Bazzi Ali J, Sallman Zahur Fatima, Greenwell Alyssa M, Manolis Alexandra T, Khanafer Rasha, Haidar-Elatrache Sara
Children's Hospital of Michigan, Detroit, MI, USA.
Detroit Wayne County Authority Health, Detroit, MI, USA.
Glob Pediatr Health. 2024 Jan 31;11:2333794X231224999. doi: 10.1177/2333794X231224999. eCollection 2024.
This is a single-center retrospective cohort study that aimed to quantitatively assess the association between prolonged school closure (>2 weeks) and pediatric respiratory hospitalization during the COVID-19 pandemic. Subjects included 1243 patients presenting to Children's Hospital of Michigan during the winters of 2019, 2020, and 2021. The primary outcome measures were total respiratory hospitalizations and respiratory diagnoses. Data was analyzed using a 2-sample -test for proportions. We found that pediatric patients in the setting of prolonged school closure had significantly fewer hospitalizations in 2020 compared to 2019 (9% vs 47%; < .001) and 2021 (9% vs 45%; < .001). There were decreases in bronchiolitis, asthma/reactive airway disease (RAD), and pneumonia hospitalizations compared to 2019 and 2021. Our study showed that during prolonged school closure, there was a significant decrease in pediatric respiratory hospitalization. As such, it should be considered when creating a pandemic response strategy.
这是一项单中心回顾性队列研究，旨在定量评估新冠疫情期间长时间学校停课（>2周）与儿科呼吸道住院之间的关联。研究对象包括2019年、2020年和2021年冬季期间到密歇根儿童医院就诊的1243例患者。主要结局指标为呼吸道住院总数和呼吸道诊断。数据采用两样本比例检验进行分析。我们发现，与2019年（9%对47%；P<0.001）和2021年（9%对45%；P<0.001）相比，在长时间学校停课期间的儿科患者在2020年的住院次数显著减少。与2019年和2021年相比，细支气管炎、哮喘/反应性气道疾病（RAD）和肺炎住院次数有所下降。我们的研究表明，在长时间学校停课期间，儿科呼吸道住院人数显著减少。因此，在制定大流行应对策略时应予以考虑。
