Sustained decrease in pediatric asthma emergency visits during the first year of the COVID-19 pandemic
Sustained decrease in pediatric asthma emergency visits during the first year of the COVID-19 pandemic
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DOI：
10.2500/aap.2021.42.210059
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发表时间：
2021-09-01
影响因子：
2.8
通讯作者：
Secord, Elizabeth
中科院分区：
文献类型：
--
作者：
Arsenault, Samantha;Hoofman, Jacob;Secord, Elizabeth
背景：2020年1月20日，美国报告了首例有记录的新型严重急性呼吸综合征冠状病毒2（冠状病毒病2019 [COVID-19]）病例。美国疾病控制和预防中心继续报告成人的发病率和死亡率高于儿童。在大流行早期，人们担心哮喘患者会受到COVID-19的不成比例的影响，但这并没有表现出来。现在认识到，冠状病毒用于感染的血管紧张素转换酶2受体在特应性儿童中表达较低，这可能有助于降低特应性儿童的传染性。有一些早期的报告减少急诊部（ED）访问儿童哮喘。作者此前报告称，2020年春季儿科急诊科就诊人数减少，这与学校关闭有关。目的：确定在COVID-19大流行的第一年，儿童哮喘就诊减少的趋势是否持续。方法：采用标准医疗理赔代码收集内城某儿童医院的ED数据。结论：我们报告了在市中心医院的一所儿科急诊科就诊的哮喘儿童持续一年的减少；这似乎是仅次于学校关闭和减少上呼吸道感染的影响。
Background: On January 20, 2020, the first documented case of novel severe acute respiratory syndrome coronavirus 2 (coronavirus disease 2019 [COVID-19]) was reported in the United States. The U.S. Centers for Disease Control and Prevention continues to report more morbidity and mortality in adults than in children. Early in Pandemic, there was a concern that patients with asthma would be affected disproportionately from COVID-19, but this was not manifested. It is now recognized that angiotensin-converting enzyme 2 receptors that are used by the coronavirus for infection have low expression in children with atopy that may contribute to decreased infectivity in children who are atopic. There are several early reports of decreased emergency department (ED) visits for children with asthma. The authors previously reported a decrease in pediatric ED visits in the spring of 2020, which correlated with school closure. Objective: To determine if this trend of decreased ED visits for pediatric asthma was sustained throughout the first COVID-19 pandemic year. Methods: ED data from one inner city children's hospital were collected by using standard medical claims codes. Conclusion: We reported a sustained year of decreased ED visits for children with asthma in one pediatric ED in an inner-city hospital; this seemed to be secondary to school closure and decreased exposure to upper respiratory infections.