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Changes in pediatric seizure-related emergency department attendances during COVID-19 - A territory-wide observational study.
Chiu, Ting Gee Annie; Leung, William C Y; Zhang, Qiqi; Lau, Eric H Y; Ho, Ryan Wui-Hang; Chan, Hoi-Shan Sophelia; Chang, Richard Shek-Kwan.
  • Chiu TGA; Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong.
  • Leung WCY; Division of Neurology, Department of Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong.
  • Zhang Q; School of Public Health, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong.
  • Lau EHY; School of Public Health, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong.
  • Ho RW; Department of Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong.
  • Chan HS; Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong.
  • Chang RS; Division of Neurology, Department of Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong. Electronic address: changsk@ha.org.hk.
J Formos Med Assoc ; 120(8): 1647-1651, 2021 Aug.
Article in English | MEDLINE | ID: covidwho-949911
ABSTRACT
A territory-wide retrospective observational study was conducted in Hong Kong between January 23 to April 22, 2020 to demonstrate changes in pediatric seizure-related accident and emergency department (A&E) visits during the COVID-19 pandemic. Parallel periods from 2015 to 2019 were used as control. All-cause A&E attendances in all paediatric age groups decreased significantly during the study period. Seizure-related attendances decreased across all pediatric age-groups in 2020 (RR 0.379, 95% CI 0.245-0.588), with a disproportionately large decrease in the 0-6 years age group (RR 0.303, 95% CI 0.174-0.526) compared with the 7-18 years age group (RR 0.534, 95% CI 0.393-0.719). Decrease in RTI-related A&E attendances was also more drastic in the 0-6 age group. The two time trends are congruent in the 0-6 years but not the 7-18 years age group. Such a trend is suggestive of the usefulness of infection control measures in seizure prevention, especially amongst young children.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Child / Child, preschool / Humans / Infant / Infant, Newborn Language: English Journal: J Formos Med Assoc Journal subject: Medicine Year: 2021 Document Type: Article Affiliation country: J.jfma.2020.11.006

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Child / Child, preschool / Humans / Infant / Infant, Newborn Language: English Journal: J Formos Med Assoc Journal subject: Medicine Year: 2021 Document Type: Article Affiliation country: J.jfma.2020.11.006