Paediatric asthma exacerbation admissions and stringency of non-pharmaceutical interventions: Results from a

Jomana W Alsulaiman1, Khalid A Kheirallah2, Mohammed-Jafar Ajlony3

  • 1Department of Pediatrics, Medical School of Yarmouk University, Irbid, Jordan.

Insights

Non-pharmaceutical interventions (NPI) during COVID-19 significantly reduced paediatric asthma exacerbation admissions in Jordan. These findings suggest NPIs positively impacted children's respiratory health, warranting further public health policy considerations.

Area of Science:

  • Pediatric Pulmonology
  • Public Health
  • Epidemiology

Background:

  • COVID-19 pandemic necessitated global non-pharmaceutical interventions (NPIs).
  • Changes in lifestyle and environment during NPIs may affect pediatric asthma.
  • Impact of NPIs on pediatric asthma in developing countries remains understudied.

Purpose of the Study:

  • To investigate the impact of COVID-19 NPIs on pediatric asthma exacerbation admissions in Northern Jordan.
  • To analyze trends in asthma admissions before, during, and after lockdown periods.
  • To correlate NPI stringency with asthma admission rates.

Main Methods:

  • Utilized aggregate data from two pediatric hospitals in Jordan (2018-2020).
  • Calculated weekly pediatric asthma exacerbation admissions.
  • Compared admission data by year, lockdown status, and lockdown weeks (13-19); correlated stringency index with admissions in 2020.

Main Results:

  • Total admissions decreased from 40.3% in 2018 to 24.5% in 2020.
  • Mean weekly admissions in 2020 (5.6) were significantly lower than in 2018 (9.2) and 2019 (8.0).
  • Lockdown periods showed significantly lower admissions compared to pre- and post-lockdown; stringency index negatively correlated with admissions.

Conclusions:

  • COVID-19 NPI measures in Jordan appeared to positively influence pediatric asthma exacerbation admissions.
  • Findings suggest potential public health benefits of NPIs on pediatric respiratory health.
  • Further research is recommended to inform environmental and community health policies.
Abstract

Related Concept Videos

Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.8K
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
898
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
2.8K
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
2.9K
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
3.4K
Inhaled Medications01:23

Inhaled Medications

Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
506