Respiratory hospitalizations and ICU admissions among children with and without medical complexity at the end of the COVID-19 pandemic.

• Tác giả: Kazuyoshi Aoyama, Christina Belza, Francine Buchanan, Eyal Cohen, Sanober Diaz, Christina Diong, Longdi Fu, Ori Goldberg, Astrid Guttmann, Charlotte Moore Hepburn, Sanjay Mahant, Rachel Martens, Katherine E Nelson, Eleanor Pullenayegum, Natasha R Saunders
• Ngôn ngữ: eng
• Thông tin xuất bản: United States : Journal of hospital medicine , 2025
• Bộ sưu tập: NCBI
• ID: 735924

Tóm tắt

 Decreased severe respiratory illness was observed during the first 2 years of the COVID-19 pandemic, with a relatively smaller decrease among children with medical complexity (CMC) compared to non-CMC. We extended this analysis to the third pandemic year (April 1, 2022, to March 31, 2023) when pandemic public health measures were loosened. A population-based repeated cross-sectional study evaluated respiratory hospitalizations among CMC and non-CMC (<
 18 years) in Ontario, Canada. Among the 67,517 CMC and 3,006,504 non-CMC in Ontario, there were more CMC respiratory hospitalizations compared with the expected prepandemic levels (n = 3145 hospitalizations, corresponding to rate ratio [RR], 1.20
  95% confidence interval [CI], 1.16-1.25) with an even larger relative increase among non-CMC (n = 6653, RR, 1.36
  95% CI, 1.34-1.38). Increased intensive care unit admissions for respiratory illness were also observed (CMC: RR, 1.44
  95% CI, 1.31-1.59
  non-CMC: RR, 2.02
  95% CI, 1.89-2.16). Understanding respiratory surge drivers may provide insights to protect at-risk children from respiratory morbidity.