of L'Aquila San Salvatore Hospital L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Necozione","sequence":"additional","affiliation":[{"name":"Epidemiology Unit University of L'Aquila L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Festuccia","sequence":"additional","affiliation":[{"name":"Division of Internal Medicine San Salvatore Hospital L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Ferri","sequence":"additional","affiliation":[{"name":"Department of Life, Health and Environmental Sciences University of L'Aquila San Salvatore Hospital L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,4]]},"reference":[{"key":"e_1_2_3_2_1","first-page":"1511","volume-title":"The Clinical Practice of Emergency Medicine","author":"Gans L","year":"1996"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0736-4679(86)90075-2"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(87)80764-3"},{"key":"e_1_2_3_5_1","volume-title":"Seismic Considerations: Health Care Facilities","author":"Building Seismic Safety Council","year":"1990"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-7717.1996.tb01036.x"},{"key":"e_1_2_3_7_1","volume-title":"World Disaster Report 1996","author":"International Federation of Red Cross and Red Crescent Societies","year":"1996"},{"key":"e_1_2_3_8_1","unstructured":"WHO Collaborating Centre for Research on the Epidemiology of Disasters.Universit\u00e9 Catholique de Louvain \u2013 Brussels \u2013 Belgium. 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Available from URL:http:\/\/earthquake.usgs.gov\/eqcenter\/eqinthenews\/2009\/us2009fcaf\/"},{"key":"e_1_2_3_14_1","first-page":"3325","article-title":"Senescent remodeling of the immune system and its contribution to the predisposition of the elderly to infections","volume":"125","author":"Dewan SK","year":"2012","journal-title":"Chin Med J (Engl)"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fimj.12238","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.12238","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T03:29:26Z","timestamp":1696217366000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.12238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.1111\/imj.12238"],"URL":"https:\/\/doi.org\/10.1111\/imj.12238","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"value":"1444-0903","type":"print"},{"value":"1445-5994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9]]},"assertion":[{"value":"2012-12-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-04-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-09-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}