在COVID-19时代的医院间变化 儿童住院按年龄组和诊断
Daria Murosko1, Molly Passarella1, Sara C Handley1,2,3
1The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Hospital pediatrics
|September 7, 2023
概括
在COVID-19大流行期间,儿童住院病例发生了显著的变化,受到呼吸道感染率和精神健康入院的独特变化的影响. 这凸显了地方政策对非传染性条件的影响.
科学领域:
- 儿科卫生服务研究 儿童卫生服务研究
- 流行病学 流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 2019年冠状病毒病 (COVID-19) 缓解策略和公众反应的地理变化影响了儿科疾病负担和医院实践.
- 在COVID-19大流行期间,儿童住院趋势在不同机构之间存在显著差异.
研究的目的:
- 量化COVID-19时代儿科住院病例的医院特定变化.
- 将COVID-19时代的住院数据与大流行前时期的数据进行比较.
主要方法:
- 用儿科健康信息系统数据库对44家儿童医院的数据进行了回顾性分析.
- 在COVID-19时代 (2020年3月至2021年6月) 和大流行前时期 (2017年1月至2019年12月) 之间的1天至17岁儿童住院病例的比较.
- 使用变化系数 (CV) 确定变化大小,并使用斯皮尔曼测试评估与社区和医院因素的相关性.
主要成果:
- 在COVID-19时代,整体儿科住院病例的显著下降发生,有显著的医院间变化 (CV = 0.41).
- 这种下降与呼吸道感染住院减少有中等相关性 (r = 0.69,P < .001).
- 由于心理健康状况而入院的病例有很大差异 (CV = 2.58),一些中心在青少年和新生儿入院的数量增加.
结论:
- 在COVID-19大流行期间的住院变化在各机构之间存在差异,部分原因是呼吸道感染率的变化.
- 精神健康和其他非传染性疾病的不明原因变化表明,当地政策和医院特定实践的不同影响.
- 需要进一步的研究,以了解与流行病相关的政策对非传染性儿科疾病的独特影响.
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