卫生服务对感染SARS-CoV-2的儿童进行使用,这些儿童患有或支气管炎
Amy Tyler1, Leigh Anne Bakel2, Joshua Tucker3
1Department of Pediatrics (Hospital Medicine), Nationwide Children's Hospital, Columbus, Ohio.
住院治疗或支气管炎的儿童同时患有严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 感染并没有增加医疗保健利用率. 这一发现表明,疫情期间这些儿科呼吸道疾病对医院资源没有重大影响.
科学领域:
- 儿童传染病 儿童传染病
- 流行病学 流行病学
- 医疗服务研究 医疗服务研究
背景情况:
- 形和支气管炎是儿童常见的住院治疗.
- 严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 对这些疾病的影响尚不清楚.
- 了解医疗保健利用率对于资源分配至关重要.
研究的目的:
- 为了比较小儿和支气管炎患者的医疗保健利用率,有和没有SARS-CoV-2感染.
- 分析住院,再入院,住院时间和ICU入院率.
- 评估不同SARS-CoV-2变种时期的结果.
主要方法:
- 使用PEDSnet电子健康记录数据进行回顾性队列研究.
- 包括30天至14岁的被诊断患有或支气管炎的儿童.
- 分析分为前三角形,三角形和奥米克朗变种时期 (2020年3月至2022年5月).
- 用于确定调整的赔率比率的多变量混合效应模型.
主要成果:
- 9.65%的和3.92%的支气管炎患者是SARS-CoV-2阳性的.
- 在欧米克朗变种期间,这两种疾病的SARS-CoV-2病例均为最高.
- 在控制变量后,在SARS-CoV-2阳性和阴性组之间没有发现利用结果的统计学上显著差异.
结论:
- 患有/支气管炎和SARS-CoV-2的儿科患者没有显著增加住院或ICU入院.
- 结果可以为未来的医疗保健人员模型和公共卫生建议提供信息.
- 需要对长期影响和特定变异影响进行进一步的研究.
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