Early impact of school closure and social distancing for COVID-19 on the number of inpatients with childhood non-COVID-19 acute infections in Japan.
Early impact of school closure and social distancing for COVID-19 on the number of inpatients with childhood non-COVID-19 acute infections in Japan.
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DOI：
10.1007/s00431-021-04043-w
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发表时间：
2021-09
影响因子：
3.6
通讯作者：
Imanaka Y
中科院分区：
文献类型：
--
作者：
Kishimoto K;Bun S;Shin JH;Takada D;Morishita T;Kunisawa S;Imanaka Y
为了控制2019冠状病毒病（COVID-19）的传播，许多国家实施了停课措施，作为保持社会距离措施的一部分。本研究的目的是评估全国范围内的学校停课（2020年3月至5月）和COVID-19的社会距离对日本主要儿童传染病住院患者数量的早期影响。使用日本诊断程序组合系统的数据，我们确定了2018年7月至2020年6月期间因诊断为上呼吸道感染（URTI）、下呼吸道感染（LRTI）、流感、胃肠道感染（GII）、阑尾炎、尿路感染（UTI）或皮肤和软组织感染（SSTI）而入院的15岁或以下患者。采用中断时间序列分析评估两期间每周住院人数的变化趋势。210家医院共纳入75 053名患者。2020年3月、4月、5月最后一周每周住院总人数同比分别下降52.5%、77.4%、83.4%。估计影响是在学校关闭后每周减少581例（标准误差42.9）住院患者（p < 0.001）。减少的主要部分是学龄前儿童。URI、LRTI和GII住院患者数量显著减少，而其他组的变化相对轻微。结论：我们证实，儿童非covid -19急性感染住院人数在学校关闭后期间显着减少。
Many countries have implemented school closures as part of social distancing measures intended to control the spread of coronavirus disease 2019 (COVID-19). The aim of this study was to assess the early impact of nationwide school closure (March–May 2020) and social distancing for COVID-19 on the number of inpatients with major childhood infectious diseases in Japan. Using data from the Diagnosis Procedure Combination system in Japan, we identified patients aged 15 years or younger with admissions for a diagnosis of upper respiratory tract infection (URTI), lower respiratory tract infection (LRTI), influenza, gastrointestinal infection (GII), appendicitis, urinary tract infection (UTI), or skin and soft tissue infection (SSTI) between July 2018 and June 2020. Changes in the trend of the weekly number of inpatients between the two periods were assessed using interrupted time-series analysis. A total of 75,053 patients in 210 hospitals were included. The overall weekly number of inpatients was decreased by 52.5%, 77.4%, and by 83.4% in the last week of March, April, and May 2020, respectively, when compared on a year-on-year basis. The estimated impact was a reduction of 581 (standard error 42.9) inpatients per week in the post-school-closure period (p < 0.001). The main part of the reduction was for pre-school children. Remarkable decreases in the number of inpatients with URI, LRTI, and GII were observed, while there were relatively mild changes in the other groups. Conclusion: We confirmed a marked reduction in the number of inpatients with childhood non-COVID-19 acute infections in the post-school-closure period.
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影响因子：
28.3
作者：
Gorbalenya, Alexander E.;Baker, Susan C.;Ziebuhr, John
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