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The COVID-19 Pandemic and Changes in Healthcare Utilization for Pediatric Respiratory and Nonrespiratory Illnesses in the United States.
Antoon, James W; Williams, Derek J; Thurm, Cary; Bendel-Stenzel, Michael; Spaulding, Alicen B; Teufel, Ronald J; Reyes, Mario A; Shah, Samir S; Kenyon, Chén C; Hersh, Adam L; Florin, Todd A; Grijalva, Carlos G.
  • Antoon JW; Division of Hospital Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt and Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
  • Williams DJ; Division of Hospital Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt and Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
  • Thurm C; Children's Hospital Association, Lenexa, Kansas.
  • Bendel-Stenzel M; Children's Minnesota Research Institute, Minneapolis, Minnesota.
  • Spaulding AB; Children's Minnesota Research Institute, Minneapolis, Minnesota.
  • Teufel RJ; Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
  • Reyes MA; Department of Pediatrics, Division of Hospital Medicine, Nicklaus Children's Hospital, Miami, Florida.
  • Shah SS; Divisions of Hospital Medicine and Infectious Diseases, Cincinnati Children's Hospital Medical Center & Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
  • Kenyon CC; Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
  • Hersh AL; Division of Infectious Diseases, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
  • Florin TA; Division of Emergency Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago & Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
  • Grijalva CG; Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee.
J Hosp Med ; 16(5): 294-297, 2021 05.
Article in English | MEDLINE | ID: covidwho-1140803
ABSTRACT
The impact of COVID-19 public health interventions on pediatric illnesses nationwide is unknown. We performed a multicenter, cross-sectional study of encounters at 44 children's hospitals in the United States to assess changes in healthcare utilization during the pandemic. The COVID-19 pandemic was associated with substantial reductions in encounters for respiratory diseases; these large reductions were consistent across illness subgroups. Although encounters for nonrespiratory diseases decreased as well, reductions were more modest and varied by age. Encounters for respiratory diseases among adolescents declined to a lesser degree and returned to previous levels faster compared with those of younger children. Further study is needed to determine the contributions of decreased illness and changes in care-seeking behavior to this observed reduction.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Tract Diseases / Patient Acceptance of Health Care / Emergency Service, Hospital / COVID-19 / Hospitals, Pediatric Type of study: Observational study / Randomized controlled trials Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Country/Region as subject: North America Language: English Journal: J Hosp Med Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Tract Diseases / Patient Acceptance of Health Care / Emergency Service, Hospital / COVID-19 / Hospitals, Pediatric Type of study: Observational study / Randomized controlled trials Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Country/Region as subject: North America Language: English Journal: J Hosp Med Year: 2021 Document Type: Article