Department of Pediatrics, CHN, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, C/Irunlarrea 3, 31080, Pamplona, Spain.
Pediatric Infectious Diseases Department, CHN, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, Pamplona, Spain.
World J Pediatr. 2021 Feb;17(1):85-91. doi: 10.1007/s12519-020-00406-9. Epub 2021 Feb 9.
The pandemic caused by severe acute respiratory coronavirus 2 (SARS-CoV-2) has had great effects on health systems worldwide, not only in relation to coronavirus disease 2019 (COVID-19) cases but also affecting patients with other pathologies.
ECIEN-2020 is an observational study conducted in a tertiary referral hospital in Navarra, Spain. It describes the effects of COVID-19 pandemic and the preventive measures adopted, in pediatric admissions for non-COVID-19 diseases. Admissions during March-June 2020 (first wave of the COVID-19 pandemic in Spain) are described and compared with the same quarter in 2019. A sub-analysis was performed delving into epidemiology. Patient characteristics (age, sex, past medical history), disease characteristics (symptoms, duration of symptoms, previous consultation in Primary Care Health Center), and admission characteristics (place and average stay) were analyzed.
A 33% reduction in the number of pediatric hospital admissions was observed, decreasing from 529 hospitalizations in 2019 to 353 in 2020 (P < 0.001). This highlights a 48% reduction in patients admitted for pulmonary diseases. There were no significant changes in average hospital-stay, percentage of intensive care unit admissions, or in admissions for other reasons. Percentage of patients admitted among those seen in the emergency department rose from 5.1% in 2019 to 10.9% in 2020, whereas the total number of consultations in the emergency department decreased by 68%.
The pandemic and the measures adopted due to SARS-CoV-2 have significantly decreased pediatric admissions for non-COVID-19 diseases, especially due to a reduction in the hospitalization for respiratory diseases.
由严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）引起的大流行对全球卫生系统产生了重大影响，不仅与 2019 年冠状病毒病（COVID-19）病例有关，还影响了其他病理学患者。
ECIEN-2020 是在西班牙纳瓦拉的一家三级转诊医院进行的一项观察性研究。它描述了 COVID-19 大流行及其采取的预防措施对非 COVID-19 疾病的儿科住院的影响。描述了 2020 年 3 月至 6 月（西班牙 COVID-19 大流行的第一波）的住院情况，并与 2019 年同期进行了比较。进行了亚分析以深入研究流行病学。分析了患者特征（年龄、性别、既往病史）、疾病特征（症状、症状持续时间、在初级保健中心的就诊情况）和入院特征（地点和平均住院时间）。
儿科住院人数减少了 33%，从 2019 年的 529 例减少到 2020 年的 353 例（P<0.001）。这突出显示因肺部疾病入院的患者减少了 48%。平均住院时间、重症监护病房入院率或其他原因入院率没有明显变化。急诊就诊的住院患者比例从 2019 年的 5.1%上升到 2020 年的 10.9%，而急诊就诊总数减少了 68%。
SARS-CoV-2 大流行及其采取的措施显著减少了非 COVID-19 疾病的儿科住院人数，尤其是因呼吸道疾病住院人数减少。
