Impact of the French National Lockdown on Admissions to 14 Pediatric Intensive Care Units During the 2020 COVID-19 Pandemic–A Retrospective Multicenter Study
Background: After the COVID-19 pandemic reached France in January 2020, a national lockdown including school closures was officially imposed from March 17, 2020, to May 10, 2020. Pediatric intensive care units (PICUs) admit critically ill infants, children and teenagers with severe acute conditions,...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-12-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2021.764583/full |
| _version_ | 1828902398065639424 |
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| author | Sophie Breinig Sophie Breinig Guillaume Mortamet David Brossier David Brossier David Brossier Romain Amadieu Isabelle Claudet Etienne Javouhey François Angoulvant François Angoulvant Catherine Arnaud Catherine Arnaud |
| author_facet | Sophie Breinig Sophie Breinig Guillaume Mortamet David Brossier David Brossier David Brossier Romain Amadieu Isabelle Claudet Etienne Javouhey François Angoulvant François Angoulvant Catherine Arnaud Catherine Arnaud |
| author_sort | Sophie Breinig |
| collection | DOAJ |
| description | Background: After the COVID-19 pandemic reached France in January 2020, a national lockdown including school closures was officially imposed from March 17, 2020, to May 10, 2020. Pediatric intensive care units (PICUs) admit critically ill infants, children and teenagers with severe acute conditions, in particular infectious and traumatic diseases. We hypothesized that PICU admissions would be considerably modified by the lockdown.Aims: The objectives of the study were to describe the type of admissions to French PICUs and to compare the occupation of PICU beds according to local epidemic conditions during the French national lockdown period, compared with the same period the previous year.Methods: We conducted a retrospective multicenter study in 14 French PICUs. All children aged from 7 days to 18 years admitted to one of the 14 participating PICUs over two 3-month period (March 1, 2020, to May 31, 2020 and March 1, 2019, to May 31, 2019) were included. Analysis was based on data extracted from the medicalized information systems program (a national database used in all French hospitals, into which all admissions and their diagnoses are coded for the purpose of calculating hospital funding). Each main diagnosis was reclassified in 13 categories, corresponding to normal PICU admissions.Results: We analyzed a total of 3,040 admissions, 1,323 during the 2020 study period and 1,717 during the same period in 2019. Total admissions decreased by 23% [incidence rate ratio (IRR) 0.77, 95% CI 0.71–0.83, p < 0.001], in particular for viral respiratory infections (−36%, IRR 0.64, 95% CI 0.44–0.94, p = 0.001). Admissions for almost all other diagnostic categories decreased, except intoxications and diabetes which increased, while admissions for cardiac and hemodynamic disorders were stable. Patient age and the sex ratio did not differ between the two periods. Median length of stay in the PICU was longer in 2020 [4 (IQR 2–9) vs. 3 (IQR 1–8) days, p = 0.002] in 2019. Mortality remained stable.Conclusions: In this large national study, we showed a decrease in the number of PICU admissions. The most severe patients were still admitted to intensive care and overall mortality remained stable. |
| first_indexed | 2024-12-13T16:15:47Z |
| format | Article |
| id | doaj.art-db0f45313e654f72bc42ad7670fbf70a |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-13T16:15:47Z |
| publishDate | 2021-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-db0f45313e654f72bc42ad7670fbf70a2022-12-21T23:38:50ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602021-12-01910.3389/fped.2021.764583764583Impact of the French National Lockdown on Admissions to 14 Pediatric Intensive Care Units During the 2020 COVID-19 Pandemic–A Retrospective Multicenter StudySophie Breinig0Sophie Breinig1Guillaume Mortamet2David Brossier3David Brossier4David Brossier5Romain Amadieu6Isabelle Claudet7Etienne Javouhey8François Angoulvant9François Angoulvant10Catherine Arnaud11Catherine Arnaud12Neonatal and Pediatric Intensive Care Unit, Children's Hospital, Toulouse, FranceCenter for Epidemiology and Research in Population Health (CERPOP), UMR1295, Toulouse University, INSERM, Toulouse, FrancePediatric Intensive Care Unit, Grenoble-Alpes University Hospital, Grenoble, FrancePediatric Intensive Care Unit, CHU de Caen, Caen, FranceUniversité Caen Normandie, School of Medicine, Caen, FranceUniversité Caen Normandie, GREYC, Caen, FranceNeonatal and Pediatric Intensive Care Unit, Children's Hospital, Toulouse, FrancePediatric Emergency Department, Children's Hospital, Toulouse, FrancePediatric Intensive Care Unit, Hospices Civils de Lyon, Bron, FranceAssistance Publique-Hôpitaux de Paris, Department of General Pediatrics, Pediatric Infectious Disease and Internal Medicine, Robert Debré University Hospital, Université de Paris, Paris, France0INSERM, Centre de Recherche des Cordeliers, UMRS 1138, Sorbonne Université, Université de Paris, Paris, FranceCenter for Epidemiology and Research in Population Health (CERPOP), UMR1295, Toulouse University, INSERM, Toulouse, France1Clinical Epidemiology Unit, University Hospital Toulouse, Toulouse, FranceBackground: After the COVID-19 pandemic reached France in January 2020, a national lockdown including school closures was officially imposed from March 17, 2020, to May 10, 2020. Pediatric intensive care units (PICUs) admit critically ill infants, children and teenagers with severe acute conditions, in particular infectious and traumatic diseases. We hypothesized that PICU admissions would be considerably modified by the lockdown.Aims: The objectives of the study were to describe the type of admissions to French PICUs and to compare the occupation of PICU beds according to local epidemic conditions during the French national lockdown period, compared with the same period the previous year.Methods: We conducted a retrospective multicenter study in 14 French PICUs. All children aged from 7 days to 18 years admitted to one of the 14 participating PICUs over two 3-month period (March 1, 2020, to May 31, 2020 and March 1, 2019, to May 31, 2019) were included. Analysis was based on data extracted from the medicalized information systems program (a national database used in all French hospitals, into which all admissions and their diagnoses are coded for the purpose of calculating hospital funding). Each main diagnosis was reclassified in 13 categories, corresponding to normal PICU admissions.Results: We analyzed a total of 3,040 admissions, 1,323 during the 2020 study period and 1,717 during the same period in 2019. Total admissions decreased by 23% [incidence rate ratio (IRR) 0.77, 95% CI 0.71–0.83, p < 0.001], in particular for viral respiratory infections (−36%, IRR 0.64, 95% CI 0.44–0.94, p = 0.001). Admissions for almost all other diagnostic categories decreased, except intoxications and diabetes which increased, while admissions for cardiac and hemodynamic disorders were stable. Patient age and the sex ratio did not differ between the two periods. Median length of stay in the PICU was longer in 2020 [4 (IQR 2–9) vs. 3 (IQR 1–8) days, p = 0.002] in 2019. Mortality remained stable.Conclusions: In this large national study, we showed a decrease in the number of PICU admissions. The most severe patients were still admitted to intensive care and overall mortality remained stable.https://www.frontiersin.org/articles/10.3389/fped.2021.764583/fulllockdownchildrenpediatric intensive care unitviral respiratory infectionsCOVID 19SARS-CoV-2 |
| spellingShingle | Sophie Breinig Sophie Breinig Guillaume Mortamet David Brossier David Brossier David Brossier Romain Amadieu Isabelle Claudet Etienne Javouhey François Angoulvant François Angoulvant Catherine Arnaud Catherine Arnaud Impact of the French National Lockdown on Admissions to 14 Pediatric Intensive Care Units During the 2020 COVID-19 Pandemic–A Retrospective Multicenter Study Frontiers in Pediatrics lockdown children pediatric intensive care unit viral respiratory infections COVID 19 SARS-CoV-2 |
| title | Impact of the French National Lockdown on Admissions to 14 Pediatric Intensive Care Units During the 2020 COVID-19 Pandemic–A Retrospective Multicenter Study |
| title_full | Impact of the French National Lockdown on Admissions to 14 Pediatric Intensive Care Units During the 2020 COVID-19 Pandemic–A Retrospective Multicenter Study |
| title_fullStr | Impact of the French National Lockdown on Admissions to 14 Pediatric Intensive Care Units During the 2020 COVID-19 Pandemic–A Retrospective Multicenter Study |
| title_full_unstemmed | Impact of the French National Lockdown on Admissions to 14 Pediatric Intensive Care Units During the 2020 COVID-19 Pandemic–A Retrospective Multicenter Study |
| title_short | Impact of the French National Lockdown on Admissions to 14 Pediatric Intensive Care Units During the 2020 COVID-19 Pandemic–A Retrospective Multicenter Study |
| title_sort | impact of the french national lockdown on admissions to 14 pediatric intensive care units during the 2020 covid 19 pandemic a retrospective multicenter study |
| topic | lockdown children pediatric intensive care unit viral respiratory infections COVID 19 SARS-CoV-2 |
| url | https://www.frontiersin.org/articles/10.3389/fped.2021.764583/full |
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