Driansky Allison, Pilapil Mariecel, Bianco Kristina, Steinway Caren, Feigenbaum Sheri, Yang Anna, Jan Sophia
Steven and Alexandra Cohen Children's Medical Center, Pediatrics, New Hyde Park, NY, United States.
Donald and Barbara Zucker School of Medicine at Hofstra, Northwell Health, Hempstead, NY, United States.
Front Pediatr. 2022 Feb 9;10:813393. doi: 10.3389/fped.2022.813393. eCollection 2022.
Children with medical complexity (CMC) have multiple chronic conditions and require a high level of coordinated healthcare. The risk of COVID-19 among CMC is unclear.
We aim to identify and describe the prevalence and experience of COVID-19 among CMC and their caregivers during the initial weeks of the COVID-19 pandemic in the NY metropolitan area.
We performed a cross-sectional study of children enrolled in a structured clinical program for CMC at a large urban, academic general pediatrics practice in NY.
In our patient population ( = 132), 16 patients had a known exposure with parents being the most common exposure in 37.5% ( = 6). Two patients were hospitalized for COVID-19 while the remainder of the confirmed or suspected COVID-19 cases were managed as an outpatient.
Common sources of COVID-19 exposure were family members and home care providers. Almost all of our patients experienced interruption of medical care including missed therapies and visits.
患有复杂疾病的儿童（CMC）有多种慢性病，需要高水平的协调医疗保健。CMC感染新冠病毒的风险尚不清楚。
我们旨在确定并描述纽约市大都会地区新冠疫情最初几周内，CMC及其照顾者中新冠病毒感染的患病率及经历。
我们对纽约市一家大型城市学术性普通儿科诊所中参加CMC结构化临床项目的儿童进行了横断面研究。
在我们的患者群体（n = 132）中，16名患者有已知的接触史，父母是最常见的接触源，占37.5%（n = 6）。两名患者因新冠病毒感染住院，其余确诊或疑似新冠病毒感染病例作为门诊患者处理。
新冠病毒感染的常见接触源是家庭成员和家庭护理人员。几乎所有我们的患者都经历了医疗护理中断，包括错过治疗和就诊。
