COVID-19 大流行对瑞士德莱蒙汝拉医院支气管炎流行病学的影响:一项回顾性观察研究

Clara Hayes Vidal-Quadras, Isshak Mrabet Deraoui, Vincent Muehlethaler
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引用次数: 0

摘要

背景:COVID-19大流行期间的非药物干预导致支气管炎住院病例出现异常流行病学,在2020年和2021年夏季达到高峰。目的:本研究旨在分析瑞士德莱蒙汝拉医院在COVID-19大流行之前、期间和临近结束的5年期间(2018-2022年)的支气管炎住院病例数据,以便为未来支气管炎流行病学的变化做好准备。材料与方法:从本医院的健康记录编码部门获得了入院日期为 2018 年 1 月 1 日至 2022 年 12 月 31 日的 2 岁以下儿童支气管炎住院病例的匿名回顾性数据。从 2022 年春季开始,趋势开始与流行前几年相似。具体到呼吸道合胞病毒(RSV)支气管炎的住院人数,2021 年夏季出现了一个重要的住院高峰,住院人数超过 20 人,而前几年的住院人数为零。这一高峰在 2022 年转移到冬季:结论:2020 年和 2021 年初实施的非药物干预措施并未引起支气管炎的长期季节性变化。2022 年,非药物干预措施不再在非医院环境中实施,支气管炎的住院高峰再次出现在冬季。我们预测,住院模式将逐渐恢复到大流行前的水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of the COVID-19 pandemic on the epidemiology of bronchiolitis at Hôpital du Jura in Delémont, Switzerland: a retrospective observational study
BACKGROUND: Non-pharmaceutical interventions during the COVID-19 pandemic caused an unusual epidemiology in bronchiolitis hospitalisations, with a peak in the summer seasons of 2020 and 2021. AIM: The aim of this study was to analyse data from a 5-year period (2018–2022) at Hôpital du Jura in Delémont, Switzerland, regarding bronchiolitis hospitalisations before, during and towards the end of the COVID-19 pandemic in order to prepare for future changes in bronchiolitis epidemiology. MATERIALS AND METHODS: Anonymous retrospective data on bronchiolitis hospitalisations for children under 2 years of age with hospital admission date from 1 January 2018 to 31 December 2022 was obtained from the Health Records Coding Unit of our hospital. RESULTS: A clear shift in the peak of bronchiolitis is seen in 2021 compared to the three previous years. Starting in spring 2022, the trend begins to mimic pre-pandemic years. For respiratory syncytial virus (RSV) bronchiolitis hospitalisations specifically, an important peak in hospitalisations is seen in the summer months of 2021, with over 20 admissions, compared to zero admissions in the previous years. This peak shifts to the winter months in 2022. CONCLUSIONS: The non-pharmacological interventions implemented during 2020 and early 2021 did not cause a long-lasting seasonal shift in bronchiolitis. In 2022, when the non-pharmacological interventions were no longer in place in the non-hospital setting, the peak of bronchiolitis hospitalisations is seen once again in the winter months. We predict that hospitalisation patterns will gradually revert to those of pre-pandemic years.
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