The Impact of the COVID-19 Pandemic on Pediatric Clinical Practice in Wenzhou, China: A Retrospective Study

Introduction: The COVID-19 pandemic has affected all aspects of life worldwide. The aim of the present study was to review and describe and acknowledge the impact of COVID-19 on the pediatric health care system at a pediatric tertiary hospital in Wenzhou.Methods: A retrospective study was conducted...

Full description

Bibliographic Details
Main Authors: Hui Zhang, Li-Wei Guo, Yu-Yan Gao, Hao Yao, Zuo-Kai Xie, Wei-Xi Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-11-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2020.585629/full
_version_ 1818339859157221376
author Hui Zhang
Li-Wei Guo
Yu-Yan Gao
Hao Yao
Zuo-Kai Xie
Wei-Xi Zhang
author_facet Hui Zhang
Li-Wei Guo
Yu-Yan Gao
Hao Yao
Zuo-Kai Xie
Wei-Xi Zhang
author_sort Hui Zhang
collection DOAJ
description Introduction: The COVID-19 pandemic has affected all aspects of life worldwide. The aim of the present study was to review and describe and acknowledge the impact of COVID-19 on the pediatric health care system at a pediatric tertiary hospital in Wenzhou.Methods: A retrospective study was conducted at Yuying Children's Hospital of Wenzhou Medical University, a public pediatric tertiary hospital in Southern Zhejiang Province that specializes in pediatrics. The data regarding the primary diagnosis of patients were extracted from the electronic medical records system of the hospital. Data for outpatients and inpatients treated at the pediatric department were analyzed in the time frame of 22 weeks since the beginning of the pandemic (from December 30, 2019 to June 2, 2020) and compared with data from the same period in 2019.Results: The total number of outpatient cases in the previous 22 weeks of the year declined from 560,620 in 2019 to 247,030 in 2020, and inpatient cases decreased from 14,177 to 7,555. This negative trend settled by week 6 and 7 and subsequently approached the 2019 numbers. The most noticeable decrease in the number of cases was observed in children of preschool age. Moreover, the number of weekly visits decreased at the beginning of the epidemic, reached the lowest value during the lockdown period, and recovered after the lockdown.Conclusion: Based on the results of this study, clinical practice in a pediatric department in Wenzhou was substantially affected by the epidemic and measures such as physical distancing and increased personal hygiene, particularly in preschool-age children. An understanding of the trends and impacts of the pandemic on pediatric patients and health systems will facilitate better preparation of pediatricians in the future.
first_indexed 2024-12-13T15:33:42Z
format Article
id doaj.art-51571907b6214d29bddce4d3224cd6d7
institution Directory Open Access Journal
issn 2296-2360
language English
last_indexed 2024-12-13T15:33:42Z
publishDate 2020-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pediatrics
spelling doaj.art-51571907b6214d29bddce4d3224cd6d72022-12-21T23:40:06ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602020-11-01810.3389/fped.2020.585629585629The Impact of the COVID-19 Pandemic on Pediatric Clinical Practice in Wenzhou, China: A Retrospective StudyHui Zhang0Li-Wei Guo1Yu-Yan Gao2Hao Yao3Zuo-Kai Xie4Wei-Xi Zhang5Department of Pediatric Allergy and Immunology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Pediatric Allergy and Immunology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Pediatric Allergy and Immunology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, ChinaThe Second Clinical Medical College, Wenzhou Medical University, Wenzhou, ChinaDepartment of Medical Records, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Pediatric Allergy and Immunology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, ChinaIntroduction: The COVID-19 pandemic has affected all aspects of life worldwide. The aim of the present study was to review and describe and acknowledge the impact of COVID-19 on the pediatric health care system at a pediatric tertiary hospital in Wenzhou.Methods: A retrospective study was conducted at Yuying Children's Hospital of Wenzhou Medical University, a public pediatric tertiary hospital in Southern Zhejiang Province that specializes in pediatrics. The data regarding the primary diagnosis of patients were extracted from the electronic medical records system of the hospital. Data for outpatients and inpatients treated at the pediatric department were analyzed in the time frame of 22 weeks since the beginning of the pandemic (from December 30, 2019 to June 2, 2020) and compared with data from the same period in 2019.Results: The total number of outpatient cases in the previous 22 weeks of the year declined from 560,620 in 2019 to 247,030 in 2020, and inpatient cases decreased from 14,177 to 7,555. This negative trend settled by week 6 and 7 and subsequently approached the 2019 numbers. The most noticeable decrease in the number of cases was observed in children of preschool age. Moreover, the number of weekly visits decreased at the beginning of the epidemic, reached the lowest value during the lockdown period, and recovered after the lockdown.Conclusion: Based on the results of this study, clinical practice in a pediatric department in Wenzhou was substantially affected by the epidemic and measures such as physical distancing and increased personal hygiene, particularly in preschool-age children. An understanding of the trends and impacts of the pandemic on pediatric patients and health systems will facilitate better preparation of pediatricians in the future.https://www.frontiersin.org/articles/10.3389/fped.2020.585629/fullCOVID-19impactpediatricclinical practiceretrospective
spellingShingle Hui Zhang
Li-Wei Guo
Yu-Yan Gao
Hao Yao
Zuo-Kai Xie
Wei-Xi Zhang
The Impact of the COVID-19 Pandemic on Pediatric Clinical Practice in Wenzhou, China: A Retrospective Study
Frontiers in Pediatrics
COVID-19
impact
pediatric
clinical practice
retrospective
title The Impact of the COVID-19 Pandemic on Pediatric Clinical Practice in Wenzhou, China: A Retrospective Study
title_full The Impact of the COVID-19 Pandemic on Pediatric Clinical Practice in Wenzhou, China: A Retrospective Study
title_fullStr The Impact of the COVID-19 Pandemic on Pediatric Clinical Practice in Wenzhou, China: A Retrospective Study
title_full_unstemmed The Impact of the COVID-19 Pandemic on Pediatric Clinical Practice in Wenzhou, China: A Retrospective Study
title_short The Impact of the COVID-19 Pandemic on Pediatric Clinical Practice in Wenzhou, China: A Retrospective Study
title_sort impact of the covid 19 pandemic on pediatric clinical practice in wenzhou china a retrospective study
topic COVID-19
impact
pediatric
clinical practice
retrospective
url https://www.frontiersin.org/articles/10.3389/fped.2020.585629/full
work_keys_str_mv AT huizhang theimpactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy
AT liweiguo theimpactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy
AT yuyangao theimpactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy
AT haoyao theimpactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy
AT zuokaixie theimpactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy
AT weixizhang theimpactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy
AT huizhang impactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy
AT liweiguo impactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy
AT yuyangao impactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy
AT haoyao impactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy
AT zuokaixie impactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy
AT weixizhang impactofthecovid19pandemiconpediatricclinicalpracticeinwenzhouchinaaretrospectivestudy