Impact of COVID‐19 on pediatric pulmonology healthcare practice

Büyükşahin, Halime Nayır; Emiralioğlu, Nagehan; Tural, Dilber Ademhan; Özsezen, Beste; Sunman, Birce; Güzelkaş, İsmail; Yalçın, Ebru; Doğru, Deniz; Özçeli̇k, Uğur; Ki̇per, Nural

doi:10.1002/ppul.25557

Cited by 5 publications

(6 citation statements)

References 18 publications

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“…While certain measures such as the restriction of socializing and non-urgent hospital admissions, closure of schools and the installation a curfew caused a decrement in hospital admissions, patients especially those with chronic diseases and their parents were also hesitant to visit hospitals [19]. In a recent study, a decline in the numbers of outpatient clinic visits and pediatric pulmonology procedures were observed due to the pandemic [20]. However, PSG and PAP titration therapy are indispensable studies for certain indications.…”

Section: Discussionmentioning

confidence: 99%

Sleep medicine practices in pediatric patients during the COVID-19 pandemic

et al. 2023

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Objectives: The COVID-19 pandemic required precautions for infection control in sleep centers. Our aim was to assess the impact of the COVID-19 pandemic on sleep medicine practices. Methods: Data of patients undergoing polysomnography and positive airway pressure titration studies prior to (2019) and during the pandemic (2020) were analyzed. In addition, the effect of taking appropriate precautions and performing SARS-CoV-2 polymerase chain reaction testing on the safety of sleep medicine practices was investigated. Results: The median age of the patients who underwent sleep studies (polysomnography + positive airway pressure titration studies) in 2019 was 7 (2.5-11.5) years (164 male, 147 female), whilst it was 9 (4-12) years (127 male, 84 female) in 2020. During the outbreak, the frequency of sleep studies increased from 3% (311 tests/10068 total number of outpatient visits in 2019) to 3.7% (211 tests/5666 in 2020). In contrast, the frequency of positive airway pressure titration studies declined from 31.8% (99 positive airway pressure titration studies/311 sleep studies) to 21.8% (46 positive airway pressure titration studies/211 sleep studies) in 2020 compared to 2019. Down syndrome was found to be the most common indication both in 2019 (20.9% of all tests) and 2020 (13.7%). Conclusions: Polysomnographies were performed at a high rate despite the pandemic. However, positive airway pressure titration studies were avoided except for urgent indications because of the potential for aerosolization. In this study, it was shown that sleep studies can be performed safely when necessary precautions are taken.

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Section: Discussionmentioning

confidence: 99%

Sleep medicine practices in pediatric patients during the COVID-19 pandemic

et al. 2023

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“…2,22,23 Bronchoscopy is an essential and safe method to diagnose and treat airway diseases in children. 8,24,25 Bronchoscope interventions facilitate cast clearance and access of inhaled drugs into the distal airways. 2,10,11 Recently, Kallam et al 12 reported that cryotherapy was useful and safe in bronchial casts that were refractory to conservative treatment.…”

Section: Discussionmentioning

confidence: 99%

Plastic bronchitis during childhood: Diversity of presentation, etiology, treatment, and outcomes

Büyükşahin

Emiralioğlu

Şekerel

et al. 2023

Pediatric Pulmonology

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ObjectivePlastic bronchitis (PB) is a rare disease in children, and reliable data are scarce. Here, we aimed to analyze the clinical features, management, and outcomes in children with PB.MethodsThe medical data of patients who were followed up with a diagnosis of PB between January 2010 and March 2022 were retrospectively analyzed.ResultsThe median age of 15 patients was 9 (interquartile range: 4–10) years with a male/female ratio of 12/3. Initial symptoms included recurrent pneumonia (33.3%), persistent atelectasis (33.3%), cast expectoration (26.6%), and intense, persistent cough (6.6%). The most common underlying diagnosis was asthma (n = 12, 80%), and six of the patients were newly diagnosed. The most common radiological findings were atelectasis as a consequence of major airway obstruction on chest X‐ray or computed tomography. Five patients, all diagnosed as having asthma, had recurrent PB and required multiple airway procedures for treatment and diagnosis. During a median 7‐year follow‐up of five patients, occasionally cast expectoration was observed in one patient with asthma who had poor compliance with inhaled corticosteroids.ConclusionPB is a common reflection of the different underlying etiologies in the pediatric age group, and treatment and outcomes are closely related to these. It should be kept in mind that asthma can be a predisposing factor for the development of PB.

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“…Moreover, Lubrano et al [ 30 ], in a survey involving the Italian pediatric scientific societies, showed that during the first wave in 2020, many patients did not show up at their scheduled specialist visits for the fear of SARS-CoV-2 infection. In keeping with this, an observational study [ 31 ] at a tertiary care center of pediatric pulmonology in Ankara (Turkey) between January 2019 and December 2020, showed that the ongoing pandemic affected the routine clinical follow-up and pediatric pulmonology procedures; this was especially the case in non-COVID services. More specifically, in this report, outpatient visits decreased by 42.2% in 2020 compared to 2019; pulmonary function tests by 87.2%; and flexible bronchoscopy by 59.1% [ 31 ].…”

Section: Children With Cld and Organization Of Patient Care During Co...mentioning

confidence: 95%

“…In keeping with this, an observational study [ 31 ] at a tertiary care center of pediatric pulmonology in Ankara (Turkey) between January 2019 and December 2020, showed that the ongoing pandemic affected the routine clinical follow-up and pediatric pulmonology procedures; this was especially the case in non-COVID services. More specifically, in this report, outpatient visits decreased by 42.2% in 2020 compared to 2019; pulmonary function tests by 87.2%; and flexible bronchoscopy by 59.1% [ 31 ].…”

Section: Children With Cld and Organization Of Patient Care During Co...mentioning

confidence: 95%

Impact of COVID-19 in Children with Chronic Lung Diseases

Ferraro

Zanconato

Carraro

2022

IJERPH

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Background: since December 2019, the world has become victim of the coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The aim of our narrative review is to analyze the impact of COVID-19 in children suffering from chronic lung disease (CLD). Methods: we searched the MEDLINE/Pubmed database using the terms “SARS-CoV-2” or “COVID-19” or “Coronavirus Diseases 2019”; AND “chronic lung diseases” or “chronic respiratory diseases” or “asthma” or “cystic fibrosis” or “primary ciliary dyskinesia” or “bronchopulmonary dysplasia”; and limiting the search to the age range 0–18 years. Results and Conclusions: although COVID-19 rarely presents with a severe course in children, CLD may represent a risk factor; especially when already severe or poorly controlled before SARS-CoV-2 infection. On the other hand, typical features of children with CLD (e.g., the accurate adoption of prevention measures, and, in asthmatic patients, the regular use of inhaled corticosteroids and T2 inflammation) might have a role in preventing SARS-CoV-2 infection. Moreover, from a psychological standpoint, the restrictions associated with the pandemic had a profound impact on children and adolescents with CLD.

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Impact of COVID‐19 on pediatric pulmonology healthcare practice

Cited by 5 publications

References 18 publications

Sleep medicine practices in pediatric patients during the COVID-19 pandemic

Sleep medicine practices in pediatric patients during the COVID-19 pandemic

Plastic bronchitis during childhood: Diversity of presentation, etiology, treatment, and outcomes

Impact of COVID-19 in Children with Chronic Lung Diseases

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