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Revue d'Epidemiologie et de Sante Publique ; 70(Supplement 3):S158-S159, 2022.
Article in French | EMBASE | ID: covidwho-2291581

ABSTRACT

Contexte: Plus de 90 % des cas d'ingestions de corps etrangers en pediatrie se produisent a domicile. Notre hypothese etait que le temps supplementaire passe par les enfants a domicile durant la pandemie COVID-19 serait associe a une augmentation du nombre de cas d'ingestions de corps etrangers et leur severite. Nos objectifs etaient de comparer l'incidence d'ingestions pediatriques de corps etrangers et le taux de cas severes (hospitalisation, complications ou interventions par endoscopie) avant et pendant la pandemie. Methodes: Toutes les consultations pediatriques au CHU Sainte-Justine de Montreal pour ingestion de corps etrangers entre mars 2018 et fevrier 2020 (pre-pandemie) ainsi qu'entre mars 2020 et fevrier 2021 (pandemie) ont ete incluses (n=614). L'incidence d'ingestions de corps etrangers a ete calculee en rapportant le nombre de cas au nombre de visites aux urgences selon les periodes. Les differences entre les deux groupes ont ete analysees par un test T de Student ou Chi-carre. Resultats: L'age median des patients etait de 3,5 ans [(interquartile: 1,6-5,9);54 % garcons]. Le nombre mensuel moyen de cas (min-max) durant la pandemie [20,0 (12-28)] etait significativement plus eleve qu'avant la pandemie [15,5 (8-24)] (p=0,02). Le taux d'incidence a double, passant de 23,2 pour 10 000 visites aux urgences en pre-pandemie a 51,6 pour 10 000 visites pendant la pandemie (p=0,0002). Pres d'un quart de la cohorte a du etre hospitalise. Le taux d'hospitalisations (>1 jour) est reste stable entre les deux periodes: 6,95 % pre-pandemie et 7,08 % pendant la pandemie. Les taux d'endoscopies (21,3 %) et de complications (4,6 %) etaient similaires entre les deux periodes. Discussion/Conclusion: L'incidence d'ingestions de corps etrangers au CHU Sainte-Justine a augmente significativement durant la pandemie comparativement aux deux annees precedentes. Les taux eleves de cas severes, bien que stables durant la pandemie, temoignent de l'impact considerable des ingestions de corps etrangers en pediatrie. Declaration de liens d'interets: Les auteurs declarent ne pas avoir de liens d'interets.Copyright © 2022

3.
Journal of the Canadian Association of Gastroenterology ; 5(Suppl 1):146-147, 2022.
Article in English | EuropePMC | ID: covidwho-1696244

ABSTRACT

Background An average daily moderate-to-vigorous physical activity (MVPA) of at least 60 minutes was recommended by the Canadian Guidelines for children. Because of lockdown restrictions during the COVID-19 pandemic, maintaining physical activity levels (PAL) has been a challenge for youth. Aims The primary aim of this study was to compare MVPA levels in children with inflammatory bowel diseases (IBD) before and after this period. The secondary aims were to assess clinical factors that might influence any changes in MVPA patterns. Methods Patients with IBD, age ≥5 years, were enrolled in a prospective study on PAL starting June 2018 (self-reported questionnaires during outpatient visits). They were then surveyed online at the end of the second lockdown in July-August 2021. PAL were assessed with the Canadian Health Measure Survey Children-Physical Activity Questionnaire. The responses were converted into metabolic equivalents of tasks by using validated tables. Influence of clinical factors of IBD on changes in MVPA was assessed. A multivariate logistic regression was performed to investigate the association between several risk factors and PAL. Results We included 72 patients (38 males;mean (SD) age 17.0 (2.89) years, 48 (66.7%) diagnosed with Crohn’s disease, 19 (26.4%) with ulcerative colitis, and 5 (6.9%) with indeterminate colitis). At last follow-up, 90.3% were in clinical remission according to validated disease activity score. During summer 2021, 16.7% of patients reached the Canadian PAL target, compared to 38.9% before the pandemic. The median daily duration of MVPA in summer 2021 decreased from 37 (Interquartile range (IQR) = 3–82) to 21 (IQR=3–40) minutes. The proportion of sedentary patients increased by 1.4% (37.5% to 38.9%). The proportion of extremely active patients decreased by 16.7% (27.8% to 11.1%), while moderately active patients increased by 20.9% (8.3% to 29.2%). Age, gender, disease type and activity were not significantly associated with the PAL at baseline or at follow-up. Conclusions This study found a significant decrease in PAL and time spent doing MVPA in children with IBD in Quebec following the COVID-19 pandemic lockdown. While the recommended target was far from being met before the pandemic, the gap has widened further during the pandemic. We found no clinical factors associated with the PAL. The impact of low PAL on well-being, weight, disease activity and quality of life will be assessed during the follow-up of this cohort. Funding Agencies None

4.
Journal of the Canadian Association of Gastroenterology ; 5(Suppl 1):25-26, 2022.
Article in English | EuropePMC | ID: covidwho-1695091

ABSTRACT

Background Foreign Body Ingestions (FBI), sometimes associated with severe complications, are a common reason for emergency unit visits in children. In Quebec, since March 2020, the restrictions in response to the COVID-19 pandemic have increased the time children spend at home. We hypothesized that this could contribute to a rise in FBI incidence and severity. Aims The primary objective of our study was to evaluate the incidence as well as the clinical presentation of FBI cases seen at CHU Sainte-Justine Children’s Hospital in Montreal (CHUSJ) during the COVID-19 pandemic as compared to the two previous years. Our secondary objectives were to estimate the rate of severe FBI (involving hospitalisations and/or complications) and to evaluate the nature of the foreign bodies that were ingested. Methods All children referred to or who presented at CHUSJ for FBI between March 2018 and February 2020 (pre-pandemic) as well as between March 2020 and February 2021 (pandemic) were included (n=690). Cases of food impaction were excluded (n=78). Incidence of FBI was calculated by dividing the number of FBI cases by the total number of emergency department visits per period. Differences between the two groups were analyzed by Student T test or Chi-square test. Results Between March 2018 and February 2021, 612 patients (median age 3.5 years (1.6–5.9);54% male) were eligible. The mean monthly number of FBI cases (min-max) in 2020–2021 was 18.6 (9–28), significantly higher than the year 2018 [16.6 (8–22)] and the year 2019 [15.5 (9–24)];p=0.04. The incidence rate of FBI doubled during the pandemic as compared to the prepandemic group: respectively 57.5/10,000 emergency department visits and 23.2/10,000 visits (p=0.002). Almost one fourth of the cohort was hospitalized. The hospitalization rate (>1 day) was similar between the 2 periods: 8.8% before the pandemic and 7.1% during the pandemic. Digestive endoscopy was performed in 21.5% of cases, a rate similar before and during the pandemic. A total of 3.3% of the children developed complications related to FBI. This rate remained stable between the two periods. The most frequently ingested objects were coins (25.0%), toys (10.8%), button batteries (10.6%), magnets (6.2%), and jewellery (6.2%). There was no significant difference in the nature of FB ingested between the 2 periods although the number of magnet ingestions increased during the pandemic (18 per year vs 10 per year). Conclusions The incidence of FBI increased significantly during the pandemic in comparison with the two previous years. The high hospitalization and complications rates, although stable during the pandemic, underline the significant impact of pediatric FBI. Funding Agencies None

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