How the Pandemic Impacted Resource Utilization in Hospitalized Children With Bacterial Infections.

IF 1 4区 医学 Q3 PEDIATRICS Clinical Pediatrics Pub Date : 2025-02-24 DOI:10.1177/00099228251318479
Christina M McKinney, Michelle L Mitchell, Erin Preloger, Kelly Graff, Amy Y Pan, Melodee Liegl, Glenn Bushee, Patrick J McCarthy, Vanessa McFadden, Sarah C Bauer
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Abstract

We compared the quantity of labs ordered in selected hospitalized children throughout the COVID-19 pandemic. Utilization of X-ray, magnetic resonance imaging (MRI), echocardiograms, and electrocardiograms (ECG), length of stay (LOS) and timing of antibiotics were secondary outcomes. Retrospective cohort study of patients >60 days to <22 years with cellulitis, pneumonia, and urinary tract infections discharged from hospital medicine March 2018 to February 2020 (pre-) March 2020 to February 2022 (peak) and March 2022 to April 2023 (post peak). Fisher-Freeman-Halton exact test was performed for categorical variables. Kruskal-Wallis test compared continuous variables. Patients admitted peak pandemic incurred more labs and ECGs and fewer MRIs and X-rays. There were no differences in echocardiograms, LOS, or timing of antibiotics. While lab utilization returned to pre-pandemic levels, increased ECG use continued. Increased lab and ECG utilization was observed in patients with certain bacterial infections during the peak of the pandemic, likely reflective of diagnostic uncertainty.

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我们比较了在 COVID-19 大流行期间选定住院儿童的化验单数量。X光、磁共振成像(MRI)、超声心动图和心电图(ECG)的使用情况、住院时间(LOS)和使用抗生素的时机是次要结果。对住院时间超过 60 天的患者进行回顾性队列研究
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来源期刊
Clinical Pediatrics
Clinical Pediatrics 医学-小儿科
CiteScore
2.10
自引率
6.20%
发文量
189
审稿时长
3-8 weeks
期刊介绍: Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.
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