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Comparison of Children Hospitalized for Asthma Before and During the COVID-19 Pandemic.
Pediatric Allergy, Immunology, and Pulmonology 2022 December
Background: Studies suggest that children with asthma experienced improved symptom control and less frequent inpatient admission during the COVID-19 (coronavirus disease 2019) pandemic. The characteristics of hospitalized children remain less well defined. Methods: This retrospective cohort study compared patients admitted for asthma during the pandemic with patients hospitalized the year prior at a children's hospital in the Bronx, New York. Results: In the year before the pandemic, 667 children were hospitalized for asthma, compared with 177 children the following year. Children admitted during the pandemic were older (7.8 versus 7.0 years, P = 0.04), more likely underweight ( P < 0.01), and more likely to have public insurance ( P = 0.02). Additionally, children hospitalized during the pandemic required intensive care ( P = 0.03) and magnesium sulfate ( P = 0.05) more frequently. Despite this, length of stay remained similar. Conclusion: While inpatient utilization for asthma decreased during the pandemic, children hospitalized were sicker on presentation. The cause of this is likely multifactorial and requires further study.
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