tetano
Editor, Senior Moderator
Influenza Other Respir Viruses
. 2024 Jun;18(6):e13335.
doi: 10.1111/irv.13335. Impact of SARS-CoV-2 Pandemic on Emergency Hospitalizations for Acute Respiratory Infections: The Experience of a Paediatric Tertiary Care Hospital in Italy
Marta Luisa Ciofi Degli Atti[SUP] 1 [/SUP], Flavia Beccia[SUP] 1 2 [/SUP], Carmen D'Amore[SUP] 1 [/SUP], Lucilla Ravà[SUP] 1 [/SUP], Paola Bernaschi[SUP] 3 [/SUP], Cristina Russo[SUP] 3 [/SUP], Alberto Villani[SUP] 4 [/SUP], Carlo Federico Perno[SUP] 3 [/SUP], Massimiliano Raponi[SUP] 5 [/SUP]
Affiliations
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.
Keywords: COVID‐19 pandemic; RSV; acute respiratory infections; children; hospitalizations; viral infections.
. 2024 Jun;18(6):e13335.
doi: 10.1111/irv.13335. Impact of SARS-CoV-2 Pandemic on Emergency Hospitalizations for Acute Respiratory Infections: The Experience of a Paediatric Tertiary Care Hospital in Italy
Marta Luisa Ciofi Degli Atti[SUP] 1 [/SUP], Flavia Beccia[SUP] 1 2 [/SUP], Carmen D'Amore[SUP] 1 [/SUP], Lucilla Ravà[SUP] 1 [/SUP], Paola Bernaschi[SUP] 3 [/SUP], Cristina Russo[SUP] 3 [/SUP], Alberto Villani[SUP] 4 [/SUP], Carlo Federico Perno[SUP] 3 [/SUP], Massimiliano Raponi[SUP] 5 [/SUP]
Affiliations
- PMID: 38887843
- DOI: 10.1111/irv.13335
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.
Keywords: COVID‐19 pandemic; RSV; acute respiratory infections; children; hospitalizations; viral infections.