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IMPACT OF CORONAVIRUS DISEASE 2019 on THE PEDIATRIC AERODIGESTIVE POPULATION.


ABSTRACT:

Objective

To determine the impact of the (COVID-19) quarantine on baseline health, medication use, health anxiety, and healthcare utilization in pediatric aerodigestive patients, and to evaluate for associations of commonly prescribed medications with risk of COVID-19 illness.

Study design

Prospective study of patients presenting in-person to pediatric neurogastroenterology clinics between July 2020 and March 2021.

Results

Of 202 recruited patients, 71.3% were seen in aerodigestive diseases center and 28.7% in the Functional Abdominal Pain (FAP)/Motility clinic. Of all patients, 25.1% reported improved overall health during quarantine; ADC patients (35.3%) report improved overall health compared with the FAP/Motility patients (3.6%, p=0.0001). ADC patients had less airway symptoms (p<0.05) and less medication use during quarantine (inhaled steroids, p<0.05 and albuterol, p<0.05). Despite objective improvement, there was significant health related anxiety with higher anxiety scores reported during and at the end of quarantine (p<0.05), with no difference between patient groups (p>0.11). Patients continued to access healthcare during quarantine. 28.7% of patients were seen in the emergency room (FAP patients more than ADC patients, p =0.02) and 19.8% were hospitalized. COVID-19 testing was performed in 58.4% of patients and 2.0% (n=4) of the entire cohort tested positive.

Conclusion

ADC patients show improvement of airway symptoms and decreased use of medications during the pandemic, despite increased health-related anxiety. Despite complexities of accessing care due to the widespread lockdown, all patient groups continued to access healthcare.

SUBMITTER: Beinvogl B 

PROVIDER: S-EPMC8686454 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature

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Publications

Impact of Coronavirus Disease 2019 on the Pediatric Population with Aerodigestive Disease.

Beinvogl Beate B   Cohen Alexandra A   DiFilippo Courtney C   Kane Madeline M   Nurko Samuel S   Rosen Rachel R  

The Journal of pediatrics 20211220


<h4>Objective</h4>To determine the impact of the coronavirus disease 2019 (COVID-19) quarantine on baseline health, medication use, health anxiety, and healthcare use in pediatric patients with aerodigestive disease and to evaluate for associations of commonly prescribed medications with the risk of COVID-19 illness.<h4>Study design</h4>Prospective study of patients presenting in person to pediatric neurogastroenterology clinics between July 2020 and March 2021.<h4>Results</h4>Of 202 recruited p  ...[more]

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