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The Impact of the SARS-CoV-2 Pandemic on the Emergency Department and Management of the Pediatric Asthmatic Patient.
J Asthma Allergy. 2021; 14:101-108.JA

Abstract

Introduction

Asthma exacerbation is among the commonest causes for pediatric emergency room visits, and respiratory viruses are frequent triggers of such exacerbations. Few studies have evaluated the consequences of the novel human coronavirus that causes the illness currently known as COVID-19, in the pediatric population.

Purpose

The objective of this study was to analyze the impact of the COVID-19 pandemic and lockdown measures on the emergency department in the pediatric asthmatic patient.

Patients and Methods

This retrospective observational study evaluated pediatric patients treated at the Pediatric Emergency Service for wheezing episodes. Changes in the number and characteristics of these patients over the same period of 2019 as compared to 2020 during the month following the alarm declaration (March 14 to April 15) were evaluated.

Results

In total, data of 30 asthma patients managed in the period after the declaration of the coronavirus pandemic and of 158 asthma patients managed in the pre-COVID-19 period were included. In 2020, patient visits decreased by 82% in 2019. No statistically significant differences among age, sex, oxygen saturation, fever status, or number of severe bronchospasm episodes were found. Nebulized medication usage was reduced significantly since the alarm declaration. No significant increase in requests for complementary testing in the COVID-19 period was found. No patient requiring hospital admission was found to be PCR SARS-CoV-2 positive. Median time spent in the emergency department decreased from 180 minutes in 2019 to 85 minutes in the COVID-19 era.

Conclusion

The COVID-19 pandemic and ensuing lockdown measures have led to an extraordinary reduction in emergency visits to the pediatric service. The ongoing pandemic has also led to improvements in the approach to asthma exacerbations and wheezing, to reduce the risk of exposure to the virus, such as increased use of pressurized metered dose inhaler and decreased time in the Emergency Department.

Authors+Show Affiliations

Division of Pediatric Respiratory Medicine, Department of Pediatrics, University Hospital Son Espases, Palma, Balearic Islands, Spain. Multidisciplinary Research Group in Pediatrics, Balearic Islands Health Research Institute (IdISBa), Palma, Balearic Islands, Spain.Division of Pediatric Respiratory Medicine, Department of Pediatrics, University Hospital Son Espases, Palma, Balearic Islands, Spain.Division of Pediatric Respiratory Medicine, Department of Pediatrics, University Hospital Son Espases, Palma, Balearic Islands, Spain.Department of Statistic and Methodological Support, Balearic Islands Health Research Institute (IdISBa), Palma, Balearic Islands, Spain.Division of Pediatric Respiratory Medicine, Department of Pediatrics, University Hospital Son Espases, Palma, Balearic Islands, Spain. Multidisciplinary Research Group in Pediatrics, Balearic Islands Health Research Institute (IdISBa), Palma, Balearic Islands, Spain.Division of Pediatric Respiratory Medicine, Department of Pediatrics, University Hospital Son Espases, Palma, Balearic Islands, Spain. Research Group in Sleep Apnea and Hypopnea Syndrome, Balearic Islands Health Research Institute (IdISBa), Palma, Balearic Islands, Spain.Division of Pediatric Respiratory Medicine, Department of Pediatrics, University Hospital Son Espases, Palma, Balearic Islands, Spain. Multidisciplinary Research Group in Pediatrics, Balearic Islands Health Research Institute (IdISBa), Palma, Balearic Islands, Spain.Division of Pediatric Respiratory Medicine, Department of Pediatrics, University Hospital Son Espases, Palma, Balearic Islands, Spain. Multidisciplinary Research Group in Pediatrics, Balearic Islands Health Research Institute (IdISBa), Palma, Balearic Islands, Spain.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33568921

Citation

Bover-Bauza, Catalina, et al. "The Impact of the SARS-CoV-2 Pandemic On the Emergency Department and Management of the Pediatric Asthmatic Patient." Journal of Asthma and Allergy, vol. 14, 2021, pp. 101-108.
Bover-Bauza C, Rosselló Gomila MA, Díaz Pérez D, et al. The Impact of the SARS-CoV-2 Pandemic on the Emergency Department and Management of the Pediatric Asthmatic Patient. J Asthma Allergy. 2021;14:101-108.
Bover-Bauza, C., Rosselló Gomila, M. A., Díaz Pérez, D., Millán Pons, A. R., Gil Sánchez, J. A., Peña-Zarza, J. A., Figuerola Mulet, J., & Osona, B. (2021). The Impact of the SARS-CoV-2 Pandemic on the Emergency Department and Management of the Pediatric Asthmatic Patient. Journal of Asthma and Allergy, 14, 101-108. https://doi.org/10.2147/JAA.S284813
Bover-Bauza C, et al. The Impact of the SARS-CoV-2 Pandemic On the Emergency Department and Management of the Pediatric Asthmatic Patient. J Asthma Allergy. 2021;14:101-108. PubMed PMID: 33568921.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Impact of the SARS-CoV-2 Pandemic on the Emergency Department and Management of the Pediatric Asthmatic Patient. AU - Bover-Bauza,Catalina, AU - Rosselló Gomila,Maria Antonia, AU - Díaz Pérez,David, AU - Millán Pons,Aina Rosa, AU - Gil Sánchez,Jose Antonio, AU - Peña-Zarza,Jose Antonio, AU - Figuerola Mulet,Joan, AU - Osona,Borja, Y1 - 2021/02/03/ PY - 2020/11/04/received PY - 2021/01/01/accepted PY - 2021/2/11/entrez PY - 2021/2/12/pubmed PY - 2021/2/12/medline KW - COVID-19 KW - asthma KW - children KW - pandemic KW - wheezing SP - 101 EP - 108 JF - Journal of asthma and allergy JO - J Asthma Allergy VL - 14 N2 - Introduction: Asthma exacerbation is among the commonest causes for pediatric emergency room visits, and respiratory viruses are frequent triggers of such exacerbations. Few studies have evaluated the consequences of the novel human coronavirus that causes the illness currently known as COVID-19, in the pediatric population. Purpose: The objective of this study was to analyze the impact of the COVID-19 pandemic and lockdown measures on the emergency department in the pediatric asthmatic patient. Patients and Methods: This retrospective observational study evaluated pediatric patients treated at the Pediatric Emergency Service for wheezing episodes. Changes in the number and characteristics of these patients over the same period of 2019 as compared to 2020 during the month following the alarm declaration (March 14 to April 15) were evaluated. Results: In total, data of 30 asthma patients managed in the period after the declaration of the coronavirus pandemic and of 158 asthma patients managed in the pre-COVID-19 period were included. In 2020, patient visits decreased by 82% in 2019. No statistically significant differences among age, sex, oxygen saturation, fever status, or number of severe bronchospasm episodes were found. Nebulized medication usage was reduced significantly since the alarm declaration. No significant increase in requests for complementary testing in the COVID-19 period was found. No patient requiring hospital admission was found to be PCR SARS-CoV-2 positive. Median time spent in the emergency department decreased from 180 minutes in 2019 to 85 minutes in the COVID-19 era. Conclusion: The COVID-19 pandemic and ensuing lockdown measures have led to an extraordinary reduction in emergency visits to the pediatric service. The ongoing pandemic has also led to improvements in the approach to asthma exacerbations and wheezing, to reduce the risk of exposure to the virus, such as increased use of pressurized metered dose inhaler and decreased time in the Emergency Department. SN - 1178-6965 UR - https://www.unboundmedicine.com/medline/citation/33568921/The_Impact_of_the_SARS_CoV_2_Pandemic_on_the_Emergency_Department_and_Management_of_the_Pediatric_Asthmatic_Patient_ L2 - https://dx.doi.org/10.2147/JAA.S284813 DB - PRIME DP - Unbound Medicine ER -