COVID-19 爆发后支气管炎的流行病学和临床特征:两个流行季节的比较。

IF 1 Q3 PEDIATRICS Minerva Pediatrics Pub Date : 2024-06-26 DOI:10.23736/S2724-5276.24.07510-4
Antonietta Curatola, Lorenzo DI Sarno, Marta Barbato, Antonio Gatto, Elena Cultrera DI Montesano, Antonio Chiaretti
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引用次数: 0

摘要

研究背景本研究的第一个目的是比较2022-2023年与2021-2022年儿科急诊室(PED)收治的急性支气管炎患者。第二个目的是评估同一患者在两个季节中支气管炎复发率的差异:这是一项在意大利罗马 IRCCS A. Gemelli 大学综合医院基金会 PED 进行的回顾性、观察性、横断面研究。我们纳入了所有在 PED 诊断为支气管炎的 0 至 2 岁儿童。我们比较了 2021-2022 年和 2022-2023 年两季的特征:结果:2022-2023年入院儿童的年龄中位数为5个月(IQR:2-8),而上一年为7个月(IQR:2-14)(P=0.02)。我们观察到,在上一季度,PED收治的高优先级代码患儿数量增加,高流量鼻插管和吸入肾上腺素的治疗使用也有所增加。在2022-23年流行季节,我们发现有31名(12.8%)儿童在同一流行季节出现一次以上的支气管炎,而上一流行季节只有16名(7.6%)儿童出现这种情况(P=0.048):我们的数据强调了 COVID-19 爆发后支气管炎的流行病学特征发生了变化,并且仍在不断发展。
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Epidemiological and clinical features of bronchiolitis after the COVID-19 outbreak: comparison of two epidemic seasons.

Background: The first aim of this study was to compare Pediatric Emergency Department (PED) admissions for acute bronchiolitis during the 2022-2023 season to those of the season 2021-2022. The secondary aim was to assess the difference in the recurrence of bronchiolitis episodes in the same patient between the two seasons.

Methods: This is a retrospective, observational, cross-sectional study conducted at the PED of IRCCS A. Gemelli University Polyclinic Foundation (Rome, Italy). We included all children aged between 0 and 2 years admitted to PED with the diagnosis of bronchiolitis. We compared features of seasons 2021-2022 and 2022-2023.

Results: The median age of children enrolled during the 2022-23 season was 5 months (IQR: 2-8) compared to 7 months (IQR: 2-14) in the previous one (P=0.02). We observed in the last season a higher number of children admitted to PED with a high priority code and an increased therapeutic use of high-flow nasal cannula and inhaled adrenaline. During the 2022-23 season we found 31 (12.8%) children presenting more than one episode of bronchiolitis in the same epidemic season, compared to 16 (7.6%) children in the previous season (P=0.048).

Conclusions: Our data emphasize that the epidemiological features of bronchiolitis after COVID-19 outbreak have changed and are still evolving.

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