Pediatric asthma exacerbations during the COVID-19 pandemic: Absence of the typical fall seasonal spike in Washington, DC.
Pediatric asthma exacerbations during the COVID-19 pandemic: Absence of the typical fall seasonal spike in Washington, DC.
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DOI：
10.1016/j.jaip.2021.02.008
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Teach SJ
中科院分区：
文献类型：
--
作者：
Sheehan WJ;Patel SJ;Margolis RHF;Fox ER;Shelef DQ;Kachroo N;Pillai D;Teach SJ
哥伦比亚特区在当前新冠病毒大流行期间并未经历“九月哮喘流行”的恶化。与往年相比，秋季因哮喘就诊的急诊人数、住院人数和重症监护病房入院人数显着减少。必须进行仔细监测，以识别儿童哮喘发病率并为恢复到大流行前的水平做好准备。在美国，由于多种特定的季节性因素，包括与学校重新开放相关的常见呼吸道病毒（尤其是人类鼻病毒）传播增加、室内空气过敏原暴露增加、室外空气过敏原暴露变化以及天气变冷，儿童哮喘发病率在秋季达到高峰。 1, 2 2020 年初，为减少 2019 年冠状病毒病 (COVID-19) 而实施的社交距离、隔离和学校关闭也减少了儿童呼吸道疾病和哮喘的发病率。 3-5 两项研究表明，与往年相比，2020 年春季因小儿哮喘就诊的急诊 (ED) 人数有所减少，3、5，但仍不确定 2020 年是否会出现典型的秋季季节性高峰。此外，在大流行期间早期，整体医疗保健利用率下降，部分原因是担心接触 COVID-19，6 这意味着患者可能会因延迟寻求护理而出现更严重的哮喘恶化。因此，我们试图确定，在居住在哥伦比亚特区 (DC) 的哮喘儿童中，与之前的秋季相比，2020 年秋季期间，(1) 与哮喘相关的急诊就诊和住院治疗是否有所减少，以及 (2) 到我们医院就诊的哮喘急性发作的严重程度是否有所增加。
The District of Columbia did not experience the “September asthma epidemic” of exacerbations during the current novel coronavirus pandemic. Emergency department visits, hospitalizations, and intensive care unit admissions for asthma during the fall season were significantly reduced compared with previous years. Careful monitoring is necessary to recognize and prepare for childhood asthma morbidity to return to its prepandemic levels.In the United States, pediatric asthma exacerbations peak during the fall season because of several specific seasonal factors including increased spread of common respiratory viruses (especially human rhinovirus) associated with schools reopening, increased exposure to indoor aeroallergens, changing outdoor aeroallergen exposures, and colder weather. 1, 2 In early 2020, social distancing, quarantines, and school closures enacted to reduce coronavirus disease 2019 (COVID-19) also reduced pediatric respiratory illnesses and asthma morbidity. 3-5 Two studies demonstrated fewer emergency department (ED) visits for pediatric asthma during the spring of 2020 as compared with previous years, 3, 5 but it remained uncertain whether 2020 would have the typical fall seasonal peak. In addition, overall health care utilization declined early during the pandemic in part because of fear of exposure to COVID-19, 6 meaning that patients might present to EDs with more severe asthma exacerbations due to delays in seeking care. We therefore sought to determine, among children with asthma residing in the District of Columbia (DC), whether there was (1) a decrease in asthma-related ED visits and hospitalizations and (2) an increase in the acuity of asthma exacerbations presenting to our hospital during the 2020 fall season as compared with previous fall seasons.
DOI：
10.1016/j.jaci.2014.12.1942
发表时间：
2015-06
期刊：
The Journal of allergy and clinical immunology
影响因子：
--
作者：
Teach SJ;Gergen PJ;Szefler SJ;Mitchell HE;Calatroni A;Wildfire J;Bloomberg GR;Kercsmar CM;Liu AH;Makhija MM;Matsui E;Morgan W;O'Connor G;Busse WW
通讯作者：
Busse WW
影响因子：
8
作者：
Hatoun, Jonathan;Correa, Emily Trudell;Vernacchio, Louis
通讯作者：
Vernacchio, Louis
影响因子：
33.9
作者：
Czeisler, Mark E.;Marynak, Kristy;Howard, Mark E.
通讯作者：
Howard, Mark E.