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Impact of COVID-19 lockdown on children with asthma in Jordan: a parental questionnaire
Montaha Al-Iede1,2, Karen Waters3, Shereen M Aleidi4
1Department of Pediatrics, Respiratory and Sleep Medicine Section, Jordan University Hospital, Amman, Jordan.
Insights
The COVID-19 lockdown in Jordan significantly reduced emergency visits and hospital admissions for childhood asthma. Parents reported improved medication adherence, possibly due to COVID-19 concerns.
Area of Science:
- Pediatric Pulmonology
- Public Health
- Epidemiology
Background:
- Asthma exacerbations in children frequently lead to emergency department (ED) visits and hospital admissions.
- The COVID-19 pandemic necessitated public health interventions, including national lockdowns, impacting healthcare access and patient behaviors.
Purpose of the Study:
- To assess the effect of a 10-week national lockdown on pediatric asthma management.
- Evaluate changes in emergency department presentations, hospital admissions, medication compliance, and pulmonary function in children with asthma.
Main Methods:
- A questionnaire-based, cross-sectional study was conducted.
- Parents/caregivers of children aged 4-17 years with asthma provided responses via Google Forms.
- Data collected included ED visits, hospital admissions, medication use, and telemedicine utilization.
Main Results:
- A significant reduction in ED presentations (137 to 80) and hospital admissions (56 to 24) for asthma exacerbations was observed during lockdown.
- Over 65% of participants reported improved compliance with asthma medications and spacer use.
- Approximately 25% utilized telemedicine, with 80% finding it easy and smooth.
Conclusions:
- The national lockdown in Jordan correlated with decreased emergency healthcare utilization for pediatric asthma exacerbations.
- Parental concerns about COVID-19 may have contributed to enhanced adherence to preventative asthma medications.
Objective:
To evaluate the impact of a 10-week lockdown on children with asthma aged 4-17 years in terms of presentations to the emergency department (ED), frequency of admissions, compliance with medications and changes in pulmonary function testing results.
Design And Setting:
A questionnaire-based cross-sectional study using Google Forms to collect parents' and caregivers' responses after they consented to participation.
Results:
A total of 374 parents/caregivers were contacted and 297 (79%) responded. The majority of the children were male (188 or 63%) and 49.8% were aged 7-12 years. More than half of the participants (194 or 65%) reported improved compliance with medications and spacer use. There was a significant reduction in the number of presentations to the ED from 137 to 80 and admissions to hospital from 56 to 24 during the 10-week lockdown period compared with the same time period in the previous year (p≤0.0001). Around 25% of the participants used telemedicine by phone and social media applications for communication with their treating physician and 59 (80%) described it as easy and smooth.
Conclusion:
The national lockdown in Jordan due to the COVID-19 pandemic was associated with a fall in emergency presentations and hospital admissions for acute asthma exacerbations. Parental responses indicate that fears focused around COVID-19 were associated with enhanced compliance with use preventer medications during the lockdown.
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