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Effects of the SARS-CoV2-Lockdown on Pediatric Care in the Rhine-Main Area

Helena Donath1, Stefan Zielen1, Boris Wittekindt2

  • 1Department for Children and Adolescents, Division of Allergology, Pulmonology and Cystic Fibrosis, Goethe University Frankfurt, Germany.

Klinische Padiatrie
|November 13, 2020
PubMed

Insights

The COVID-19 lockdown in Germany led to a significant decrease in pediatric consultations and hospital admissions, particularly for respiratory infections. These findings highlight the pandemic's impact on child healthcare access.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • The impact of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and associated lockdown measures on pediatric healthcare in Germany remains unclear.
  • Understanding these effects is crucial for assessing the broader consequences of public health interventions on child health services.

Purpose of the Study:

  • To investigate the effects of the COVID-19 lockdown on pediatric medical care in the Rhine-Main area.
  • To quantify changes in pediatrician consultations and hospital admissions during the lockdown period.

Main Methods:

  • A survey was conducted among 115 pediatricians in the Rhine-Main area.
  • Inpatient admissions at the Department for Children and Adolescents, Goethe-University, Frankfurt, were analyzed.
  • Data from April 2020 were compared with data from April 2019.

Main Results:

  • 56.5% of surveyed pediatricians responded, estimating a 40% median reduction in consultations, though practice software indicated a 30% decrease.
  • A significant reduction in acute bronchitis cases (J21) was observed (50 vs. 10 cases per pediatrician; p<0.001).
  • Hospital admissions dropped by 43.7% (402 in April 2019 to 226 in April 2020), with notable decreases in respiratory infections, asthma exacerbations, neonatal, and oncological disorders.

Conclusions:

  • The April 2020 lockdown in Germany resulted in substantially fewer pediatric visits and hospital admissions.
  • Acute respiratory tract infections were particularly affected, indicating a significant disruption in routine pediatric care.
  • The study underscores the need to consider the health and economic ramifications of such public health measures on pediatric populations.
Abstract

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