Decreased Incidence of Pediatric Intussusception during COVID-19

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...

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Autores principales:	Jun Sung Park, Young-Hoon Byun, Seung Jun Choi, Jong Seung Lee, Jeong-Min Ryu, Jeong-Yong Lee
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	intussusception COVID-19 epidemiology communicable disease Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/580ad4a0b7f740849a2d8ec5595bd728
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spelling	oai:doaj.org-article:580ad4a0b7f740849a2d8ec5595bd7282021-11-25T17:15:08ZDecreased Incidence of Pediatric Intussusception during COVID-1910.3390/children81110722227-9067https://doaj.org/article/580ad4a0b7f740849a2d8ec5595bd7282021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1072https://doaj.org/toc/2227-9067Coronavirus 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 university-affiliated 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 <i>p</i> = 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.Jun Sung ParkYoung-Hoon ByunSeung Jun ChoiJong Seung LeeJeong-Min RyuJeong-Yong LeeMDPI AGarticleintussusceptionCOVID-19epidemiologycommunicable diseasePediatricsRJ1-570ENChildren, Vol 8, Iss 1072, p 1072 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	intussusception COVID-19 epidemiology communicable disease Pediatrics RJ1-570
spellingShingle	intussusception COVID-19 epidemiology communicable disease Pediatrics RJ1-570 Jun Sung Park Young-Hoon Byun Seung Jun Choi Jong Seung Lee Jeong-Min Ryu Jeong-Yong Lee Decreased Incidence of Pediatric Intussusception during COVID-19
description	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 university-affiliated 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 <i>p</i> = 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.
format	article
author	Jun Sung Park Young-Hoon Byun Seung Jun Choi Jong Seung Lee Jeong-Min Ryu Jeong-Yong Lee
author_facet	Jun Sung Park Young-Hoon Byun Seung Jun Choi Jong Seung Lee Jeong-Min Ryu Jeong-Yong Lee
author_sort	Jun Sung Park
title	Decreased Incidence of Pediatric Intussusception during COVID-19
title_short	Decreased Incidence of Pediatric Intussusception during COVID-19
title_full	Decreased Incidence of Pediatric Intussusception during COVID-19
title_fullStr	Decreased Incidence of Pediatric Intussusception during COVID-19
title_full_unstemmed	Decreased Incidence of Pediatric Intussusception during COVID-19
title_sort	decreased incidence of pediatric intussusception during covid-19
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/580ad4a0b7f740849a2d8ec5595bd728
work_keys_str_mv	AT junsungpark decreasedincidenceofpediatricintussusceptionduringcovid19 AT younghoonbyun decreasedincidenceofpediatricintussusceptionduringcovid19 AT seungjunchoi decreasedincidenceofpediatricintussusceptionduringcovid19 AT jongseunglee decreasedincidenceofpediatricintussusceptionduringcovid19 AT jeongminryu decreasedincidenceofpediatricintussusceptionduringcovid19 AT jeongyonglee decreasedincidenceofpediatricintussusceptionduringcovid19
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Decreased Incidence of Pediatric Intussusception during COVID-19

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