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COVID-19 大流行不同阶段儿童哮喘住院患病率的系统评价和荟萃分析研究方案。

The prevalence of pediatric asthma hospitalizations at different stages of the COVID-19 pandemic: A systematic review and meta-analysis study protocol.

机构信息

Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.

Department of Pediatrics, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.

出版信息

PLoS One. 2023 Aug 4;18(8):e0289538. doi: 10.1371/journal.pone.0289538. eCollection 2023.

Abstract

BACKGROUND

Asthma is a highly prevalent chronic inflammatory lung disease and is a frequent cause of hospitalization in children. The COVID-19 pandemic has introduced several challenges that have impacted the delivery of care for vulnerable patients, including asthmatic children. Asthmatic children without immediate access to healthcare services can face severe and fatal consequences. Furthermore, various governmental restrictions and viral mutants have been introduced throughout the pandemic, affecting COVID-19 cases and hospitalization rates.

OBJECTIVES

To investigate the impact of the COVID-19 pandemic on the prevalence of asthma hospitalizations during various stages of the pandemic. We also aim to compare asthma hospital admissions during the pandemic to pre-pandemic periods.

METHODS AND ANALYSIS

The databases PubMed (MEDLINE), EMBASE, CINAHL, and the Cochrane library will be used to identify relevant articles between the start of the pandemic and the date of the search strategy. Studies will be included if they examine hospital admissions for pediatric (0 to 18 years) asthma patients, regardless of asthma severity, sex, ethnicity or race. Observational retrospective cohort, prospective cohort, and cross-sectional studies will be included. A meta-analysis will be conducted if there are ≥2 articles. Else, a narrative review will be used to report our results.

TRIAL REGISTRATION

PROSPERO registration number: CRD42022337606.

摘要

背景

哮喘是一种高发的慢性炎症性肺部疾病,也是儿童住院的常见原因。COVID-19 大流行带来了诸多挑战,影响了包括哮喘儿童在内的脆弱患者的护理服务。无法立即获得医疗保健服务的哮喘儿童可能面临严重和致命的后果。此外,在整个大流行期间,各种政府限制和病毒突变体相继出现,影响了 COVID-19 病例和住院率。

目的

研究 COVID-19 大流行对大流行各阶段哮喘住院率的影响。我们还旨在将大流行期间的哮喘住院人数与大流行前时期进行比较。

方法和分析

将使用 PubMed(MEDLINE)、EMBASE、CINAHL 和 Cochrane 图书馆数据库来确定从大流行开始到搜索策略日期之间的相关文章。如果研究检查了儿科(0 至 18 岁)哮喘患者的住院情况,无论哮喘严重程度、性别、族裔或种族如何,都将纳入研究。将纳入观察性回顾性队列、前瞻性队列和横断面研究。如果有≥2 篇文章,将进行荟萃分析。否则,将使用叙述性综述报告我们的结果。

试验注册

PROSPERO 注册号:CRD42022337606。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe58/10403069/c91616435e05/pone.0289538.g001.jpg

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