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Reduced pediatric urgent asthma utilization and exacerbations during the COVID-19 pandemic.

Publication ,  Journal Article
Hurst, JH; Zhao, C; Fitzpatrick, NS; Goldstein, BA; Lang, JE
Published in: Pediatric pulmonology
October 2021

The COVID-19 pandemic has had a profound impact on healthcare access and utilization, which could have important implications for children with chronic diseases, including asthma. We sought to evaluate changes in healthcare utilization and outcomes in children with asthma during the COVID-19 pandemic. We used electronic health records data to evaluate healthcare use and asthma outcomes in 3959 children and adolescents, 5-17 years of age, with a prior diagnosis of asthma who had a history of well-child visits and encounters within the healthcare system. We assessed all-cause healthcare encounters and asthma exacerbations in the 12-months preceding the start of the COVID-19 pandemic (March 1, 2019-February 29, 2020) and the first 12 months of the pandemic (March 1, 2020-February 28, 2021). All-cause healthcare encounters decreased significantly during the pandemic compared to the preceding year, including well-child visits (48.1% during the pandemic vs. 66.6% in the prior year; p < .01), emergency department visits (9.7% vs. 21.0%; p < .01), and inpatient admissions (1.6% vs. 2.5%; p < .01), though there was over a 100-fold increase in telehealth encounters. Asthma exacerbations that required treatment with systemic steroids also decreased (127 vs. 504 exacerbations; p < .01). Race/ethnicity was not associated with changes in healthcare utilization or asthma outcomes. The COVID-19 pandemic corresponded to dramatic shifts in healthcare utilization, including increased telehealth use and improved outcomes among children with asthma. Social distancing measures may have also reduced asthma trigger exposure.

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Published In

Pediatric pulmonology

DOI

EISSN

1099-0496

ISSN

8755-6863

Publication Date

October 2021

Volume

56

Issue

10

Start / End Page

3166 / 3173

Related Subject Headings

  • Telemedicine
  • SARS-CoV-2
  • Respiratory System
  • Pandemics
  • Male
  • Humans
  • Health Services Accessibility
  • Female
  • Emergency Service, Hospital
  • Child
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hurst, J. H., Zhao, C., Fitzpatrick, N. S., Goldstein, B. A., & Lang, J. E. (2021). Reduced pediatric urgent asthma utilization and exacerbations during the COVID-19 pandemic. Pediatric Pulmonology, 56(10), 3166–3173. https://doi.org/10.1002/ppul.25578
Hurst, Jillian H., Congwen Zhao, Nicholas S. Fitzpatrick, Benjamin A. Goldstein, and Jason E. Lang. “Reduced pediatric urgent asthma utilization and exacerbations during the COVID-19 pandemic.Pediatric Pulmonology 56, no. 10 (October 2021): 3166–73. https://doi.org/10.1002/ppul.25578.
Hurst JH, Zhao C, Fitzpatrick NS, Goldstein BA, Lang JE. Reduced pediatric urgent asthma utilization and exacerbations during the COVID-19 pandemic. Pediatric pulmonology. 2021 Oct;56(10):3166–73.
Hurst, Jillian H., et al. “Reduced pediatric urgent asthma utilization and exacerbations during the COVID-19 pandemic.Pediatric Pulmonology, vol. 56, no. 10, Oct. 2021, pp. 3166–73. Epmc, doi:10.1002/ppul.25578.
Hurst JH, Zhao C, Fitzpatrick NS, Goldstein BA, Lang JE. Reduced pediatric urgent asthma utilization and exacerbations during the COVID-19 pandemic. Pediatric pulmonology. 2021 Oct;56(10):3166–3173.
Journal cover image

Published In

Pediatric pulmonology

DOI

EISSN

1099-0496

ISSN

8755-6863

Publication Date

October 2021

Volume

56

Issue

10

Start / End Page

3166 / 3173

Related Subject Headings

  • Telemedicine
  • SARS-CoV-2
  • Respiratory System
  • Pandemics
  • Male
  • Humans
  • Health Services Accessibility
  • Female
  • Emergency Service, Hospital
  • Child