School Closures in the United States and Severe Respiratory Illnesses in Children: A Normalized Nationwide Sample.
Journal
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
ISSN: 1529-7535
Titre abrégé: Pediatr Crit Care Med
Pays: United States
ID NLM: 100954653
Informations de publication
Date de publication:
01 07 2022
01 07 2022
Historique:
pubmed:
22
4
2022
medline:
12
7
2022
entrez:
21
4
2022
Statut:
ppublish
Résumé
To determine the association between nationwide school closures and prevalence of common admission diagnoses in the pediatric critical care unit. Retrospective cohort study. National database evaluation using the Virtual Pediatric Systems LLC database. All patients admitted to the PICU in 81 contributing hospitals in the United States. Diagnosis categories were determined for all 110,418 patients admitted during the 20-week study period in each year (2018, 2019, and 2020). Admission data were normalized relative to statewide school closure dates for each patient using geographic data. The "before school closure" epoch was defined as 8 weeks prior to school closure, and the "after school closure" epoch was defined as 12 weeks following school closure. For each diagnosis, admission ratios for each study day were calculated by dividing 2020 admissions by 2018-2019 admissions. The 10 most common diagnosis categories were examined. Significant changes in admission ratios were identified for bronchiolitis, pneumonia, and asthma. These changes occurred at 2, 8, and 35 days following school closure, respectively. PICU admissions decreased by 82% for bronchiolitis, 76% for pneumonia, and 76% for asthma. Nonrespiratory diseases such as diabetic ketoacidosis, status epilepticus, traumatic injury, and poisoning/ingestion did not show significant changes following school closure. School closures are associated with a dramatic reduction in the prevalence of severe respiratory disease requiring PICU admission. School closure may be an effective tool to mitigate future pandemics but should be balanced with potential academic, economic, mental health, and social consequences.
Identifiants
pubmed: 35447632
doi: 10.1097/PCC.0000000000002967
pii: 00130478-202207000-00007
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
535-543Subventions
Organisme : NIGMS NIH HHS
ID : K08 GM129763
Pays : United States
Informations de copyright
Copyright © 2022 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.
Déclaration de conflit d'intérêts
Dr. Lin’s institution received funding from the Health Resources and Services Administration and Assistant Secretary for Preparedness and Response. Dr. Klein received funding from the University Hospitals of Cleveland Linsalata Family Chair in Pediatric Critical Care and Emergency Medicine; she disclosed that she is being paid for her time as a member of the research team. Dr. Rotta received funding from Vapotherm, Breas US, and Elsevier. Dr. Remy received support for article research from the National Institutes of Health. Dr. Shein received funding from law firms for providing expert testimony and legal review. The remaining authors have disclosed that they do not have any potential conflicts of interest.
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