Patient attendance at a pediatric emergency referral hospital in an area with low COVID-19 incidence.

The purpose of this study was to clarify the effects of individual infection control measures and physical distancing on pediatric medical care in a local prefecture in Japan, where the incidence of coronavirus disease (COVID-19) in pediatric patients was extremely low. We extracted data from hospit...

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Autores principales:	Koichi Shichijo, Shunsuke Takeuchi, Takahiro Tayama, Mikiko Takei, Keisuke Fujioka, Akemi Ono, Miki Shono, Kenichi Suga, Reiko Kondo, Takashi Kaimen, Nobuo Arima, Shuji Kondo
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7086b2bd8af8430fbf4a1eeaa432ec8b
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spelling	oai:doaj.org-article:7086b2bd8af8430fbf4a1eeaa432ec8b2021-12-02T20:07:52ZPatient attendance at a pediatric emergency referral hospital in an area with low COVID-19 incidence.1932-620310.1371/journal.pone.0258478https://doaj.org/article/7086b2bd8af8430fbf4a1eeaa432ec8b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258478https://doaj.org/toc/1932-6203The purpose of this study was to clarify the effects of individual infection control measures and physical distancing on pediatric medical care in a local prefecture in Japan, where the incidence of coronavirus disease (COVID-19) in pediatric patients was extremely low. We extracted data from hospital records on the number of outpatients, inpatients, infectious disease consultations, and consultations for representative pediatric diseases. We compared attendance in 2017-2019, before the COVID-19 pandemic, with 2020, when COVID-19 spread to Japan. There were no COVID-19 patients in the pediatric department during the study period. The total number outpatient visits decreased by 24.4%, and the number of hospital admissions, excluding neonatal care unit admissions, decreased by approximately 35%. There was a marked reduction in the number of hospitalizations for infectious diseases such as influenza (-74.8%) and respiratory syncytial virus infection (-93.5%), and the number of hospitalizations for bronchitis/pneumonia, Kawasaki disease, and bronchial asthma decreased. In contrast, the number of clinical psychological interventions and cases reported to the child guidance center increased. In the context of pandemic infectious diseases, it is important to control the spread of problematic infectious diseases by individual infection control measures and physical distancing. However, it is necessary to maintain social life as much as possible for the mental health and physical development of children.Koichi ShichijoShunsuke TakeuchiTakahiro TayamaMikiko TakeiKeisuke FujiokaAkemi OnoMiki ShonoKenichi SugaReiko KondoTakashi KaimenNobuo ArimaShuji KondoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258478 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Koichi Shichijo Shunsuke Takeuchi Takahiro Tayama Mikiko Takei Keisuke Fujioka Akemi Ono Miki Shono Kenichi Suga Reiko Kondo Takashi Kaimen Nobuo Arima Shuji Kondo Patient attendance at a pediatric emergency referral hospital in an area with low COVID-19 incidence.
description	The purpose of this study was to clarify the effects of individual infection control measures and physical distancing on pediatric medical care in a local prefecture in Japan, where the incidence of coronavirus disease (COVID-19) in pediatric patients was extremely low. We extracted data from hospital records on the number of outpatients, inpatients, infectious disease consultations, and consultations for representative pediatric diseases. We compared attendance in 2017-2019, before the COVID-19 pandemic, with 2020, when COVID-19 spread to Japan. There were no COVID-19 patients in the pediatric department during the study period. The total number outpatient visits decreased by 24.4%, and the number of hospital admissions, excluding neonatal care unit admissions, decreased by approximately 35%. There was a marked reduction in the number of hospitalizations for infectious diseases such as influenza (-74.8%) and respiratory syncytial virus infection (-93.5%), and the number of hospitalizations for bronchitis/pneumonia, Kawasaki disease, and bronchial asthma decreased. In contrast, the number of clinical psychological interventions and cases reported to the child guidance center increased. In the context of pandemic infectious diseases, it is important to control the spread of problematic infectious diseases by individual infection control measures and physical distancing. However, it is necessary to maintain social life as much as possible for the mental health and physical development of children.
format	article
author	Koichi Shichijo Shunsuke Takeuchi Takahiro Tayama Mikiko Takei Keisuke Fujioka Akemi Ono Miki Shono Kenichi Suga Reiko Kondo Takashi Kaimen Nobuo Arima Shuji Kondo
author_facet	Koichi Shichijo Shunsuke Takeuchi Takahiro Tayama Mikiko Takei Keisuke Fujioka Akemi Ono Miki Shono Kenichi Suga Reiko Kondo Takashi Kaimen Nobuo Arima Shuji Kondo
author_sort	Koichi Shichijo
title	Patient attendance at a pediatric emergency referral hospital in an area with low COVID-19 incidence.
title_short	Patient attendance at a pediatric emergency referral hospital in an area with low COVID-19 incidence.
title_full	Patient attendance at a pediatric emergency referral hospital in an area with low COVID-19 incidence.
title_fullStr	Patient attendance at a pediatric emergency referral hospital in an area with low COVID-19 incidence.
title_full_unstemmed	Patient attendance at a pediatric emergency referral hospital in an area with low COVID-19 incidence.
title_sort	patient attendance at a pediatric emergency referral hospital in an area with low covid-19 incidence.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/7086b2bd8af8430fbf4a1eeaa432ec8b
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Patient attendance at a pediatric emergency referral hospital in an area with low COVID-19 incidence.

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