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Impact of COVID-19 on nationwide pediatric complicated sinusitis trends throughout 2018-2022

Gianna Rosamilia1, Kyung Hyun Lee2, Soham Roy3

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, Houston, TX, United States of America.

American Journal of Otolaryngology
|December 22, 2023
PubMed

Insights

Pediatric sinusitis cases increased in number and severity post-COVID, with higher risks for older children and those with government insurance. A temporary decrease occurred in 2020-2021 due to the pandemic.

Area of Science:

  • Pediatric Otolaryngology
  • Epidemiology
  • Health Services Research

Background:

  • Acute sinusitis is a common pediatric condition.
  • Understanding trends in pediatric sinusitis is crucial for public health.
  • The COVID-19 pandemic has impacted various aspects of child health.

Purpose of the Study:

  • To analyze trends in pediatric sinusitis from 2018-2022.
  • To investigate changes in case volume, socioeconomic factors, and severity.
  • To assess the impact of the post-COVID era on pediatric sinusitis.

Main Methods:

  • Retrospective cohort study utilizing the Pediatric Health Information System (PHIS) database.
  • Inclusion of data from 50 children's hospitals across different regions.
  • Evaluation of demographic, socioeconomic, and severity data from 2018-2022.

Main Results:

  • Increased pediatric sinusitis cases and severity observed in the post-COVID era compared to pre-COVID.
  • A decrease in total sinusitis cases occurred in 2020-2021, aligning with pandemic-related trends.
  • Age and government insurance were significant predictors of increased sinusitis severity and likelihood of surgery.

Conclusions:

  • A discernible trend of increased incidence and severity of pediatric acute sinusitis post-COVID.
  • Pandemic years 2020-2021 showed a decline in cases, consistent with other communicable diseases.
  • Findings highlight the need for continued monitoring and targeted interventions for pediatric sinusitis.
Abstract

Keywords:
Acute sinusitisCOVIDCOVID-19Complicated sinusitisPHISPandemicPediatric otolaryngologyRhinology

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