The impact of COVID-19 lockdown on children with recurrent wheezing and asthma in Spain
Por:
Perez, ZD, Arias, MR, Lopez-Escobar, A, Diaz-Conradi, A, Arce, A, Ruggeri, N, Blanco, IR, Diaz-Delgado, B and Wichner, PSV
Publicada:
1 sep 2022
Ahead of Print:
1 jun 2022
Resumen:
Aim The rapid spread of a novel human coronavirus SARS-CoV-2 led to drastic measures world-wide. Most countries were forced to declare a national lockdown. We studied the effect of lockdown measures on the level of asthma control and maintenance treatment in children with recurrent wheezing and asthma during the first wave of COVID-19 in Spain. Methods We analysed children with recurrent wheezing or asthma before and after the implementation of the lockdown, by using a questionnaire aimed to examine pre-existing respiratory disorders, step treatment and level of asthma control before/after lockdown, COVID history and laboratory testing including IgG SARS-CoV-2. Results We enrolled 475 asthmatic and pre-school wheezers (60.6% males), mean age 5.6 years. There were no differences in asthma treatment comparing both periods: 81.7% maintained the same treatment (P = 0.103). According to child asthma-control questionnaire, 87.7% remained well controlled during confinement. Nearly, a third of children (34.9%) needed reliever treatment, mainly in older children. Determination of IgG SARS-CoV-2 was performed in 233 children (49.1%) of whom 17 (7.3%) tested positive. Seven patients positive to IgG SARS-CoV-2 were assisted in the emergency department and two required hospital admission. Conclusions During COVID-19 lockdown in Spain, most children with recurrent wheezing and asthma remained well controlled from their underlying disease and did not modify greatly their maintenance treatments. Unexpectedly, we also observed that those children who tested positive to SARS-CoV-2 IgG showed a significant increase in paediatric hospital admissions and attendances to urgent care settings.
Filiaciones:
Perez, ZD:
HM Hosp, Pediat Pulmonol Dept, Madrid, Spain
Emirates Special Hosp Dubai, Pediat Dept, Dubai, U Arab Emirates
Arias, MR:
HM Hosp, HM Nens, Pediat Pulmonol Dept, Conseil Cent 437, Barcelona 08009, Spain
Lopez-Escobar, A:
Hosp Vithas Madrid La Milagrosa, Pediat Dept, Madrid, Spain
Fdn Vithas, Clin Res Unit, Grp Vithas, Madrid, Spain
Diaz-Conradi, A:
HM Hosp, Pediat Dept, HM Nens, Barcelona, Spain
Arce, A:
HM Hosp, Pediat Dept, HM Nens, Barcelona, Spain
Ruggeri, N:
HM Hosp, HM Nens, Pediat Pulmonol Dept, Conseil Cent 437, Barcelona 08009, Spain
Blanco, IR:
HM Hosp, Pediat Dept, Madrid, Spain
Diaz-Delgado, B:
HM Hosp, Pediat Dept, Madrid, Spain
:
HM Hosp, Pediat Dept, HM Nens, Barcelona, Spain
Fundacio Inst Investi Ciencies Salut Germans Tria, Pediat Dept, Badalona, Spain
Bronze, Green Published
|