比较COVID-19爆发前和期间儿童纤维支气管镜检查的适应症和结果

IF 0.4 4区 医学 Q4 PEDIATRICS Iranian Journal of Pediatrics Pub Date : 2023-05-18 DOI:10.5812/ijp-129708
Niloufar Ghanbari, Faezeh Badkoubeh, R. Shirzadi, M. Modaresi, B. Sadeghi, Zahra Hosseinpour Dahka, S. H. Mirlohi
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引用次数: 0

摘要

背景:2019冠状病毒病(COVID-19)严重影响医疗保健服务。在本次大流行期间,肺部诊断程序经常中断。目的:本研究旨在了解COVID-19大流行对儿童柔性纤维支气管镜检查的影响。方法:本回顾性横断面研究是对在德黑兰医科大学附属三级儿科医院接受纤维支气管镜检查的儿童患者进行的。在2019年3月20日至2020年2月20日(大流行前期)和2020年3月20日至2021年2月20日(大流行期间)进行了程序分析。比较两组的支气管镜适应症和检查结果。结果:我们的数据登记结果显示,在(1组)中,从2020年3月20日至2021年2月20日(2组),290例患者对241例患者至少入住一次手术室进行支气管镜检查。虽然第2组支气管镜异物吸入发生率较高,但两组间差异无统计学意义(P = 0.055)。2组无异常例数明显少于1组(P = 0.006)。喉软化症的患病率在第2组也显著增高(P = 0.000)。结论:我们的研究结果证实了COVID-19流行后儿童支气管镜检查的减少。然而,支气管镜检查的直接适应症没有变化,这次大流行对选择性支气管镜检查的影响最为显著。
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Compare Indications and Findings of Fiberoptic Bronchoscopy in Children Before and During the COVID-19 Outbreak
Background: The coronavirus disease 2019 (COVID-19) dramatically impacts healthcare delivery. Pulmonary diagnostic procedures have had frequent disruptions during this pandemic. Objectives: This study aimed to discover how the COVID-19 pandemic affected pediatric flexible fiberoptic bronchoscopy. Methods: This retrospective cross-sectional study was carried out on pediatric patients who underwent fiberoptic bronchoscopy at a tertiary pediatric hospital affiliated to Tehran University of Medical Sciences. Procedural analysis was done from 20 March 2019 to 20 February 2020 (the pre-pandemic period) and 20 March 2020 to 20 February 2021 (during the pandemic period). The two groups were compared with regard to bronchoscopic indications and findings. Results: Our results from the data registry showed that within (group 1), 290 patients vs. 241 patients from 20 March 2020 till 20 February 2021 (group 2) were admitted to the operation room at least once for bronchoscopy procedures. Although the findings of foreign body aspiration in bronchoscopy were more frequent in group 2, this difference was not significant in the two groups (P = 0.055). The number of cases without abnormality in group 2 was significantly less than in group 1 (P = 0.006). The prevalence of Laryngomalacia was also significantly higher in group 2 (P = 0.000). Conclusions: Our results confirmed the reduction of bronchoscopy in children after the COVID-19 epidemic. However, there was no change in the immediate indications for bronchoscopy, and this pandemic had the most significant impact on elective bronchoscopy.
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来源期刊
CiteScore
0.90
自引率
20.00%
发文量
75
审稿时长
6-12 weeks
期刊介绍: Iranian Journal of Pediatrics (Iran J Pediatr) is a peer-reviewed medical publication. The purpose of Iran J Pediatr is to increase knowledge, stimulate research in all fields of Pediatrics, and promote better management of pediatric patients. To achieve the goals, the journal publishes basic, biomedical, and clinical investigations on prevalent diseases relevant to pediatrics. The acceptance criteria for all papers are the quality and originality of the research and their significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by minimum three anonymous reviewers. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as the material cannot be returned. Final acceptance or rejection rests with the Editors.
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