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Decreased Incidence of Pediatric Intussusception during COVID-19

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Abstract
Abstract: Coronavirus disease 2019 (COVID-19) changed the epidemiology of various diseases. The present study retrospectively investigates the epidemiologic and clinical changes in pediatric intussusception for ages ≤ 7 years before (February 2019?January 2020) and after (February 2020?
January 2021) the COVID-19 outbreak in a single pediatric emergency department of a universityaffiliated tertiary hospital. The incidence of communicable diseases?defined as infectious diseases with the potential for human-to-human transmission via all methods, non-communicable diseases,
and intussusception were decreased following the COVID-19 outbreak (15,932 to 3880 (24.4%), 12,994 to 8050 (62.0%), and 87 to 27 (31.0%), respectively). The incidence of intussusception correlated significantly with the change in incidence of communicable diseases (Poisson log-linear regression, odds ratio = 2.15, 95% CI = 1.08?4.26, and p = 0.029). Compared with the pre-pandemic period, patients of the pandemic period showed higher proportions of pathologic leading point (PLP) and hospitalization (14.8% vs. 2.3% and 18.5% vs. 4.6%, respectively), lower base excesses (?4.8 mmol/L vs. ?3.6 mmol/L), and higher lactate concentrations (1.7 mmol/L vs. 1.5 mmol/L). The incidence of pediatric intussusception decreased after the COVID-19 pandemic. This reduced incidence may be related to the reduced incidence of communicable diseases. However, the proportions of more severe diseases and PLPs were higher after the COVID-19 pandemic.
Author(s)
박준성변영훈최승준이종승류정민이정용
Issued Date
2021
Type
Article
Keyword
communicable diseaseCoronavirusesCOVID-19EpidemiologyInfectious diseasesintussusceptionPediatrics
DOI
10.3390/children8111072
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8339
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_580ad4a0b7f740849a2d8ec5595bd728&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Decreased%20Incidence%20of%20Pediatric%20Intussusception%20during%20COVID-19&offset=0&pcAvailability=true
Publisher
Children (Basel)
Location
스위스
Language
영어
ISSN
2227-9067
Citation Volume
8
Citation Number
11
Citation Start Page
1072
Citation End Page
0
Appears in Collections:
Medicine > Medicine
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