The COVID‐19 pandemic dramatically reduced admissions of children with and without chronic conditions to general paediatric wards

Gavish, Rachel; Levinsky, Yoel; Dizitzer, Yotam; Bilavsky, Efraim; Livni, Gilat; Pirogovsky, Avinoam; Scheuerman, Oded; Krause, Irit

doi:10.1111/apa.15792

Cited by 23 publications

(26 citation statements)

References 16 publications

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“…A possible contributing factor to the decrease in the number of children with KD may be the reduction in the transmission of infectious disease due to COVID-19 restrictions [20]. A significant decrease in hospitalizations due to viral and bacterial infections during the COVID-19 period was observed [20].…”

Section: Discussionmentioning

confidence: 99%

“…One study revealed that the COVID-19 pandemic dramatically reduced admissions of children with and without chronic conditions to general pediatric wards [20]. The number of daily hospitalizations declined during the COVID-19 period compared with that of the immediate period before COVID-19 and that of 2018 and 2019 [20]. This indicated a reduction of 59% [20].…”

Section: Discussionmentioning

confidence: 99%

“…The number of daily hospitalizations declined during the COVID-19 period compared with that of the immediate period before COVID-19 and that of 2018 and 2019 [20]. This indicated a reduction of 59% [20]. Furthermore, a questionnaire survey conducted by Japanese Society of KD in 2020 indicated a reduction of about 50% admissions of children with KD [21].…”

Section: Discussionmentioning

confidence: 99%

“…Parents may have been scared of getting infected with COVID-19 and avoided going to hospital [20]. Therefore, some patients with KD with mild severity might not consult a doctor.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Features of Kawasaki Disease during SARS-CoV-2 Epidemic: A Single-Center Retrospective Study

Nakada

2021

CLINICMED

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The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic, causing coronavirus disease 2019 (COVID-19), has rapidly spread worldwide. Recently, cases of Kawasaki-like syndrome associated with COVID-19 (MIS‐C/PIMS) have been reported in the USA and Europe. However, the clinical features of Kawasaki disease (KD) in Japan during the SARS-CoV-2 epidemic remain unclear. Therefore, this retrospective study aimed to evaluate the clinical features of KD in our department during the year of the COVID-19 pandemic (2020). Data were obtained from 45 KD patients who underwent acute-phase treatment from January 2018 to December 2020. The patients were divided into three groups: (1) 2018 group, in which 18 patients receiving acute-phase treatment during 2018; (2) 2019 group, in which 17 patients receiving acute-phase treatment during 2019; and (3) 2020 group, in which 10 patients receiving acute-phase treatment during 2020. The comparison of the clinical findings, treatments, and outcomes among the three groups (2018 vs. 2019 vs. 2020 group) revealed a significant difference in the rate of the male gender (72.2% vs. 41.2% vs. 10.0%, P < 0.010), recurrence (0.0% vs. 0.0% vs. 25.0%, P = 0.015), and coronary artery lesions (16.7% vs. 0.0% vs. 0.0%, P = 0.044). No patients required ventilation assistance or inotropic agents and met the diagnostic criteria of MIS‐C/PIMS. Further studies are warranted to elucidate the clinical features of KD during the SARS-CoV-2 epidemic.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Parents may have been scared of getting infected with COVID-19 and avoided going to hospital [20]. Therefore, some patients with KD with mild severity might not consult a doctor.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical Features of Kawasaki Disease during SARS-CoV-2 Epidemic: A Single-Center Retrospective Study

Nakada

2021

CLINICMED

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“…School closures have been a central part of most countries disease preventive strategies, and hence, it has been associated with mitigation of the COVID-19 disease and the reduction in the spread of communicable diseases in children. 3,4 As the Swedish strategy deviated from most other countries with less strict lockdown restrictions and open preschools and primary schools, it offers a unique opportunity to assess the effect of other behavioural changes as explained in the introduction, including basal hygiene routines, on the transmission of paediatric communicable diseases. We report a dramatic reduction in paediatric emergency visits for two communicable diseases mainly with mainly contact/droplet transmission, which was temporally associated with the recommendations from the Public Health Agency of Sweden on behavioural changes including physical distancing, improved basal hygiene and home quarantine when experiencing symptoms of infection.…”

Section: B R I E F R E P O R T Reduction In Paediatric Emergency Visits During the Covid-19 Pandemic In A Region With Open Preschools Andmentioning

confidence: 99%

Reduction in paediatric emergency visits during the COVID‐19 pandemic in a region with open preschools and schools

et al. 2021

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Number of paediatric emergency visits per week at two paediatric hospitals in Stockholm during 2018-2020 expressed as A) total number of emergency visits and according to the discharge diagnosis of B) gastroenteritis (ICD-10 code: G00-G09, R11), C) lower respiratory tract infections (ICD-10 code: A37, J09-J22) and D) urinary tract infections (ICD-10 codes: N10.0, N30.9). Red vertical line indicating week 11 when COVID-19 was declared a pandemic. Abbreviations: LRTI, lower respiratory tract infection; UTI, urinary tract infection. How to cite this article: Rhedin SA, Ryd Rinder M, Hildenwall H, et al. Reduction in paediatric emergency visits during the COVID-19 pandemic in a region with open preschools and schools.

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Severe Respiratory Disease Among Children With and Without Medical Complexity During the COVID-19 Pandemic

Belza,

Pullenayegum,

Nelson

et al. 2023

JAMA Netw Open

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ImportanceSevere respiratory disease declined during the COVID-19 pandemic, partially due to decreased circulation of respiratory pathogens. However, the outcomes of children with higher risk have not been described using population-based data.ObjectiveTo compare respiratory-related hospitalizations, intensive care unit (ICU) admissions, and mortality during the pandemic vs prepandemic, among children with medical complexity (CMC) and without medical complexity (non-CMC).Design, Setting, and ParticipantsThis population-based repeated cross-sectional study used Canadian health administrative data of children aged younger than 18 years in community and pediatric hospitals during a pandemic period (April 1, 2020, to February 28, 2022) compared with a 3-year prepandemic period (April 1, 2017, to March 31, 2020). The pandemic period was analyzed separately for year 1 (April 1, 2020, to March 31, 2021) and year 2 (April 1, 2021, to February 28, 2022). Statistical analysis was performed from October 2022 to April 2023.Main Outcomes and MeasuresRespiratory-related hospitalizations, ICU admissions, and mortality before and during the pandemic among CMC and non-CMC.ResultsA total of 139 078 respiratory hospitalizations (29 461 respiratory hospitalizations for CMC and 109 617 for non-CMC) occurred during the study period. Among CMC, there were fewer respiratory hospitalizations in both 2020 (rate ratio [RR], 0.44 [95% CI, 0.42-0.46]) and 2021 (RR, 0.55 [95% CI, 0.51-0.62]) compared with the prepandemic period. Among non-CMC, there was an even larger relative reduction in respiratory hospitalizations in 2020 (RR, 0.18 [95% CI, 0.17-0.19]) and a similar reduction in 2021 (RR, 0.55 [95% CI, 0.54-0.56]), compared with the prepandemic period. Reductions in ICU admissions for respiratory illness followed a similar pattern for CMC (2020: RR, 0.56 [95% CI, 0.53-0.59]; 2021: RR, 0.66 [95% CI, 0.63-0.70]) and non-CMC (2020: RR, 0.22 [95% CI, 0.20-0.24]; RR, 0.65 [95% CI, 0.61-0.69]). In-hospital mortality for these conditions decreased among CMC in both 2020 (RR, 0.63 [95% CI, 0.51-0.77]) and 2021 (RR, 0.72 [95% CI, 0.59-0.87]).Conclusions and RelevanceThis cross-sectional study found a substantial decrease in severe respiratory disease resulting in hospitalizations, ICU admissions, and mortality during the first 2 years of the pandemic compared with the 3 prepandemic years. These findings suggest that future evaluations of the effect of public health interventions aimed at reducing circulating respiratory pathogens during nonpandemic periods of increased respiratory illness may be warranted.

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The COVID‐19 pandemic dramatically reduced admissions of children with and without chronic conditions to general paediatric wards

Cited by 23 publications

References 16 publications

Clinical Features of Kawasaki Disease during SARS-CoV-2 Epidemic: A Single-Center Retrospective Study

Clinical Features of Kawasaki Disease during SARS-CoV-2 Epidemic: A Single-Center Retrospective Study

Reduction in paediatric emergency visits during the COVID‐19 pandemic in a region with open preschools and schools

Severe Respiratory Disease Among Children With and Without Medical Complexity During the COVID-19 Pandemic

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