Impact of the COVID-19 pandemic on pediatric hospital admissions: Retrospective study in a Portuguese level II hospital
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v33.i1.29936Keywords:
COVID-19, hospitalization, pediatric, respiratory infectionAbstract
Introduction: Since the emergence of SARS-CoV-2, pediatric admissions from all causes have decreased. This was mainly due to a decrease in all common respiratory diseases, such as bronchiolitis and pneumonia. The aim of this study was to evaluate the impact of the pandemic on pediatric admissions and diagnoses in a level II hospital.
Methods: A retrospective analysis was conducted, including all children admitted to a Portuguese level II hospital between March 2020 and December 2021 and the homologous period 2018-2019. The number of admissions, most common diagnoses, and demographic data were analyzed.
Results: A total of 2956 admissions were included. A 44.1% decrease in pediatric hospital admissions was observed with the onset of the COVID-19 pandemic. Admissions for common communicable diseases such as acute bronchiolitis, acute gastroenteritis, varicella, and stomatitis decreased. An increase in respiratory illnesses, mainly due to respiratory syncytial virus, was observed when the pandemic restrictions ended.
Conclusion: The COVID-19 pandemic had a major impact on pediatric hospital admissions. Social distancing measures and the use of masks limited the transmission of common infectious diseases previously responsible for hospital admissions. Future studies are needed to understand whether the changes in respiratory virus epidemiology were transient.
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Moynihan R, Sanders S, Michaleff ZA, Scott AM, Clark J, To EJ, et al. Impact of COVID-19 pandemic on utilisation of healthcare services: a systematic review. BMJ Open. 2021; 11(3):e045343. doi: https://doi.org/10.1136/bmjopen-2020-045343. PMID: 33727273; PMCID: PMC7969768.
Domingo L, Comas M, Jansana A, Louro J, Tizón-Marcos H, Cos ML, et al. Impact of COVID-19 on Hospital Admissions and Healthcare Quality Indicators in Non-COVID Patients: A Retrospective Study of the First COVID-19 Year in a University Hospital in Spain. J Clin Med. 2022; 11(7):1752. doi: https://doi.org/10.3390/jcm11071752. PMID: 35407360; PMCID: PMC8999691.
Tezer H, Bedir Demirdağ T. Novel coronavirus disease (COVID-19) in children. Turk J Med Sci. 2020; 50(SI-1):592-603. doi: https://doi.org/10.3906/sag-2004-174. PMID: 32304191; PMCID: PMC7195991.
Picão de Carvalho C, Castro C, Sampaio Graça I, Lorenzo C, Barbosa Rodrigues A, Inácio R, et al. Série de Casos de 103 Crianças com Infeção por SARS-CoV-2 em Portugal [Case Series of 103 Children with SARS-CoV-2 Infection in Portugal]. Acta Med Port. 2020; 33(12):795-802. Portuguese. doi: https://doi.org/10.20344/amp.14537. Epub 2020 Sep 14. Erratum in: Acta Med Port. 2020; 33(12):861. PMID: 32931727.
Miron VD, Gunșahin D, Filimon C, Bar G, Craiu M. Pediatric Emergencies and Hospital Admissions in the First Six Months of the COVID-19 Pandemic in a Tertiary Children’s Hospital in Romania. Children (Basel). 2022; 9(4):513. doi: https://doi.org/10.3390/children9040513. PMID: 35455557; PMCID: PMC9028540.
Kadambari S, Goldacre R, Morris E, Goldacre M J, Pollard A J. Indirect effects of the covid-19 pandemic on childhood infection in England: population based observational study BMJ 2022; 376 :e067519 doi: https://doi.org/10.1136/bmj-2021-067519.
Hatoun J, Correa ET, Vernacchio L. COVID-19 Pandemic-Related Changes in Pediatric Seasonal Respiratory Infections. Pediatrics. 2022; 150(4):e2022058618. doi: https://doi.org/10.1542/peds.2022-058618. PMID: 35918801.
Di Mattia G, Nenna R, Mancino E, Rizzo V, Pierangeli A, Villani A, et al. During the COVID-19 pandemic where has respiratory syncytial virus gone? Pediatr Pulmonol. 2021; 56(10):3106-9. doi: https://doi.org/10.1002/ppul.25582. Epub 2021 Jul 26. PMID: 34273135; PMCID: PMC8441855.
Binns E, Koenraads M, Hristeva L, Flamant A, Baier-Grabner S, Loi M, et al. Influenza and respiratory syncytial virus during the COVID-19 pandemic: Time for a new paradigm? Pediatr Pulmonol. 2022; 57(1):38-42. doi: https://doi.org/10.1002/ppul.25719. Epub 2021 Oct 13. PMID: 34644459; PMCID: PMC8662286.
Direção Geral da Saúde (2020), Referencial Escolas - Controlo da transmissão de COVID-19 em contexto escolar.
Alves JCT, Lopes CRC, Guzzi GP, Pinto MV, Ribeiro LMM, Silva SBIMe, et al. Impacto da pandemia de COVID-19 na epidemiologia pediátrica. Resid Pediatr. 2020;10(3):1-4.
Bradley JP, Bacharier LB, Bonfiglio J, Schechtman KB, Strunk R, Storch G, et al. Severity of respiratory syncytial virus bronchiolitis is affected by cigarette smoke exposure and atopy. Pediatrics. 2005; 115(1):e7-14. doi: https://doi.org/10.1542/peds.2004-0059. PMID: 15629968.
Bögli J, Güsewell S, Strässle R, Kahlert CR, Albrich WC. Pediatric hospital admissions, case severity, and length of hospital stay during the first 18 months of the COVID-19 pandemic in a tertiary children’s hospital in Switzerland. Infection. 2022 Sep 5:1–8. doi: https://doi.org/10.1007/s15010-022-01911-x. Epub ahead of print. PMID: 36065045; PMCID: PMC9444086.
Bermúdez Barrezueta L, Matías Del Pozo V, López-Casillas P, Brezmes Raposo M, Gutiérrez Zamorano M, Pino Vázquez MA. Variation in the seasonality of the respiratory syncytial virus during the COVID-19 pandemic. Infection. 2022; 50(4):1001-5. doi: https://doi.org/10.1007/s15010-022-01794-y. Epub 2022 Mar 22. PMID: 35316529; PMCID: PMC8938970.
Nisavanh A, Horrigue I, Debin M, Turbelin C, Kengne-Kuetche C, Nassany O, et al. Epidemiology of acute gastroenteritis in France from November 2019-August 2021, in light of reported adherence to COVID-19 barrier measures. Sci Rep. 2022 Oct 19;12(1):17504. doi: https://doi.org/10.1038/s41598-022-22317-7. PMID: 36261604; PMCID: PMC9581450.
Suzuki A, Nishiura H. Transmission dynamics of varicella before, during and after the COVID-19 pandemic in Japan: a modelling study. Math Biosci Eng. 2022; 19(6):5998-6012. doi: https://doi.org/10.3934/mbe.2022280. PMID: 35603388.
Carmagnola D, Toma M, Henin D, Perrotta M, Gianolio L, Colombo A, et al. Dental Emergencies in an Italian Pediatric Hospital during the COVID-19 Pandemic. Healthcare (Basel). 2022; 10(3):537. doi: https://doi.org/10.3390/healthcare10030537. PMID: 35327015; PMCID: PMC8949433.
Kuitunen I, Artama M, Haapanen M, Renko M. Urinary tract infections decreased in Finnish children during the COVID-19 pandemic. Eur J Pediatr. 2022; 181(5):1979-84. doi: https://doi.org/10.1007/s00431-022-04389-9. Epub 2022 Jan 31. PMID: 35098402; PMCID: PMC8801286.
Kanda N, Hashimoto H, Imai T, Yoshimoto H, Goda K, Mitsutake N, et al. Indirect impact of the COVID-19 pandemic on the incidence of non-COVID-19 infectious diseases: a region-wide, patient-based database study in Japan. Public Health. 2023; 214:20-24. doi: https://doi.org/10.1016/j.puhe.2022.10.018. Epub 2022 Oct 24. PMID: 36436277; PMCID: PMC9595362.
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