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. 2023 Mar-Apr;43(2):70-75.
doi: 10.5144/0256-4947.2023.70. Epub 2023 Apr 6.

Comparison of general pediatric ward admissions between the COVID-19 pandemic and pre-pandemic period

Muhammed Güç  1 , Betül Sözeri  1
Affiliations

Comparison of general pediatric ward admissions between the COVID-19 pandemic and pre-pandemic period

Muhammed Güç et al. Ann Saudi Med. 2023 Mar-Apr.

Abstract

Background: The COVID-19 pandemic has affected many aspects of life as well as hospital admissions. We hypothesized that many infectious diseases and hospitalizations in the pediatric age group might have decreased during the pandemic period.

Objective: Evaluate patients admitted to the general pediatric wards during the pandemic in comparison with the pre-pandemic period.

Design: Retrospective cross-sectional SETTING: General pediatrics wards of a tertiary hospital in Istanbul PATIENTS AND METHODS: The study included patients aged 0-18 years who were followed up while hospitalized in the general pediatrics wards between 11 March 2019 and 11 March 2021. The hospitalizations were grouped as pre-pandemic and pandemic based on the date when COVID-19 was declared a pandemic (11 March 2020).

Main outcome measures: Hospital admissions, length of stay, diagnoses, gender, age.

Sample size and characteristics: 4343 hospitalizations.

Results: Of the total 4343 hospitalizations meeting the inclusion criteria, 2786 (64.1%) occurred before the pandemic and 1557 (35.9%) during the pandemic, a 44% decrease. The distribution of all hospitalization diagnoses during the two years was as follows: respiratory tract diseases, 1768 (40.7%); neurological diseases, 946 (21.8%); gastrointestinal diseases, 550 (12.7%); hematological and oncological diseases, 514 (11.8%); genitourinary system and nephrological diseases, 504 (11.6%); and soft tissue infections, 255 (5.9%). During two years, there were 1418 (32.7%) patients with lower respiratory tract infections, 316 (7.3%) with gastroenteritis, and 440 (10.1%) with urinary system infections. The median hospital stay was 6 days before the pandemic and 4 days during the pandemic (P<.0001). During the pandemic, the rate of respiratory diseases decreased from 48.7 to 26.5%, and that of lower respiratory tract infections decreased from 40.5 to 18.6% (P<.0001).

Conclusion: Both previous studies and our results indicate that many infectious diseases in the pediatric age group significantly decreased, especially in the first months of the COVID-19 pandemic.

Limitations: Single-center study.

Conflict of interest: None.

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Conflict of interest statement

None.

Figures

Figure 1.
Figure 1.
Days of hospitalization by pandemic period (P<.001).
See this image and copyright information in PMC

References

    1. Weedon KM, Rupp AH, Heffron AC, Kelly SF, Zheng X, Shulman ST, et al. .. The impact of infection control upon hospital-acquired infl uenza and respiratory syncytial virus. Scand J Infect Dis. 2015;(August 2012):297–303. - PubMed
    1. Vittucci AC, Piccioni L, Coltella L, Ciarlitto C, Antilici L, Bozzola E, et al. .. The Disappearance of Respiratory Viruses in Children during the COVID-19 Pandemic. Int J Environ Res Public Health. 2021; - PMC - PubMed
    1. Wilder JL, Parsons CR, Growdon AS, Toomey SL, Mansbach JM. Pediatric Hospi-talizations During the COVID-19 Pandemic. Pediatrics. 2020. Dec 1;146(6). - PubMed
    1. Gavish R, Krause I, Goldberg L, Bilavsky E, Kadmon G, Livni G, et al. .. A Drop in Number of Hospitalizations among Children with Bacterial Infections during the COVID-19 Pandemic. Pediatr Infect Dis J. 2020;39–41. - PubMed
    1. Kadambari S, Abo Y-N, Phuong LK, Osowicki, Joshua, Bryant PA. Decrease in Infectionrelated Hospital Admissions During COVID-19: Why Are Parents Avoiding the Doctor? Pediatr Infect Dis J. 2020;39(11):385–6. - PubMed