Reasons for hospital admissions in children with chronic diseases during the COVID-19 pandemic: A retrospective study

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-09-26 DOI:10.1016/j.ienj.2025.101689

Zehra Çapa , Gülendam Karadağ

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引用次数: 0

Abstract

Background

This study was conducted to investigate the reasons for hospital admissions in children with chronic diseases during the COVID-19 pandemic.

Objective

A descriptive and retrospective study design was employed.

Methods

The study included the records of children (1,018 children) who had been diagnosed with chronic diseases and had presented to the pediatric polyclinics, pandemic polyclinics, and emergency departments of a state hospital between April 1, 2020 and March 31, 2021. For the disease diagnoses of the children, the ICD 10 codes entered into the system for the most common diseases seen in children, like epilepsy, asthma, and cerebral palsy, were searched. Descriptive statistical methods (frequencies and percentages) were used to analyze the data; no statistical significance testing or group comparisons were conducted.

Results

The mean age was 8.74 ± 4.63 years. It was found that 32.58 % of the children with epilepsy and 19.77 % with asthma had presented to the pediatric emergency department with fever and 26.32 % of those with cerebral palsy had presented with nausea and vomiting. A total of 212 PCR samples had been taken from children, and PCR test results of 15.57 % were positive. The procedures applied to the children during outpatient clinic presentations were ‘examination’ for girls (38.88 %) and boys (37.41 %) with epilepsy, ‘examination and test requests’ for girls with asthma (23.35 %), and ‘examination and prescription’ for boys with asthma (22.35 %), and ‘examination’ for both girls (39.18 %) and boys (33.90 %) with cerebral palsy.

Conclusion

It was found that the majority of children diagnosed with epilepsy had presented to pediatric neurology, those with asthma to pediatric allergy, and those with cerebral palsy to pediatric neurology departments. The most frequently performed procedures in children with epilepsy, asthma, and cerebral palsy were physical examination, test requests, prescription issuance, disability report issuance, and preparation of medication reports.

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COVID-19大流行期间慢性疾病儿童住院的原因：一项回顾性研究

本研究旨在调查COVID-19大流行期间慢性疾病儿童住院的原因。目的采用描述性和回顾性研究设计。方法研究纳入了2020年4月1日至2021年3月31日期间在某州立医院儿科综合诊所、流行病综合诊所和急诊科就诊的诊断为慢性疾病的儿童（1018名）的记录。对于儿童的疾病诊断，检索了进入系统的ICD 10代码，其中包括儿童最常见的疾病，如癫痫、哮喘和脑瘫。采用描述性统计方法（频率和百分比）对数据进行分析；未进行统计学显著性检验或组间比较。结果患者平均年龄8.74±4.63岁。结果发现，32.58%的癫痫患儿和19.77%的哮喘患儿就诊时伴有发热，26.32%的脑瘫患儿就诊时伴有恶心和呕吐。共采集儿童PCR样本212份，PCR检测阳性率为15.57%。儿童门诊就诊时，癫痫女生（38.88%）和男生（37.41%）采用“检查”方式；哮喘女生（23.35%）采用“检查和要求检查”方式；哮喘男生（22.35%）采用“检查和处方”方式；脑瘫女生（39.18%）和男生（33.90%）均采用“检查”方式。结论癫痫患儿以儿童神经内科就诊为主，哮喘患儿以儿童过敏就诊为主，脑瘫患儿以儿童神经内科就诊为主。在癫痫、哮喘和脑瘫患儿中，最常见的程序是体格检查、检查请求、处方开具、残疾报告开具和药物报告编写。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.