Delayed presentation to regular Dutch paediatric care in COVID-19 times: a national survey

Jansen, Daniëlle; Illy, Károly

doi:10.1136/bmjpo-2020-000834

Cited by 13 publications

(15 citation statements)

References 3 publications

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“…(2) There was a drop in visits registered within CrescNet, presumably associated with the COVID-19 and the related measures [ 22 ]. Similar effects were observed in different countries, and the suspected reasons are diverse [ 23 , 24 ]. (3) There is also a delay between measurement and entry to the CrescNet database and the retrospective entry of measurements years after the measurement [ 21 ].…”

Section: Methodssupporting

confidence: 62%

Age- and weight group-specific weight gain patterns in children and adolescents during the 15 years before and during the COVID-19 pandemic

et al. 2021

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Background/Objectives There is a concern that measures aiming to limit a further spread of COVID-19, e.g., school closures and social distancing, cause an aggravation of the childhood obesity epidemic. Therefore, we compared BMI trends during the 15 years before and during the COVID-19 pandemic. Subjects/Methods To assess the change in weight dynamics during the first months of COVID-19, we compared the trends of 3-month change in BMI-SDS (ΔBMI-SDS) and the proportions of children showing a high positive (HPC) or high negative (HNC) weight change between 2005 and 2019 and the respective changes from 2019 (pre-pandemic) to 2020 (after the onset of anti-pandemic measures) in more than 150,000 children (9689 during the pandemic period). The period of 3 months corresponds approximately to the first lockdown period in Germany. Results During the COVID-19 pandemic, we found a substantial weight gain across all weight and age groups, reflected by an increase in the 3-month change in BMI-SDS (β = 0.05, p < 0.001), an increase in the proportion of children showing HPC (OR = 1.4, p < 0.001), and a decrease in the proportion of children showing HNC (OR = 0.7, p < 0.001). Besides, we found the same trends since 2005 on a low but stable level with a yearly increase of ΔBMI-SDS by β = 0.001 (p < 0.001), the odds of HPC increased by ORhigh_pos = 1.01 (p < 0.001), and the odds of HNC decreased by ORhigh_neg = 0.99 (p < 0.001). These rather small effects accumulated to β = 0.02, ORhigh_pos = 1.14, and ORhigh_pos = 0.85 over the whole period 2005–2019. Alarmingly, both the long-term and the short-term effects were most pronounced in the obese subgroup. Conclusions There are positive dynamics in different measures of weight change, indicating a positive trend in weight gain patterns, especially within the group of children with obesity. These dynamics are likely to be escalated by COVID-19-related measures. Thus, they may lead to a significant further aggravation of the childhood obesity pandemic.

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Section: Methodssupporting

confidence: 62%

Age- and weight group-specific weight gain patterns in children and adolescents during the 15 years before and during the COVID-19 pandemic

et al. 2021

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“…While serious illness, such as sepsis, is relatively rare, this dramatic fall led to concern that children were not being brought to medical services and were potentially becoming more ill at home. These findings were supported by surveys of United Kingdom, Irish 12 and Dutch 14 paediatricians who were asked to report children presenting late to hospital. Before and during the pandemic, a small proportion of children were reported to present late in the course of an illness, as indicated by RAG (red, amber, green) symptoms of illness severity (based on the Royal College of Paediatrics and Child Health's [RCPCH] safety net tool 15 ).…”

Section: Introductionmentioning

confidence: 61%

Caring for a sick or injured child during the COVID‐19 pandemic lockdown in 2020 in the UK: An online survey of parents' experiences

Neill

Carter

Jones

et al. 2021

Health Expectations

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BackgroundDuring the COVID‐19 pandemic, the first UK lockdown (March to May 2020) witnessed a dramatic reduction in children presenting to primary/emergency care, creating concern that fear of the virus was resulting in children presenting late.MethodsAn online survey was co‐developed with UK parents to understand the impact of the lockdown on parents' help‐seeking for, and care of, their sick/injured child(ren). The survey was advertised through social media and snowballing to parents whose children had been ill/injured during the lockdown. Analysis used descriptive statistics, SPSSv25 and thematic analysis.ResultsThe survey was fully completed by 198 UK parents. The majority asked for help (144/198): from their family doctor (78), national helplines (48) or an Emergency Department (23). Most reported that their decision‐making had not changed, although how they sought help had changed. A few parents reported that the severity and duration of illness had increased because of uncertainty about and/or difficulty accessing services. Parents did not always report seeking help for symptoms rated red or amber by the Royal College of Paediatrics and Child Health. Parents reported accessing information through the internet or using information that they already had.Parent ContributionThis was a collaboration with parents from survey development to dissemination, with two parents being integral members of our research team.ConclusionsOur questionnaire was completed by parents who were not deterred from seeking help for their sick or injured children. Even for these parents, the lockdown changes to services created uncertainty about, and barriers to, accessing medical help for their children.

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“…The COVID-19 pandemic has also been associated with delayed care for non-COVID-19 conditions. 13,14 In many settings, in-person clinical care has been significantly disrupted and/or limited as a result of measures enacted to reduce the risk of transmission of COVID-19; such disruptions are likely to increase the longstanding unmet need for eating disorder treatment among adolescents. 15,16 Several centers have described efforts to rapidly transition from inperson to virtual care for adolescents with eating disorders as a result of the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Medical Admissions Among Adolescents With Eating Disorders During the COVID-19 Pandemic

Otto¹,

Jary²,

Sturza³

et al. 2021

Pediatrics

121

110

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This study examines medical admission patterns among adolescents with restrictive eating disorders before and after the onset of the COVID-19 pandemic. What's Known on This SubjectLimited data suggest the COVID-19 pandemic has been associated with worsening mental health outcomes, including worsening symptoms of eating disorders. Little is known about the potential effects of the pandemic on medical admission patterns among adolescents with eating disorders. What This Study AddsMedical admissions among adolescents with eating disorders at our institution increased significantly during the COVID-19 pandemic, with the number of admissions during the first twelve months of the pandemic more than double the mean for the previous three years.

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Delayed presentation to regular Dutch paediatric care in COVID-19 times: a national survey

Cited by 13 publications

References 3 publications

Age- and weight group-specific weight gain patterns in children and adolescents during the 15 years before and during the COVID-19 pandemic

Age- and weight group-specific weight gain patterns in children and adolescents during the 15 years before and during the COVID-19 pandemic

Caring for a sick or injured child during the COVID‐19 pandemic lockdown in 2020 in the UK: An online survey of parents' experiences

Medical Admissions Among Adolescents With Eating Disorders During the COVID-19 Pandemic

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