COVID-19 and Pediatric Neurology Practice in a Developing Country

Gupta, Juhi; Madaan, Priyanka; Chowdhury, Sayoni Roy; Gulati, Sheffali

doi:10.1016/j.pediatrneurol.2020.08.016

Cited by 7 publications

(5 citation statements)

References 10 publications

(8 reference statements)

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“…Pediatrics : It has been indicated that neurological diseases of pediatrics such as Guillain‐Barre syndrome, multiple sclerosis, infantile spasms, acute disseminated encephalomyelitis, and febrile seizures are associated with COVID‐19. 110 , 111 Recent reports described emerging pediatric cases diagnosed with MIS‐C with an unexpectedly high incidence (34%) of neurological involvement. 112 …”

Section: Methodsmentioning

confidence: 99%

The overall impact of COVID‐19 on healthcare during the pandemic: A multidisciplinary point of view

Sabetkish

Rahmani

2021

Health Science Reports

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Background and Aims The Coronavirus disease 2019 (COVID‐19) pandemic globally changed the priorities of medical and surgical procedures. It has caused many healthcare systems to stop performing their routine screenings. Altering medical clinics to COVID‐19 referral centers, lockdowns, and the public fear to refer to medical centers caused a significant reduction in the referral rate; especially in the elderly. This short review article highlights the transform in clinical practice during the post‐COVID era and the need for future medical revolutions. Methods A comprehensive literature search was separately performed by both authors. The articles published between 2019 and August 2021 were included in this study and selected according to a quality appraisal method. Results We have summarized the possible corresponding changes in the diagnosis and treatment of all fields of medical care including internal medicine, surgical, and minor subcategories after the COVID‐19 pandemic. We have also discussed the potential impacts of the pandemic on all these different categories and subcategories of medicine, including the outpatient setting and clinical work. We do believe that the lack of routine check‐ups has led to an increase in the stage of disease in patients with a previously diagnosed problem. On the other hand, the dramatic change in the lifestyle of the population including restricted mobility and increased consumption of unhealthy food has caused metabolic syndrome and other new diseases that have not been diagnosed and properly managed. Conclusion Our findings revealed the urgent need for public health awareness. It indicated the need to carry out both psychological and screening approaches in the post‐COVID era to not miss patients with a chronic disease and new cases who were undiagnosed during the COVID pandemic.

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Section: Methodsmentioning

confidence: 99%

The overall impact of COVID‐19 on healthcare during the pandemic: A multidisciplinary point of view

Sabetkish

Rahmani

2021

Health Science Reports

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“…The pandemic subsequently engulfed more than 200 countries with more than 165 million people being affected and around three million deaths [ 1 ]. COVID-19 pandemic along with the inevitable lockdowns have had a significant impact on lifestyle behaviors and patient-care worldwide [ 2 ]. With new waves of COVID-19 and the re-imposition of lockdowns in different parts of the world, it becomes imperative to study the true impact of initial lockdown in the early phase of the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 pandemic on sleep in children and adolescents: a systematic review and meta-analysis

et al. 2021

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Objective This systematic review and meta-analysis were conducted to study the prevalence and pattern of sleep disturbances in children and adolescents during the COVID-19 pandemic. Methods MEDLINE, EMBASE, and Web of Science were searched for original studies describing sleep abnormalities in children and adolescents with or without pre-existing neurobehavioral disorders during the COVID-19 pandemic. The pooled estimates for various sleep abnormalities were calculated using a random-effect model. Results Of 371 articles screened, 16 studies were included. Among these, five studies were in preschool children, two were in children with pre-existing neurobehavioral disorders and the remaining were in school going children and adolescents. The outcome measures used for sleep were markedly heterogeneous across the studies. The pooled prevalence of any sleep disturbance in children during the pandemic was 54%(95%CI:50–57%). Interestingly, the prevalence in pre-school children was lower than pre-pandemic times (RR = 0.87; 95% CI:0.58–1.30) but this was not statistically significant. The pooled prevalence of children not meeting sleep recommendation was 49% (95%CI: 39–58%). Conclusion The prevalence of sleep problems in children and adolescents during the COVID-19 pandemic is alarming. Pre-school children had a trend towards relatively fewer sleep disturbances due to home confinement measures in comparison with pre-pandemic times. Sleep duration recommendations were not met in nearly half of healthy children. However, these conclusions need to be seen in light of limited literature on the topic, few included studies done in heterogenous populations, and dubious quality of inferences drawn from these studies which were predominantly online surveys. Prospero registration id CRD42020213788.

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“…While participants continued their occupations, they mentioned difficulties encountered, need for new developments and alternative communication routes over time. Though living in three separate regions of the world’s geography, Dr. Pavlakis and Dr. Grupta and colleagues noted the same problems encountered by Turkish pediatric neurologists in their letters from a similar period ( 8 , 19 , 20 ). Apart from the load brought by the pandemic, it is known that health employees shared concerns about attempting to reorganize the disrupted routine health services caused by the pandemic, with variations according to country.…”

Section: Discussionmentioning

confidence: 91%

“…In developed or developing countries, pediatric neurology practice encountered situations like increased telemedicine implementations, changes to treatment regimes, and difficulty accessing epilepsy surgery-diet clinics ( 7 , 8 ). Though health authorities or institutions sometimes offered solutions to these problems, the extremely fast progress in this period pushed pediatric neurologists to find individual solutions.…”

Section: Introductionmentioning

confidence: 99%