Impacto de la pandemia COVID-19 sobre la tasa de ingresos por infecciones respiratorias en Unidad de Cuidados Intensivos Pediátricos

Barrezueta, Lorena Bermúdez; Raposo, Marta Brezmes; Fernández, Irene Sanz; Casillas, Pablo López; Francisco, César Villa; Vázquez, Asunción Pino

doi:10.1016/j.medin.2021.04.004

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Anteriormente hemos notificado este inusual fenómeno epi- demiológico que también ha sido observado en otros países de diferentes continentes [ 9 , 11 , 12 ]. Como continuación de una investigación previa [ 13 ], nos planteamos como objetivo describir y analizar el comportamiento epidemiológico de las infecciones respiratorias agudas graves (IRAG) en niños duran- te los 3 años de pandemia COVID-19, en comparación con un período anterior de la misma dimensión temporal.…”

Section: Introductionunclassified

Increase in severe acute respiratory infections in children during the last phase of the COVID-19 pandemic

Bermúdez-Barrezueta,

Brezmes Raposo,

Benito Gutiérrez

et al. 2023

Rev Esp Quimioter

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Objective. The COVID-19 pandemic has caused a variation in the circulation of respiratory pathogens. Our aim was to analyze the epidemiology of severe acute respiratory infections (SARI) in children during 3 years of the COVID-19 pandemic, in comparison with a previous period. Patients and Methods. An observational study was conducted in a tertiary hospital in Spain, which analyzed the frequency and characteristics of patients admitted for SARI in the Pediatric Intensive Care Unit (PICU) during the COVID-19 pandemic (1 March 2020 to 28 February 2023), compared to pre-pandemic period (1 March 2017 to 29 February 2020). Results. A total of 268 patients were included (59.6% males). The median age was 9.6 months (IQR 1.7 – 37). In the pre-pandemic period, there were 126 admissions with an average of 42 admissions/year. During the pandemic, there were 142 admissions, observing a significant reduction in admissions in the first year (12 admissions/year), in contrast to 82 admissions during the third year, which represented an increase of 95% compared to the average of admissions/year in pre-pandemic. In addition, in the last year there was evidence of an increase in viral coinfections in relation to pre-pandemic period (54.9% vs 39.7%; p=0.032). There were no differences in length of hospital stay or PICU stay. Conclusions. During the last year, coinciding with low rates of hospitalization for COVID in Spain, we observed a notable increase in admissions to the PICU for SARI. Probably, the prolonged period of low exposure to pathogens due to the measures adopted during the pandemic might have caused a decrease in population immunity with a rise in severe respiratory infections.

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Section: Introductionunclassified

Increase in severe acute respiratory infections in children during the last phase of the COVID-19 pandemic

Bermúdez-Barrezueta,

Brezmes Raposo,

Benito Gutiérrez

et al. 2023

Rev Esp Quimioter

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High-flow nasal cannula in Spanish Pediatric Intensive Care Services: A national web survey about its use and indications

García-Salido,

Modesto I Alapont,

Medina-Villanueva

2024

Medicina Intensiva (English Edition)

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Pulmonary Lymphangitis Poses a Major Challenge for Radiologists in an Oncological Setting during the COVID-19 Pandemic

Fusco

Simonetti

Ianniello

et al. 2022

JPM

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Due to the increasing number of COVID-19-infected and vaccinated individuals, radiologists continue to see patients with COVID-19 pneumonitis and recall pneumonitis, which could result in additional workups and false-positive results. Moreover, cancer patients undergoing immunotherapy may show therapy-related pneumonitis during imaging management. This is otherwise known as immune checkpoint inhibitor-related pneumonitis. Following on from this background, radiologists should seek to know their patients’ COVID-19 infection and vaccination history. Knowing the imaging features related to COVID-19 infection and vaccination is critical to avoiding misleading results and alarmism in patients and clinicians.

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Impacto de la pandemia COVID-19 sobre la tasa de ingresos por infecciones respiratorias en Unidad de Cuidados Intensivos Pediátricos

Cited by 3 publications

References 9 publications

Increase in severe acute respiratory infections in children during the last phase of the COVID-19 pandemic

Increase in severe acute respiratory infections in children during the last phase of the COVID-19 pandemic

High-flow nasal cannula in Spanish Pediatric Intensive Care Services: A national web survey about its use and indications

Pulmonary Lymphangitis Poses a Major Challenge for Radiologists in an Oncological Setting during the COVID-19 Pandemic

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