Changes in entire acute bronchiolitis seasons before, during, and after the COVID-19 pandemic in Spain
Rattachement africain : es. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: Paediatric acute bronchiolitis normally occurs from October to April in the temperate northern hemisphere, peaking in January. Nonpharmacological measures to control the spread of COVID-19 resulted in a decrease in the number of cases of bronchiolitis during the 2020-21 season. The discontinuation of these measures created an uncertain scenario. Aim: To describe the epidemiological evolution of acute bronchiolitis seasons and the changes in the demographics of the affected population before, during, and after the implementation of nonpharmacological interventions for COVID-19 in Spain. Methods: This was a multicentre and descriptive study. A total of 6,334 infants aged up to 12 months who were diagnosed with acute bronchiolitis were recruited from sixteen Spanish hospitals. We collected data from participants from September 1st, 2021, through August 31st, 2023, as part of the ECEALHBA research project. The study periods were before (P1), during (P2), and after (P3) the COVID-19 pandemic. Findings: In P2 and after the discontinuation of nonpharmacological interventions, an unexpected increase in the number of acute bronchiolitis cases was observed from June-August 2021, resulting in an out-of-season peak. A subsequent peak was observed in November 2021, earlier than expected for the 2021-22 season. In the 2022-23 season, admissions followed a historical trend, with a greater number of cases than in the two previous seasons. Statistically significant differences in the length of stay (p<0.001), number of RSV infections (p=0.021), and number of paediatric intensive care unit admissions (p<0.001) were observed among the periods. Conclusions: Two out-of-season peaks in the number of acute bronchiolitis cases were observed in 2020-2021 and 2021-2022. However, following the relaxation of nonpharmacological intervention measures, the peak observed in 2022-2023, although occurring 2-6 weeks earlier, was more similar to the peaks observed in the prepandemic seasons. Additionally, increased case severity was observed during these periods.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Changes in entire acute bronchiolitis seasons before, during, and after the COVID-19 pandemic in Spain
- Date Crossref
- 01/12/2024
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Hospital Virgen de la Luz pays non établi dans la noticeÉtablissement de santé
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Hospital General Universitario de Alicante Doctor Balmis Department of Paediatrics pays non établi dans la noticeÉtablissement de santé
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Hospital General Universitario de Albacete Department of Paediatrics pays non établi dans la noticeÉtablissement de santé
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Hospital Universitario Doctor Peset Department of Paediatrics pays non établi dans la noticeÉtablissement de santé
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Hospital de La Ribera pays non établi dans la noticeÉtablissement de santé
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Hospital General Universitari de Castelló pays non établi dans la noticeÉtablissement de santé
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Hospital Universitario Lluís Alcanyís pays non établi dans la noticeÉtablissement de santé
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Hospital de Sagunto Department of Paediatrics pays non établi dans la noticeÉtablissement de santé
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Hospital General Universitario de Ciudad Real pays non établi dans la noticeÉtablissement de santé
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Hospital Universitario Virgen de la Luz Department of Paediatrics pays non établi dans la noticeÉtablissement de santé
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Hospital Universitario de La Ribera Department of Paediatrics pays non établi dans la noticeÉtablissement de santé
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Hospital Universitario de La Plana Department of Paediatrics pays non établi dans la noticeÉtablissement de santé
Hospital Virgen de la Luz, Department of Paediatrics — Hospital General Universitario de Alicante Doctor Balmis et Department of Paediatrics — Hospital General Universitario de Albacete, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.