SARS-CoV-2 大流行对急性呼吸道感染急诊住院的影响:意大利一家儿科三级医院的经验。

IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES Influenza and Other Respiratory Viruses Pub Date : 2024-06-18 DOI:10.1111/irv.13335
Marta Luisa Ciofi degli Atti, Flavia Beccia, Carmen D'Amore, Lucilla Ravà, Paola Bernaschi, Cristina Russo, Alberto Villani, Carlo Federico Perno, Massimiliano Raponi
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引用次数: 0

摘要

背景:急性呼吸道感染(ARI)是儿童医疗保健的一个主要问题。SARS-CoV-2 大流行改变了急性呼吸道感染的流行病学;本研究旨在描述急性呼吸道感染急诊住院患者的流行病学趋势和病毒学结果,并估计 2018 年 1 月至 2023 年 6 月期间急性呼吸道感染急诊住院患者与呼吸道病毒的关联:本研究在意大利一家三级儿童医院(Bambino Gesù儿童医院)进行。研究人员从电子病历中回顾性地提取了因急性呼吸道感染就诊于急诊科(ED)并住院治疗的儿童的人口统计学和临床信息。研究采用多变量线性回归模型,将急性呼吸道感染入院人数与同期呼吸道样本中确诊病毒的时间趋势进行比较:在研究期间,因急性呼吸道感染到急诊室就诊的人数为 92140 人次,住院人数为 10541 人次,住院率为 11.4%。住院人数最多的是 1 岁以下的婴儿(4840 人,占住院总人数的 45.9%),住院率为 22.6%。急诊住院人数与多元回归模型的预测结果非常吻合;住院人数的高峰反映了呼吸道合胞病毒(RSV)的传播:结论:急性呼吸道感染紧急入院是儿童急性呼吸道感染疾病负担的重要组成部分。预防和控制 RSV 对限制急性呼吸道感染导致的紧急住院风险至关重要。
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Impact of SARS-CoV-2 Pandemic on Emergency Hospitalizations for Acute Respiratory Infections: The Experience of a Paediatric Tertiary Care Hospital in Italy

Background

Acute respiratory infections (ARIs) are a major healthcare issue in children. The SARS-CoV-2 pandemic changed the epidemiology of ARIs; the aims of this study are to characterize the epidemiological trend of ARI emergency hospitalizations and virology results and to estimate the association of ARI emergency hospitalizations with respiratory viruses from January 2018 to June 2023.

Methods

This study was carried out in an Italian tertiary care children's hospital (Bambino Gesù Children's Hospital). The demographic and clinical information of children who accessed the Emergency Department (ED) with ARI and were hospitalized were retrospectively extracted from the electronic health records. Multivariate linear regression model was used to compare the number of ARI hospital admissions with the reported temporal trends in viruses diagnosed from respiratory samples throughout the same time period.

Results

During the study period, there were 92,140 ED visits and 10,541 hospitalizations due to ARIs, reflecting an admission rate of 11.4%. The highest proportion of hospitalizations occurred in infants ≤ 1 year of age (n = 4840, 45.9% of total admissions), with a hospitalization rate of 22.6%. Emergency hospitalizations aligned closely with the predictions made by the multivariate regression model; peaks in hospitalizations reflected Respiratory Syncytial Virus (RSV) circulation.

Conclusions

ARI hospital urgent admissions are a relevant component of ARI disease burden in children. RSV prevention and control are crucial to limit the risk of urgent hospitalizations due to ARIs.

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来源期刊
CiteScore
7.20
自引率
4.50%
发文量
120
审稿时长
6-12 weeks
期刊介绍: Influenza and Other Respiratory Viruses is the official journal of the International Society of Influenza and Other Respiratory Virus Diseases - an independent scientific professional society - dedicated to promoting the prevention, detection, treatment, and control of influenza and other respiratory virus diseases. Influenza and Other Respiratory Viruses is an Open Access journal. Copyright on any research article published by Influenza and Other Respiratory Viruses is retained by the author(s). Authors grant Wiley a license to publish the article and identify itself as the original publisher. Authors also grant any third party the right to use the article freely as long as its integrity is maintained and its original authors, citation details and publisher are identified.
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