Hamadneh Mai, Alquran Alaa, Manna Rami
Department of Medical Science, Irbid Faculty, Al-Balqa Applied University (BAU), Irbid, Jordan.
Department of Public Health, Faculty of Medicine, Al-Balqa Applied University (BAU), Assalt, Jordan.
J Public Health Res. 2023 Sep 8;12(3):22799036231197186. doi: 10.1177/22799036231197186. eCollection 2023 Jul.
In December 2019, the current outbreak of coronavirus disease 2019 (COVID-19) was reported in Wuhan, China. Asthmatic patients are thought to be more vulnerable to the more severe form of SARS-CoV-2 infection due to their weakened immune systems and increased risk of respiratory exacerbation when infected with respiratory viruses; however, there is little evidence to support this theory. The objective of this systematic review is to assess the impact of the COVID-19 lockdown during the pandemic on asthma management outcome measures among children and adolescents. To conduct the search, we used five bibliographic databases. The results were limited to those articles published between December 2019 and February 2022, selecting only articles published in English that included the study population (children aged 0-18 years). All study designs were considered. Independent assessments of the included studies' quality were made and reported. Among the 945 results of the bibliographic search, only 21 articles were found to fit our eligibility criteria We organized the results from the studies according to the effect of the lockdown at the start of the COVID-19 pandemic on common outcomes, including the Pediatric Emergency Department Visits, hospitalization rates of pediatric asthmatic patients during the pandemic, asthma control, asthma exacerbations, psychological effects on patients, and caregivers' concerns. The management of pediatric asthma improved more during the 2020 COVID-19 pandemic lockdown than in previous years.
2019年12月，中国武汉报告了当前的新型冠状病毒肺炎（COVID-19）疫情。由于哮喘患者免疫系统较弱，感染呼吸道病毒时呼吸道加重的风险增加，因此被认为更容易感染更严重形式的SARS-CoV-2；然而，几乎没有证据支持这一理论。本系统评价的目的是评估大流行期间COVID-19封锁对儿童和青少年哮喘管理结局指标的影响。为了进行检索，我们使用了五个文献数据库。结果仅限于2019年12月至2022年2月发表的文章，仅选择以英文发表的、纳入了研究人群（0至18岁儿童）的文章。所有研究设计均被纳入考虑。对纳入研究的质量进行了独立评估并报告。在文献检索的945个结果中，仅发现21篇文章符合我们的纳入标准。我们根据COVID-19大流行开始时封锁对常见结局的影响，对研究结果进行了整理，这些结局包括儿科急诊科就诊情况、大流行期间儿科哮喘患者的住院率、哮喘控制情况、哮喘加重情况、对患者的心理影响以及护理人员的担忧。2020年COVID-19大流行封锁期间，儿科哮喘的管理比前几年改善得更多。
