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Background: Acute respiratory infections (ARIs) are a major healthcare issue in children. The SARS-CoV-2 pandemic changed the epidemiology of ARIs; the aims of this study are to characterize the epidemiological trend of ARI emergency hospitalizations and virology results and to estimate the association of ARI emergency hospitalizations with respiratory viruses from January 2018 to June 2023.

Methods: This study was carried out in an Italian tertiary care children's hospital (Bambino Gesù Children's Hospital). The demographic and clinical information of children who accessed the Emergency Department (ED) with ARI and were hospitalized were retrospectively extracted from the electronic health records. Multivariate linear regression model was used to compare the number of ARI hospital admissions with the reported temporal trends in viruses diagnosed from respiratory samples throughout the same time period.

Results: During the study period, there were 92,140 ED visits and 10,541 hospitalizations due to ARIs, reflecting an admission rate of 11.4%. The highest proportion of hospitalizations occurred in infants ≤ 1 year of age (n = 4840, 45.9% of total admissions), with a hospitalization rate of 22.6%. Emergency hospitalizations aligned closely with the predictions made by the multivariate regression model; peaks in hospitalizations reflected Respiratory Syncytial Virus (RSV) circulation.

Conclusions: ARI hospital urgent admissions are a relevant component of ARI disease burden in children. RSV prevention and control are crucial to limit the risk of urgent hospitalizations due to ARIs.

Titel:	Impact of SARS-CoV-2 Pandemic on Emergency Hospitalizations for Acute Respiratory Infections: The Experience of a Paediatric Tertiary Care Hospital in Italy.
Autor/in / Beteiligte Person:	Ciofi Degli Atti, ML ; Beccia, F ; D'Amore, C ; Ravà, L ; Bernaschi, P ; Russo, C ; Villani, A ; Perno, CF ; Raponi, M
Zeitschrift:	Influenza and other respiratory viruses, Jg. 18 (2024-06-01), Heft 6, S. e13335
Veröffentlichung:	Oxford, UK : Wiley, c2007-, 2024
Medientyp:	academicJournal
ISSN:	1750-2659 (electronic)
DOI:	10.1111/irv.13335
Schlagwort:	Humans Italy epidemiology Infant Child, Preschool Female Male Child Retrospective Studies Adolescent Infant, Newborn COVID-19 epidemiology Hospitalization statistics & numerical data Tertiary Care Centers statistics & numerical data Respiratory Tract Infections epidemiology Respiratory Tract Infections virology Emergency Service, Hospital statistics & numerical data Hospitals, Pediatric statistics & numerical data SARS-CoV-2
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Influenza Other Respir Viruses] 2024 Jun; Vol. 18 (6), pp. e13335. MeSH Terms: COVID-19* / epidemiology ; Hospitalization* / statistics & numerical data ; Tertiary Care Centers* / statistics & numerical data ; Respiratory Tract Infections* / epidemiology ; Respiratory Tract Infections* / virology ; Emergency Service, Hospital* / statistics & numerical data ; Hospitals, Pediatric* / statistics & numerical data ; SARS-CoV-2* ; Humans ; Italy / epidemiology ; Infant ; Child, Preschool ; Female ; Male ; Child ; Retrospective Studies ; Adolescent ; Infant, Newborn References: J Glob Antimicrob Resist. 2022 Mar;28:223-225. (PMID: 35074567) ; Acad Emerg Med. 2017 Sep;24(9):1042-1050. (PMID: 28646519) ; J Infect. 2021 Jan;82(1):1-35. (PMID: 33278399) ; BMC Infect Dis. 2022 Jan 24;22(1):84. (PMID: 35073855) ; Pediatr Infect Dis J. 2020 Aug;39(8):e176-e182. (PMID: 32675757) ; Front Pediatr. 2021 Sep 28;9:716351. (PMID: 34650939) ; J Pediatric Infect Dis Soc. 2018 Dec 3;7(4):323-334. (PMID: 29850828) ; Acad Pediatr. 2014 May-Jun;14(3):309-14. (PMID: 24767784) ; Lancet Child Adolesc Health. 2023 Mar;7(3):180-189. (PMID: 36634694) ; Arch Virol. 2023 Jan 13;168(2):64. (PMID: 36639581) ; Health Policy Technol. 2020 Dec;9(4):454-487. (PMID: 32895626) ; West J Emerg Med. 2009 Nov;10(4):233-9. (PMID: 20046239) ; Ann Epidemiol. 2022 Dec;76:77-82. (PMID: 36273699) ; Influenza Other Respir Viruses. 2023 Feb 02;17(2):e13103. (PMID: 36824393) ; Pediatrics. 2019 Dec;144(6):. (PMID: 31699829) ; Clin Infect Dis. 2022 Aug 15;75(Suppl 1):S130-S135. (PMID: 35579506) ; Lancet Glob Health. 2019 Jan;7(1):e47-e57. (PMID: 30497986) ; Viruses. 2023 Dec 14;15(12):. (PMID: 38140665) ; MMWR Morb Mortal Wkly Rep. 2021 Jul 23;70(29):1013-1019. (PMID: 34292924) ; Pediatr Pulmonol. 2003 Dec;36(6):469-74. (PMID: 14618637) ; N Engl J Med. 2023 Apr 20;388(16):1451-1464. (PMID: 37018474) ; Lancet. 2013 Apr 20;381(9875):1380-1390. (PMID: 23369797) ; Lancet. 2021 Dec 11;398(10317):2193-2206. (PMID: 34695372) ; BMC Infect Dis. 2022 Mar 29;22(1):311. (PMID: 35351016) ; Pediatrics. 2013 Jul;132(1):28-36. (PMID: 23733801) ; Viruses. 2023 Apr 09;15(4):. (PMID: 37112913) ; Pediatrics. 2014 Nov;134(5):e1474-502. (PMID: 25349312) ; Clin Pediatr (Phila). 2018 May;57(5):519-527. (PMID: 28901159) ; Sci Rep. 2021 Mar 4;11(1):5163. (PMID: 33664311) ; Influenza Other Respir Viruses. 2013 Nov;7(6):1070-8. (PMID: 23796419) ; Int J Environ Res Public Health. 2022 Nov 22;19(23):. (PMID: 36497543) ; Pediatr Infect Dis J. 2020 Sep;39(9):e221-e225. (PMID: 32639459) ; J Infect. 2022 Jan;84(1):40-47. (PMID: 34757137) ; PLoS One. 2020 Dec 11;15(12):e0243694. (PMID: 33306735) ; Pediatr Emerg Care. 2009 Jul;25(7):434-8. (PMID: 19564810) ; Children (Basel). 2022 Aug 17;9(8):. (PMID: 36010132) ; Euro Surveill. 2021 Jun;26(22):. (PMID: 34085632) ; BMJ Paediatr Open. 2021 Feb 17;5(1):e000862. (PMID: 33665372) ; Ital J Pediatr. 2022 Feb 3;48(1):18. (PMID: 35115026) ; JAMA Netw Open. 2021 Dec 1;4(12):e2141779. (PMID: 34913973) ; Ann Ig. 2023 Jul-Aug;35(4):413-424. (PMID: 36255407) ; J Infect Dev Ctries. 2022 Jan 31;16(1):196-205. (PMID: 35192538) ; Influenza Other Respir Viruses. 2023 Mar 20;17(3):e13102. (PMID: 36950039) ; Pediatr Infect Dis J. 2013 Sep;32(9):950-5. (PMID: 23694832) ; Virol J. 2021 Aug 3;18(1):159. (PMID: 34344406) Grant Information: PE00000007 European Commission within the NextGenerationEU-MUR PNRR Extended Partnership initiative on Emerging Infectious Diseases; Italian Ministry of Health Contributed Indexing: Keywords: COVID‐19 pandemic; RSV; acute respiratory infections; children; hospitalizations; viral infections Entry Date(s): Date Created: 20240618 Date Completed: 20240618 Latest Revision: 20240620 Update Code: 20240620 PubMed Central ID: PMC11184210

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Impact of SARS-CoV-2 Pandemic on Emergency Hospitalizations for Acute Respiratory Infections: The Experience of a Paediatric Tertiary Care Hospital in Italy.