ABSTRACT
Background: The pandemic period demonstrated the epidemiological and clinical evolutionary differences between adult vs. child with asthma infected with COVID 19. One of the challenges for pediatricians was the risk of losing control of asthma but also the risk of serious complications in the asthmatic child. The aim of the study was to study the level of control of asthma in children and on the other hand the incidence of its severe complications in the pandemic period 2020-2021 vs the non-pandemic period 2018-2019. Method(s): Retrospective study on asthmatic patients hospitalized in the period 2020-2021 in the Emergency Clinical Hospital for Children "St Mary" Iasi. Result(s): Total number of cases of asthma-2018- 219, 2019-174, 2020-193,2021- 148;annual asthma control level: controlled asthma: 2018-63%, 2019-59%, 2020-67%, 2021-54%, partially controlled asthma: 2018-29%, 2019-35%, 2020-26%, 2021 -38%, uncontrolled asthma: 2018-8%, 2019-6%, 2020-7%, 2021-8%;annual incidence of exacerbations: controlled asthma -2018: 23%, 2019-27%, 2020-11%, 2021 -14% of which with COVID 19 infection-2%;partially controlled asthma-2018: 41%, 2019-54%, 2020-32% of which with COVID 19 infection-21%;2021-58% of which with COVID19 infection- 42%;uncontrolled asthma-2018- 77%, 2019-73%, 2020-86% of which with COVID19 infection -82%, 2021-81% of which with COVID 19 infection-74%;annual incidence of severe asthma complications hospitalized ICU: 2018-3%, 2019-2%, 2020-5% of which 4% with COVID 19 infection,2021-4% all associated with COVID 19 infection. Conclusion(s): The control rate of asthma in children did not register significant differences between the 2 studied periods;The incidence of severe complications and exacerbations in the context of SARS Cov 2 infection increased during the pandemic period, especially in the partial and especially uncontrolled therapeutic form of asthma in children.