Decrease in Infection-related Hospital Admissions During COVID-19: Why Are Parents Avoiding the Doctor?

Kadambari, Seilesh; Abo, Yara-Natalie; Phuong, Linny Kimly; Osowicki, Joshua; Bryant, Penelope A

doi:10.1097/inf.0000000000002870

Cited by 42 publications

(43 citation statements)

References 4 publications

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“…In contrast, of the 28% that indicated they would wait longer at home before attending hospital, most were parents of children who had completed active cancer treatment. This is in keeping with results from a study that found more than one‐third of parents delayed seeking any medical attention for their child with infective symptoms 11 . Of the changes made to hospital access and care delivery in response to the pandemic, parents were keen to see the enhanced infection prevention measures remain.…”

Section: Discussionsupporting

confidence: 80%

Managing low‐risk febrile neutropenia in children in the time of COVID‐19: What matters to parents and clinicians

Haeusler

Lourenço

Bakos³

et al. 2021

J Paediatrics Child Health

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Aim The Australian ‘There is no place like home’ project is implementing a paediatric low‐risk febrile neutropenia (FN) programme across eight paediatric hospitals. We sought to identify the impact of the coronavirus disease 2019 (COVID‐19) pandemic on programme implementation. Methods Paediatric oncology, infectious diseases and emergency medicine health‐care workers and parent/carers were surveyed to explore the impact of the COVID‐19 pandemic on home‐based FN care. Online surveys were distributed nationally to health‐care workers involved in care of children with FN and to parents or carers of children with cancer. Results Surveys were completed by 78 health‐care workers and 32 parents/carers. Overall, 95% of health‐care workers had confidence in the safety of home‐based FN care, with 35% reporting changes at their own hospitals in response to the pandemic that made them more comfortable with this model. Compared to pre‐pandemic, >50% of parent/carers were now more worried about attending the hospital with their child and >80% were interested in receiving home‐based FN care. Among both groups, increased telehealth access and acceptance of home‐based care, improved patient quality of life and reduced risk of nosocomial infection were identified as programme enablers, while re‐direction of resources due to COVID‐19 and challenges in implementing change during a crisis were potential barriers. Conclusion There is strong clinician and parent/carer support for home‐based management of low‐risk FN across Australia. Changes made to the delivery of cancer care in response to the pandemic have generally increased acceptance for home‐based treatments and opportunities exist to leverage these to refine the low‐risk FN programme.

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Section: Discussionsupporting

confidence: 80%

Managing low‐risk febrile neutropenia in children in the time of COVID‐19: What matters to parents and clinicians

Haeusler

Lourenço

Bakos³

et al. 2021

J Paediatrics Child Health

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“…These restrictions led to a marked decrease in physical contact between children, which could have reduced the spread of infectious diseases. As a result, we could have expected a decrease in infection‐related morbidity in Israel, in line with the reductions described by Kadambari et al in a paper on the pandemic 12 …”

Section: Introductionsupporting

confidence: 81%

The COVID‐19 pandemic dramatically reduced admissions of children with and without chronic conditions to general paediatric wards

et al. 2021

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Aim We examined the impact of the COVID‐19 pandemic on how many children were admitted to Israel's largest tertiary paediatric hospital and why they were admitted. Methods Israel declared COVID‐19 a national emergency on 19 March 2020. This study examined daily hospital admissions to our three general paediatric wards during the COVID‐19 lockdown period from 20 March to 18 April 2020. These 258 admissions were compared with the 4217 admissions from the period immediately before this, 1 February to 19 March 2020, plus 1 February to 18 April in 2018 and 2019. We also compared why patients were admitted during the study period, and any pre‐existing conditions, with 638 children hospitalised during the same period in 2019. Results The mean number of daily hospitalisations during the COVID‐19 lockdown period was 8.6, which was 59% lower than the 20.9 recorded during the other three periods before COVID‐19. There was a significant decrease in the number of patients admitted with infectious (74%) and non‐infectious (44%) aetiologies from 2019 to 2020, and these occurred among patients with (58%), and without (55%), pre‐existing medical conditions. Conclusion The Israeli COVID‐19 lockdown had a dramatic effect on admissions to the paediatric wards of a tertiary hospital.

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“…Our observation of declines in inpatient care for many infections and infection-mediated diseases (eg, asthma) are consistent with other studies examining ED and inpatient resource use during COVID including asthma, croup, bronchiolitis, and pneumonia. [24][25][26] Notably, the specific conditions with the greatest declines in our study are all conditions that may be affected by changes in community viral and bacterial transmission. Thus, social distancing and policies including school closures may have had a cumulative impact on declines in admissions in addition to the factors described above.…”

Section: Discussionmentioning

confidence: 83%

Inpatient Use and Outcomes at Children’s Hospitals During the Early COVID-19 Pandemic

et al. 2021

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This is a prepublication version of an article that has undergone peer review and been accepted for publication but is not the final version of record. This paper may be cited using the DOI and date of access. This paper may contain information that has errors in facts, figures, and statements, and will be corrected in the final published version. The journal is providing an early version of this article to expedite access to this information. The American Academy of Pediatrics, the editors, and authors are not responsible for inaccurate information and data described in this version.

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Decrease in Infection-related Hospital Admissions During COVID-19: Why Are Parents Avoiding the Doctor?

Cited by 42 publications

References 4 publications

Managing low‐risk febrile neutropenia in children in the time of COVID‐19: What matters to parents and clinicians

Managing low‐risk febrile neutropenia in children in the time of COVID‐19: What matters to parents and clinicians

The COVID‐19 pandemic dramatically reduced admissions of children with and without chronic conditions to general paediatric wards

Inpatient Use and Outcomes at Children’s Hospitals During the Early COVID-19 Pandemic

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