Health care use after severe respiratory tract infections in children aged 0 to 5 years.

Autor:	Larsen VB; Cluster for Health Services Research, Division for Health Services, Norwegian Institute of Public Health, Norway., Størdal K; Department of Pediatric Research, University of Oslo, Norway.; Division of Pediatric and Adolescent Medicine, Oslo University Hospital, Norway., Telle K; Cluster for Health Services Research, Division for Health Services, Norwegian Institute of Public Health, Norway., Methi F; Cluster for Health Services Research, Division for Health Services, Norwegian Institute of Public Health, Norway., Magnusson K; Cluster for Health Services Research, Division for Health Services, Norwegian Institute of Public Health, Norway.; Clinical Epidemiology Unit, Orthopaedics, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Sweden.
Jazyk:	angličtina
Zdroj:	Scandinavian journal of public health [Scand J Public Health] 2024 Nov; Vol. 52 (7), pp. 810-818. Date of Electronic Publication: 2023 Sep 12.
DOI:	10.1177/14034948231197250
Abstrakt:	Aim: To explore whether children in specialist care with COVID-19 have increased post-discharge health care use when compared with children in specialist care with 1) respiratory syncytial virus (RSV) infection, and 2) other respiratory tract infections (RTIs). Methods: In 34,214 children aged 1 month to 5 years who were registered as having one or more hospital visit (outpatient or inpatient) with a diagnosis of COVID-19 ( N = 128), RSV infection ( N = 4,009), or other RTIs ( N = 34,458) from 2017 to 2021, we used a difference-in-differences study design to investigate individual all-cause primary and specialist health care use from 12 weeks prior to 12 weeks after the hospital visit, stratified by infants (1 to 11 months) and children (1 to 5 years). Results: We found a slight increase in primary health care use in the first 4 weeks after the hospital visit for infants with COVID-19 when compared with infants with RSV infection (6 per 10,000; 95% CI [2, 13], a 0.52% relative increase). For infants diagnosed with COVID-19, we found a similar post-visit increase in inpatients when compared with infants with RSV infection, which lasted for 12 weeks. Conclusions: Our findings imply a slightly increased health care use among infants after a hospital visit for COVID-19 than among infants with other RTIs, the potential etiological mechanisms of which deserve future clinical research. Severe COVID-19 in young children will not represent any markedly increased burden on the health services . Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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