Isba Rachel, Edge Rhiannon, Auerbach Marc, Cicero Mark X, Jenner Rachel, Setzer Erika, Broughton Emily, Keegan Thomas
Lancaster Medical School, Faculty of Health and Medicine, Lancaster University, Lancashire, United Kingdom.
Paediatric Emergency Department, Royal Manchester Children's Hospital, Manchester, United Kingdom.
Pediatr Emerg Care. 2020 Nov;36(11):551-553. doi: 10.1097/PEC.0000000000002260.
This cross-sectional study looked at the impact of the SARS-CoV-2/COVID-19 pandemic on pediatric emergency department (PED) attendances and admissions (as a proxy for severity of illness) in the United States and United Kingdom.
Data were extracted for children and adolescents, younger than 16 years, attending Royal Manchester Children's Hospital (RMCH, United Kingdom), and Yale New Haven Children's Hospital (YNHCH, United States). Attendances for weeks 1 to 20 of 2020 and 2019 were compared, and likelihood of admission was assessed via calculation of odds ratios, using week 13 (lockdown) as a cutoff.
Attendance numbers for each PED decreased in 2020 compared with 2019 (RMCH, 29.2%; YNHCH, 24.8%). Odds of admission were significantly higher after lockdown than in 2019-RMCH (odds ratio, 1.26; 95% confidence interval, 1.08-1.46) and YNHCH (odds ratio, 1.60; 95% confidence interval, 1.31-1.98).
Although the absolute numbers of children and adolescents attending the PED and being admitted decreased after lockdown, the acuity of illness of those attending appears to be higher.
本横断面研究探讨了严重急性呼吸综合征冠状病毒2（SARS-CoV-2）/冠状病毒病2019（COVID-19）疫情对美国和英国儿科急诊科（PED）就诊人数及住院情况（作为疾病严重程度的替代指标）的影响。
提取了英国皇家曼彻斯特儿童医院（RMCH）和美国耶鲁纽黑文儿童医院（YNHCH）16岁以下儿童及青少年的数据。比较了2020年和2019年第1至20周的就诊人数，并以第13周（封锁期）为界，通过计算比值比评估住院可能性。
与2019年相比，2020年各儿科急诊科的就诊人数均有所下降（RMCH下降29.2%；YNHCH下降24.8%）。封锁期后的住院几率显著高于2019年——RMCH（比值比为1.26；95%置信区间为1.08 - 1.46）和YNHCH（比值比为1.60；95%置信区间为1.31 - 1.98）。
尽管封锁期后儿科急诊科就诊及住院的儿童和青少年绝对数量有所下降，但就诊者的疾病严重程度似乎更高。
