Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Department of Otolaryngology - Head and Neck Surgery, Jacobs School of Medicine & Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Ann Otol Rhinol Laryngol. 2022 Aug;131(8):905-909. doi: 10.1177/00034894211047653. Epub 2021 Sep 25.
To identify the concerns of parents whose children may need elective surgery during the COVID-19 pandemic.
In December 2020, parents of pediatric otolaryngology patients were recruited for a survey about concerns related to elective surgery during the COVID-19 pandemic. A Likert scale quantified concern. The 1 was anchored "Not at all important" and 5 was "Most important." Demographics included gender, age, race, education level, number of children in household, and whether their child had surgery since March 2020.
About 253 participants were included. Medians ranged from 1 for concerns about emotional and family support to 4 for concerns about their child being exposed to COVID-19 in the Emergency Room. Black parents were more concerned about the risks of COVID than White parents; they were more concerned about their child contracting COVID-19 during surgery compared to White parents, median was 4 versus 3 ( = .027). Black parents had a median score of 3 for concern about medical expenses compared to a median of 2 ( = .001). Parents of children who had surgery since March 2020 had less concern about their child being exposed to COVID-19 during hospitalization ( = .045) and less concern about critique from others ( = .024).
Parents were most concerned about the risk of seeking Emergency Room care. Black parents were generally more concerned about having their child undergo elective surgery. Whether this is translated into fewer Black children undergoing important but elective surgery requires more study.
确定在 COVID-19 大流行期间其子女可能需要择期手术的父母的关注点。
2020 年 12 月,招募了小儿耳鼻喉科患者的父母,对他们进行了一项有关在 COVID-19 大流行期间进行择期手术的相关问题的调查。李克特量表量化了担忧程度。1 表示“一点也不重要”,5 表示“最重要”。人口统计学特征包括性别、年龄、种族、教育程度、家庭中孩子的数量,以及他们的孩子自 2020 年 3 月以来是否接受过手术。
约有 253 名参与者被纳入研究。中位数从对情感和家庭支持的担忧(1 分)到对在急诊室暴露于 COVID-19 的担忧(4 分)不等。与白人父母相比,黑人父母更担心 COVID 的风险;他们更担心孩子在手术期间感染 COVID-19,中位数为 4 比 3(=0.027)。黑人父母对医疗费用的担忧中位数为 3,而白人父母的中位数为 2(=0.001)。自 2020 年 3 月以来接受过手术的孩子的父母对孩子在住院期间暴露于 COVID-19 的担忧程度较低(=0.045),对他人批评的担忧程度较低(=0.024)。
父母最担心的是寻求急诊治疗的风险。黑人父母通常更担心让孩子接受择期手术。这是否会导致接受重要但择期手术的黑人儿童减少,还需要进一步研究。