COVID-19 Transatlantic Declines in Pediatric Emergency Admissions
COVID-19 Transatlantic Declines in Pediatric Emergency Admissions
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DOI：
10.1097/pec.0000000000002260
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发表时间：
2020-11-01
影响因子：
1.4
通讯作者：
Keegan, Thomas
中科院分区：
文献类型：
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作者：
Isba, Rachel;Edge, Rhiannon;Keegan, Thomas
介绍这项横断面研究观察了SARS-CoV-2/COVID-19大流行对美国和英国儿科急诊科（PED）就诊和入院（作为疾病严重程度的代表）的影响。方法数据提取的儿童和青少年，年龄小于16岁，参加皇家曼彻斯特儿童医院（RMCH，英国），耶鲁纽黑文儿童医院（YNHCH，美国）。比较了2020年和2019年第1至20周的出勤率，并通过计算比值比评估了入院的可能性，使用第13周（锁定）作为截止点。结果与2019年相比，2020年每个PED的出勤人数减少（RMCH，29. 2%; YNHCH，24. 8%）。锁定后的入院几率显著高于2019年-RMCH（比值比，1.26; 95%置信区间，1.08-1.46）和YNHCH（比值比，1.60; 95%置信区间，1.31-1.98）。结论：虽然儿童和青少年参加PED的绝对数量和被录取后锁定下降，那些参加的疾病的急性似乎更高。
IntroductionThis cross-sectional study looked at the impact of the SARS-CoV-2/COVID-19 pandemic on pediatric emergency department (PED) attendances and admissions (as a proxy for severity of illness) in the United States and United Kingdom. MethodsData were extracted for children and adolescents, younger than 16 years, attending Royal Manchester Children's Hospital (RMCH, United Kingdom), and Yale New Haven Children's Hospital (YNHCH, United States). Attendances for weeks 1 to 20 of 2020 and 2019 were compared, and likelihood of admission was assessed via calculation of odds ratios, using week 13 (lockdown) as a cutoff. ResultsAttendance numbers for each PED decreased in 2020 compared with 2019 (RMCH, 29.2%; YNHCH, 24.8%). Odds of admission were significantly higher after lockdown than in 2019-RMCH (odds ratio, 1.26; 95% confidence interval, 1.08-1.46) and YNHCH (odds ratio, 1.60; 95% confidence interval, 1.31-1.98). ConclusionsAlthough the absolute numbers of children and adolescents attending the PED and being admitted decreased after lockdown, the acuity of illness of those attending appears to be higher.