Reduced PICU respiratory admissions during COVID-19

Reduced PICU respiratory admissions during COVID-19
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DOI:
10.1136/archdischild-2020-320469
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发表时间:
2021-08-01
影响因子:
5.2
通讯作者:
Gonzalez-Dambrauskas, Sebastian
Gonzalez-Dambrauskas, Sebastian
中科院分区:
医学2区
文献类型:
--
作者:
Vasquez-Hoyos, Pablo;Diaz-Rubio, Franco;Gonzalez-Dambrauskas, Sebastian

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背景2019冠状病毒病大流行于2020年秋季抵达南半球,因此恰逢其预期的年度病毒呼吸道季节。在大流行期间,旨在缓解COVID-19的国家战略对儿童其他严重病毒性下呼吸道感染(LRTI)发病率的潜在影响尚不清楚。方法我们分析了来自4个国家22个儿科重症监护病房(PICU)的LRTI入院数据,拉丁美洲大型国际急性呼吸衰竭儿童登记处的一部分(Red Colaborativa Pediatrica de Latinoamerica [LARED Network]).结果1月至8月期间,与2018/2019年同期平均水平相比,2020年LRTI的PICU入院人数减少了83%。由于呼吸道合胞病毒和流感导致的PICU入院率也出现了类似的下降(分别为92%和78%)。
Background The COVID-19 pandemic reached the Southern Hemisphere in the autumn of 2020, thus coinciding with its expected annual viral respiratory season. The potential impact of national strategies aimed at mitigating COVID-19 during the pandemic on the incidence of other critical viral lower respiratory tract infections (LRTIs) in children is unknown.Methods We analysed admission data for LRTIs from 22 paediatric intensive care units (PICUs) in four countries, part of a large international Latin American registry of children with acute respiratory failure (Red Colaborativa Pediatrica de Latinoamerica [LARed Network]).Results Between January and August, there were 83% fewer PICU admissions for LRTIs in 2020 compared to the 2018/2019 average over the same period. Similar decreases were noted for PICU admissions due to respiratory syncytial virus and influenza (92% and 78%, respectively).Conclusion We observed a striking reduction in PICU admissions due to viral LRTIs over winter, during the COVID-19 pandemic in South America.