Newborn Hospitalizations Before and During COVID-19 Pandemic in Poland: A Comparative Study Based on a National Hospital Registry

Krzysztof Kanecki, K. Lewtak, P. Tyszko, Irena Kosińska, Patryk Tarka, Paweł Goryński, A. Nitsch-Osuch
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Abstract

Objectives: There are limited data on the impact of the COVID-19 outbreak in Poland on newborn health. The aim of the study is to show recent information on hospitalizations of newborns in Poland in the pre-pandemic and COVID-19 pandemic era.Methods: A retrospective, population-based study was conducted using data from hospital discharge records of patients hospitalized in 2017–2021.Results: The data on which the study was based consisted of a substantial number of 104,450 hospitalization records. Annual hospitalization rate was estimated to be 50.3–51.9 per 1,000 in 2017–2019, 56 per 1,000 in 2020 and it rose to 77.7 per 1,000 in 2021. In comparison to the pre-pandemic period, in the COVID-19 era, we observed significantly more hospitalization cases of newborns affected by maternal renal and urinary tract diseases (p < 0.001), syndrome of infant of mother with gestational diabetes (p < 0.001), maternal complications of pregnancy (p < 0.001). In the COVID-19 era, the prevalence of COVID-19 among newborns was 4.5 cases per 1,000 newborn hospitalizations.Conclusion: The COVID-19 pandemic outbreak could significantly contribute to qualitative and quantitative changes in hospitalizations among newborns.
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波兰 COVID-19 大流行之前和期间的新生儿住院情况:基于全国医院登记的比较研究
目的:有关 COVID-19 在波兰爆发对新生儿健康影响的数据十分有限。本研究旨在展示大流行前和 COVID-19 大流行时期波兰新生儿住院治疗的最新信息:利用 2017-2021 年住院患者的出院记录数据,开展了一项基于人群的回顾性研究:研究依据的数据包括大量的 104,450 份住院记录。据估计,2017-2019 年的年住院率为 50.3-51.9‰,2020 年为 56‰,2021 年上升至 77.7‰。与大流行前相比,在 COVID-19 时代,我们观察到受产妇肾脏和泌尿系统疾病(P < 0.001)、妊娠糖尿病母亲婴儿综合征(P < 0.001)、产妇妊娠并发症(P < 0.001)影响的新生儿住院病例明显增多。在 COVID-19 时代,新生儿中 COVID-19 的发病率为每千名住院新生儿中有 4.5 例:结论:COVID-19 大流行疫情可显著促进新生儿住院率的质和量的变化。
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