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Impact of COVID-19 on Pediatric Asthma: Practice Adjustments and Disease Burden
NG. Papadopoulos, A. Custovic, A. Deschildre, AG. Mathioudakis, W. Phipatanakul, G. Wong, P. Xepapadaki, I. Agache, L. Bacharier, M. Bonini, JA. Castro-Rodriguez, Z. Chen, T. Craig, FM. Ducharme, ZA. El-Sayed, W. Feleszko, A. Fiocchi, L....
Language English Country United States
Document type Journal Article, Research Support, Non-U.S. Gov't
- MeSH
- Medication Adherence MeSH
- Betacoronavirus MeSH
- Asthma epidemiology physiopathology therapy MeSH
- Time Factors MeSH
- Global Health MeSH
- Child MeSH
- Coronavirus Infections epidemiology MeSH
- Humans MeSH
- Pandemics MeSH
- Appointments and Schedules MeSH
- Severity of Illness Index MeSH
- Telemedicine organization & administration statistics & numerical data MeSH
- Pneumonia, Viral epidemiology MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
BACKGROUND: It is unclear whether asthma may affect susceptibility or severity of coronavirus disease 2019 (COVID-19) in children and how pediatric asthma services worldwide have responded to the pandemic. OBJECTIVE: To describe the impact of the COVID-19 pandemic on pediatric asthma services and on disease burden in their patients. METHODS: An online survey was sent to members of the Pediatric Asthma in Real Life think tank and the World Allergy Organization Pediatric Asthma Committee. It included questions on service provision, disease burden, and the clinical course of confirmed cases of COVID-19 infection among children with asthma. RESULTS: Ninety-one respondents, caring for an estimated population of more than 133,000 children with asthma, completed the survey. COVID-19 significantly impacted pediatric asthma services: 39% ceased physical appointments, 47% stopped accepting new patients, and 75% limited patients' visits. Consultations were almost halved to a median of 20 (interquartile range, 10-25) patients per week. Virtual clinics and helplines were launched in most centers. Better than expected disease control was reported in 20% (10%-40%) of patients, whereas control was negatively affected in only 10% (7.5%-12.5%). Adherence also appeared to increase. Only 15 confirmed cases of COVID-19 were reported among the population; the estimated incidence is not apparently different from the reports of general pediatric cohorts. CONCLUSIONS: Children with asthma do not appear to be disproportionately affected by COVID-19. Outcomes may even have improved, possibly through increased adherence and/or reduced exposures. Clinical services have rapidly responded to the pandemic by limiting and replacing physical appointments with virtual encounters.
Allergy and Asthma Department Alas Medical Institute Salta Argentina
Allergy and Clinical Immunology Transylvania University Brasov Romania
Allergy and Immunology Department Hospital Infantil de Medico Federico Gomez Mexico City Mexico
Allergy Center CUF Descobertas Hospital Lisbon Portugal
Allergy Department Bambino Gesù Children's Hospital Rome Italy
Astrid Lindgren Children's Hospital Karolinska University Hospital Stockholm Sweden
Children's Center Bethel EvKB University Bielefeld Bielefeld Germany
Children's Hospital Boston Pediatric Allergy and Immunology Boston Mass
Department of Allergy and Immunology Penn State University State College Pa
Department of Allergy Helsinki University Central Hospital Helsinki Finland
Department of Internal Medicine Asthma and Allergy Medical University of Lodz Lodz Poland
Department of Internal Medicine Rush Medical College Chicago Ill
Department of Paediatrics Imperial College London London United Kingdom
Department of Pediatrics Faculty of Medicine The Chinese University of Hong Kong Sha Tin Hong Kong
Department of Women's and Children's Health Karolinska Institutet Stockholm Sweden
Division of Pediatrics School of Medicine Pontificia Universidad Catolica de Chile Santiago Chile
Family Physician Airways Group of Canada Edmonton AB Canada
National Heart and Lung Institute Imperial College London London United Kingdom
Paediatric Allergy Centre for Allergy Research Karolinska Institutet Solna Sweden
Pediatric Allergy and Asthma Unit Hacettepe University School of Medicine Ankara Turkey
Pediatric Allergy and Immunology Unit Children's Hospital Ain Shams University Cairo Egypt
Pediatric Pulmonology and Allergy Department Hôpital Jeanne de Flandre Lille France
Pediatric Pulmonology and Allergy Unit Children's Hospital la Fe Valencia Spain
Pediatric Pulmonology Division Hospital Moinhos de Vento Porto Alegre Brazil
Pulmonology Department Children's Hospital Zhejiang University School of Medicine Zhejiang China
Research and Education Ayre Foundation Salta Argentina
VN Allergy and Asthma Research Centre Chennai Tamilnadu India
References provided by Crossref.org
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- $a Papadopoulos, Nikolaos G $u Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, The University of Manchester, Manchester, United Kingdom; Allergy Department, 2nd Paediatric Clinic, National and Kapodistrian University of Athens, Athens, Greece. Electronic address: ngpallergy@gmail.com.
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- $a Impact of COVID-19 on Pediatric Asthma: Practice Adjustments and Disease Burden / $c NG. Papadopoulos, A. Custovic, A. Deschildre, AG. Mathioudakis, W. Phipatanakul, G. Wong, P. Xepapadaki, I. Agache, L. Bacharier, M. Bonini, JA. Castro-Rodriguez, Z. Chen, T. Craig, FM. Ducharme, ZA. El-Sayed, W. Feleszko, A. Fiocchi, L. Garcia-Marcos, JE. Gern, A. Goh, RM. Gómez, EH. Hamelmann, G. Hedlin, EM. Hossny, T. Jartti, O. Kalayci, A. Kaplan, J. Konradsen, P. Kuna, S. Lau, P. Le Souef, RF. Lemanske, MJ. Mäkelä, M. Morais-Almeida, C. Murray, K. Nagaraju, L. Namazova-Baranova, AN. Garcia, OM. Yusuf, PMC. Pitrez, P. Pohunek, CF. Pozo Beltrán, GC. Roberts, A. Valiulis, HJ. Zar, Pediatric Asthma in Real Life Collaborators,
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- $a BACKGROUND: It is unclear whether asthma may affect susceptibility or severity of coronavirus disease 2019 (COVID-19) in children and how pediatric asthma services worldwide have responded to the pandemic. OBJECTIVE: To describe the impact of the COVID-19 pandemic on pediatric asthma services and on disease burden in their patients. METHODS: An online survey was sent to members of the Pediatric Asthma in Real Life think tank and the World Allergy Organization Pediatric Asthma Committee. It included questions on service provision, disease burden, and the clinical course of confirmed cases of COVID-19 infection among children with asthma. RESULTS: Ninety-one respondents, caring for an estimated population of more than 133,000 children with asthma, completed the survey. COVID-19 significantly impacted pediatric asthma services: 39% ceased physical appointments, 47% stopped accepting new patients, and 75% limited patients' visits. Consultations were almost halved to a median of 20 (interquartile range, 10-25) patients per week. Virtual clinics and helplines were launched in most centers. Better than expected disease control was reported in 20% (10%-40%) of patients, whereas control was negatively affected in only 10% (7.5%-12.5%). Adherence also appeared to increase. Only 15 confirmed cases of COVID-19 were reported among the population; the estimated incidence is not apparently different from the reports of general pediatric cohorts. CONCLUSIONS: Children with asthma do not appear to be disproportionately affected by COVID-19. Outcomes may even have improved, possibly through increased adherence and/or reduced exposures. Clinical services have rapidly responded to the pandemic by limiting and replacing physical appointments with virtual encounters.
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