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Ramos-Lacuey B, Herranz Aguirre M, Calderón Gallego C, et al. ECIEN-2020 study: the effect of COVID-19 on admissions for non-COVID-19 diseases. World J Pediatr. 2021;17(1):85-91doi: 10.1007/s12519-020-00406-9.
Ramos-Lacuey, B., Herranz Aguirre, M., Calderón Gallego, C., Ilundain López de Munain, A., Gembero Esarte, E., & Moreno-Galarraga, L. (2021). ECIEN-2020 study: the effect of COVID-19 on admissions for non-COVID-19 diseases. World journal of pediatrics : WJP, 17(1), 85-91. https://doi.org/10.1007/s12519-020-00406-9
Ramos-Lacuey, Beatriz, et al. "ECIEN-2020 study: the effect of COVID-19 on admissions for non-COVID-19 diseases." World journal of pediatrics : WJP vol. 17,1 (2021): 85-91. doi: https://doi.org/10.1007/s12519-020-00406-9
Ramos-Lacuey B, Herranz Aguirre M, Calderón Gallego C, Ilundain López de Munain A, Gembero Esarte E, Moreno-Galarraga L. ECIEN-2020 study: the effect of COVID-19 on admissions for non-COVID-19 diseases. World J Pediatr. 2021 Feb;17(1):85-91. doi: 10.1007/s12519-020-00406-9. Epub 2021 Feb 09. PMID: 33559813; PMCID: PMC7871166.
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World J Pediatr. 2021 Feb;17(1):85-91. doi: 10.1007/s12519-020-00406-9. Epub 2021 Feb 09.

ECIEN-2020 study: the effect of COVID-19 on admissions for non-COVID-19 diseases.

World journal of pediatrics : WJP

Beatriz Ramos-Lacuey, Mercedes Herranz Aguirre, Clara Calderón Gallego, Andrea Ilundain López de Munain, Eva Gembero Esarte, Laura Moreno-Galarraga

Affiliations

  1. Department of Pediatrics, CHN, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, C/Irunlarrea 3, 31080, Pamplona, Spain.
  2. Pediatric Infectious Diseases Department, CHN, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, Pamplona, Spain.
  3. Pediatric Hospitalization, Department of Pediatrics, CHN, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, Pamplona, Spain.
  4. IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.
  5. Department of Pediatrics, CHN, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, C/Irunlarrea 3, 31080, Pamplona, Spain. [email protected].
  6. IdiSNA, Navarra Institute for Health Research, Pamplona, Spain. [email protected].
  7. Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, Pamplona, Spain. [email protected].
  8. Pediatric Pulmonology, Department of Pediatrics, CHN, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, Pamplona, Spain. [email protected].

PMID: 33559813 PMCID: PMC7871166 DOI: 10.1007/s12519-020-00406-9

Abstract

BACKGROUND: The pandemic caused by severe acute respiratory coronavirus 2 (SARS-CoV-2) has had great effects on health systems worldwide, not only in relation to coronavirus disease 2019 (COVID-19) cases but also affecting patients with other pathologies.

METHODS: ECIEN-2020 is an observational study conducted in a tertiary referral hospital in Navarra, Spain. It describes the effects of COVID-19 pandemic and the preventive measures adopted, in pediatric admissions for non-COVID-19 diseases. Admissions during March-June 2020 (first wave of the COVID-19 pandemic in Spain) are described and compared with the same quarter in 2019. A sub-analysis was performed delving into epidemiology. Patient characteristics (age, sex, past medical history), disease characteristics (symptoms, duration of symptoms, previous consultation in Primary Care Health Center), and admission characteristics (place and average stay) were analyzed.

RESULTS: A 33% reduction in the number of pediatric hospital admissions was observed, decreasing from 529 hospitalizations in 2019 to 353 in 2020 (P < 0.001). This highlights a 48% reduction in patients admitted for pulmonary diseases. There were no significant changes in average hospital-stay, percentage of intensive care unit admissions, or in admissions for other reasons. Percentage of patients admitted among those seen in the emergency department rose from 5.1% in 2019 to 10.9% in 2020, whereas the total number of consultations in the emergency department decreased by 68%.

CONCLUSION: The pandemic and the measures adopted due to SARS-CoV-2 have significantly decreased pediatric admissions for non-COVID-19 diseases, especially due to a reduction in the hospitalization for respiratory diseases.

Keywords: Admission; COVID-19; Hospitalization; SARS-CoV-2

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