Impact of COVID-19 on admission due to diarrhea to the emergency department of the largest specialized Pediatric Hospital, Kinshasa, the Democratic Republic of the Congo: A retrospective analysis: Impact de la COVID-19 sur les admissions dues à la diarrhée aux urgences du plus grand hôpital pédiatrique spécialisé, Kinshasa, RDC : une analyse rétrospective
| Autor: | Kayembe, Harry César Ntumba, Kalubi, Louise, Bosonga, Marc, Ansobi, Papy, Bokabo, Eric, Kapour, Germain, Bompange, Didier |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Annales Africaines de Medecine; Vol. 14 No. 3 (2021); e4218-e4226 |
| ISSN: | 2309-5784 2313-3589 |
| Popis: | Context and objective. The COVID-19’s lockdown effect on pediatric healthcare utilization has been demonstrated. However, little is known about this impact on the burden of diarrheal diseases among children in sub-Saharan Africa. This study aimed at studying the impact of the COVID-19 pandemic on admissions due to diarrhea into the largest specialized Pediatric Hospital in the city of Kinshasa. Methods. A retrospective study was conducted on diarrhea cases admitted into the emergency department of the Kalembe-Lembe Pediatric Hospital between January 1st and July 31st of 2019 and 2020. Variables were compared during the pandemic’s lockdown period in 2020 to the equivalent period in 2019. Results. Overall, 422 medical records were examined. A 45% drop in diarrhea cases was observed in the pediatric emergency department between the study periods in 2019 and 2020. Daily admissions were significantly higher in 2019 than in 2020 (p < 0.001). The majority of patients were admitted with moderate dehydration in 2019 than in 2020 (p < 0.001) but an increase in proportion of patients with mild and severe dehydration was observed in 2020 than in 2019 (p < 0.001). The hospitalization rate was significantly higher in 2019 than in 2020 (p < 0.001). Conclusions; The COVID-19’s restrictions led to a substantial decrease in admissions due to diarrhea among children to the pediatric emergency department. Public health interventions are needed to promote an ambulatory healthcare system during future crises. Contexte et objectif. L’effet de confinement dû à la COVID-19 sur l’utilisation des soins pédiatriques a été démontré sous d’autres cieux. Cependant, on en sait peu concernant cet impact sur le fardeau des maladies diarrhéiques chez les enfants en Afrique subsaharienne. Cette étude visait à rechercher l’impact de la pandémie à COVID-19 sur les admissions dues à la diarrhée dans un hôpital pédiatrique. Méthodes. Etude documentaire des cas de diarrhées recensés, au service des urgences de l’hôpital pédiatrique de Kalembe-Lembe, entre les 1er janvier et 31 juillet 2019 et 2020. Les variables ont été comparées, entre la période du confinement de la pandémie en 2020 et la période équivalente en 2019. Résultats. Au total 442 dossiers médicaux ont été colligés. Une baisse de 45 % d’admissions des cas de diarrhée a été observée, aux urgences pédiatriques pendant le confinement. Les admissions quotidiennes étaient significativement plus élevées en 2019 qu'en 2020 (p |
| Databáze: | OpenAIRE |
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