Trends in US Pediatric Hospital Admissions in 2020 Compared With the Decade Before the COVID-19 Pandemic

Pelletier, Jonathan; Rakkar, Jaskaran; Au, Alicia K.; Fuhrman, Dana Y.; Clark, Robert S. B.; Horvat, Christopher M.

doi:10.1001/jamanetworkopen.2020.37227

Cited by 141 publications

(152 citation statements)

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“…Our study is consistent with prior literature reporting a decrease in healthcare utilization during the pandemic, particularly hospitalizations and emergency department visits. [ 8 , 9 , 10 , 11 ]. However, our study adds to the sparse literature, by evaluating 79 clinics across four large, academic institutions in the Southeastern US, indicating decreased utilization of pediatric primary care [ 12 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

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Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas

Brown

Montez

Amati

et al. 2021

IJERPH

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We aimed to determine how COVID-19 affected the number and type of pediatric primary care visits in April 2020, compared to April 2019, and which characteristics were associated with obtaining care in 2020. We performed a retrospective chart review of patients receiving care in April 2019 and April 2020 from four large, academic institutions across two states. The subjects were included if they were aged 0–18 years and were seen in a pediatric clinic in April 2019 or April 2020. We extracted the number of visits, visit type, and visit diagnosis; and the patient characteristics, including age, race/ethnicity, and insurance status. Logistic regression analysis identified characteristics associated with obtaining care in April 2020. We included 120,230 visits. Participants were 50% white and half had Medicaid. In 2020 there were significantly fewer visits for both well and acute visits with 42,670 visits in 2020 compared to 77,560 in 2019; 6616 were telehealth visits in 2020. Visits for chronic conditions were significantly decreased in 2020. Attending a visit in 2020 was more likely if the participant was black or Hispanic, younger, attending an acute visit, or had private insurance. During the COVID-19 pandemic, pediatric primary care decreased substantially for both well visits and follow-up of chronic conditions.

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Section: Discussionmentioning

confidence: 99%

“…The pandemic has resulted in a significant decrease in pediatric emergency department visits and hospitalizations. [ 8 , 9 , 10 , 11 ]. There has also been a decrease in pediatric primary care visits due to concerns about children becoming infected with SARS-CoV-2, or in order to comply with stay-at-home orders [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas

Brown

Montez

Amati

et al. 2021

IJERPH

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“…In the lockdown era, respiratory diseases such as asthma required less hospitalization than the previous years due to a reduction in respiratory tract infections [ 14 , 15 ]. Different reasons can explain these results, such as public health interventions during the COVID-19 pandemic and the consequent reduction of exposure to the exacerbating factors for allergy [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Updates on Children with Allergic Rhinitis and Asthma during the COVID-19 Outbreak

Brindisi

Vittori

Nola

et al. 2021

JCM

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Background: During the lockdown period caused by the SARS-CoV-2 pandemic, we monitored via online survey the trend of allergic symptoms and the therapeutic compliance in patients followed at our center. Material and methods: In June 2020, we selected children followed at the Allergy and Immunology Service of Umberto I Hospital, aged between 6 and 16 years old, diagnosed with asthma and/or rhinitis and sensitized to grass pollen or dust mite. We sent an email with 12 multiple-choice questions investigating several areas: type of disease and sensitization, recurrence of symptoms, medication use during lockdown compared to the same period of the previous year. Results: The results of 82 questionnaires showed that 17.8% of patients suffered from asthma, 24.4% from rhinitis, and 57.8% from both. Within the group of asthmatic children, most of them presented an improvement of their symptoms. Likewise, with regard to allergic rhinitis, most of them reported better clinical conditions. Regarding treatment, we observed a global decrease in the use of on-demand therapies (salbutamol, nasal corticosteroid, and antihistamine) for both pathologies. In addition, there was a reduction in the use of basal therapy for asthma and rhinitis from 2019 (23.3%) to 2020 (15.5%). Conclusions: Our data show a general trend of clinical improvement and a reduction in the use of on-demand and basal therapy in allergic children during the lockdown.

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“…As reported in other studies, social distancing and stepped-up hygiene measures determined a concomitant reduction in the diffusion of respiratory pathogens, leading to decreased respiratory tract infections 3,[25][26][27] . Moreover, the feeling of the emergency period might have enhanced adherence to controller medications among asthmatic population 27,28 .…”

Section: Discussionmentioning

confidence: 84%

Understanding the environmental factors related to the decrease in Pediatric Emergency Department referrals for acute asthma during the SARS-CoV-2 pandemic

Dondi¹,

Betti

Carbone

et al. 2021

Preprint

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Background: Asthma exacerbations, a common reason for Pediatric Emergency Department (PED) referral, can be triggered by multiple factors, including infections, air pollution and allergens. Lockdown measures and other public health interventions during the SARS-CoV-2 pandemic determined radical changes to behavioral and social habits, that were reflected by a reduction in the transmission of all respiratory pathogens and in the emissions of relevant air pollution anthropogenic sources. Objective: This study aims to describe how restrictions during SARS-CoV-2 pandemic impacted the PED referral for asthma exacerbations and their potentially associated environmental triggers in densely populated urban areas. Methods: PED referrals for acute asthma from 2015 to 2020 were compared to air pollution and pollen data. To this purpose, historical daily concentration records of PM2.5, PM10 (including specific chemical tracers), as well as NO2, C6H6, tree, grass and weed pollen were analyzed. Results: In 2020, asthma-related PED referrals decreased up to 85%, compared to the average referral rate of the previous 5 years (P<0.01). The drastic drop in PED referrals was associated with a reduction of high-priority cases by 50-60%, unlike PED referrals for overall diagnoses, showing a larger contribution for severe outcomes. A concomitant diminished contribution of traffic-related air pollution was shown. Conclusions: The lower rate of asthma exacerbations in childhood can be related to synergic interactions of the multiple effects of lockdown measures which induced lower viral infection rates and decreased exposure to outdoor allergens. The reduction of traffic-related air pollution determined a weakening of inflammatory properties of urban PM.

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Trends in US Pediatric Hospital Admissions in 2020 Compared With the Decade Before the COVID-19 Pandemic

Cited by 141 publications

References 50 publications

Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas

Impact of COVID-19 on Pediatric Primary Care Visits at Four Academic Institutions in the Carolinas

Updates on Children with Allergic Rhinitis and Asthma during the COVID-19 Outbreak

Understanding the environmental factors related to the decrease in Pediatric Emergency Department referrals for acute asthma during the SARS-CoV-2 pandemic

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