导航变化:对COVID-19前后儿童喘护理的比较研究
Natasha Chaudhari1, Joanne Nazif2,3, Eunah Song2
1Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Clinical pediatrics
|March 1, 2026
概括
在COVID-19后,儿童喘病例的入院率恢复到了大流行前的水平. 然而,平均逗留时间 (LOS) 减少了,这表明潜在的病例可能不那么严重,这可能会降低医疗费用.
科学领域:
- 儿科肺病学 儿科肺病学
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 病毒性疾病通常会引发儿科喘恶化,导致流感季节住院率更高.
- 以前的研究表明,在COVID-19大流行期间,喘患者的入院率下降,同时患者的敏度增加.
- COVID-19大流行对儿科喘住院趋势的长期影响需要进一步调查.
研究的目的:
- 分析COVID-19最初爆发一年后儿童喘病例和严重程度的趋势.
- 为了比较流行病前,流行病前和流行病后期间的住院数据.
- 为了确定影响停留时间 (LOS) 的因素,作为喘严重程度的代理.
主要方法:
- 一项回顾性队列研究,比较布朗克斯儿童医院的儿科喘病例.
- 从10月到5月收集的数据跨越三个队列:2019-2020年 (大流行前),2020-2021年 (COVID-19),和2021-2022年 (COVID-19后).
- 使用停留时间 (LOS) 来估计喘严重程度;进行统计分析来比较队列.
主要成果:
- 后COVID-19队列的总入院人数 (318) 接近大流行前的水平 (320),明显高于COVID-19队列 (112).
- 平均LOS从大流行前的2.4天下降到COVID-19后的2.0天 (P = .0004).
- COVID-19队列显示,接受硫酸和重症监护的可能性增加 (P = .02,P = .0007).
结论:
- 儿童喘患者的入院病例已经恢复到大流行前的频率.
- 在COVID-19后平均停留时间的减少表明喘严重程度的潜在下降或管理方式的变化.
- 对导致LOS降低的因素的进一步研究可以为减少与儿科喘相关的医疗保健成本的策略提供信息.
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