Paediatric asthma exacerbation admissions and stringency of non‐pharmaceutical interventions: Results from a developing country

Background Non‐pharmaceutical interventions (NPI) mitigation measures implemented to mitigate COVID‐19 has brought unprecedented global impact. Changes in daily living routines, reduction in physical activities, and changes in environmental indicators were suggested to positively impact paediatric a...

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Veröffentlicht in:International journal of clinical practice (Esher) 2021-09, Vol.75 (9), p.n/a
Hauptverfasser: Alsulaiman, Jomana W., Kheirallah, Khalid A., Ajlony, Mohammed‐Jafar, Al‐Tamimi, Taha M., Khasawneh, Rawand A., Al‐Natour, Lara
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container_issue 9
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container_title International journal of clinical practice (Esher)
container_volume 75
creator Alsulaiman, Jomana W.
Kheirallah, Khalid A.
Ajlony, Mohammed‐Jafar
Al‐Tamimi, Taha M.
Khasawneh, Rawand A.
Al‐Natour, Lara
description Background Non‐pharmaceutical interventions (NPI) mitigation measures implemented to mitigate COVID‐19 has brought unprecedented global impact. Changes in daily living routines, reduction in physical activities, and changes in environmental indicators were suggested to positively impact paediatric asthma indicators in western cultures. Little is known about such impact in developing countries. This study investigated the potential impact of COVID‐19 NPI measures on paediatric asthma exacerbation admissions in Northern Jordan. Methods Aggregate data from a paediatric hospital, Princess Rahma Pediatric Teaching Hospital, and King Abdulla University Teaching Hospital were utilised from 2018 to 2020. The number of paediatric asthma exacerbation admissions was calculated by week and compared by year, lockdown status, and weeks for lockdown (weeks 13‐19). The stringency index was correlated with the number of weekly paediatric asthma exacerbation admissions for 2020. Results A total of 1,207 paediatric asthma exacerbation admissions were reported; 40.3%, 35.2%, and 24.5% in 2018, 2019 and 2020, respectively. The number of weekly admissions ranged from 1 to 13 paediatric asthma cases (mean (SD) = 7.6 (2.7)). In 2018 and 2019, respectively, mean weekly admissions were 9.2 (1.9) and 8.0 (2.0) paediatric asthma cases, while in 2020 the mean was 5.6 (2.7) cases. Significant differences in mean weekly paediatric asthma exacerbation admissions were detected by year, with mean weekly admissions for 2020 being significantly lower than that for 2018 and 2019. During the lockdown (22 March to 1 May 2020), mean weekly admissions (2.6 (1.4)) was significantly lower than that before the lockdown (8.6 (2.0)) and after the lockdown (5.2 (2.0)). For the lockdown weeks only, the mean admissions for the year 2020 was significantly lower than that for years 2019 and 2018. The stringency index negatively correlated with the number of weekly admissions. Conclusion NPI measures in Jordan seem to have positively impacted paediatric asthma exacerbation admissions. Further studies are needed to draw public health policies and fine‐tune environmental and community policies.
doi_str_mv 10.1111/ijcp.14423
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Changes in daily living routines, reduction in physical activities, and changes in environmental indicators were suggested to positively impact paediatric asthma indicators in western cultures. Little is known about such impact in developing countries. This study investigated the potential impact of COVID‐19 NPI measures on paediatric asthma exacerbation admissions in Northern Jordan. Methods Aggregate data from a paediatric hospital, Princess Rahma Pediatric Teaching Hospital, and King Abdulla University Teaching Hospital were utilised from 2018 to 2020. The number of paediatric asthma exacerbation admissions was calculated by week and compared by year, lockdown status, and weeks for lockdown (weeks 13‐19). The stringency index was correlated with the number of weekly paediatric asthma exacerbation admissions for 2020. Results A total of 1,207 paediatric asthma exacerbation admissions were reported; 40.3%, 35.2%, and 24.5% in 2018, 2019 and 2020, respectively. The number of weekly admissions ranged from 1 to 13 paediatric asthma cases (mean (SD) = 7.6 (2.7)). In 2018 and 2019, respectively, mean weekly admissions were 9.2 (1.9) and 8.0 (2.0) paediatric asthma cases, while in 2020 the mean was 5.6 (2.7) cases. Significant differences in mean weekly paediatric asthma exacerbation admissions were detected by year, with mean weekly admissions for 2020 being significantly lower than that for 2018 and 2019. During the lockdown (22 March to 1 May 2020), mean weekly admissions (2.6 (1.4)) was significantly lower than that before the lockdown (8.6 (2.0)) and after the lockdown (5.2 (2.0)). For the lockdown weeks only, the mean admissions for the year 2020 was significantly lower than that for years 2019 and 2018. The stringency index negatively correlated with the number of weekly admissions. Conclusion NPI measures in Jordan seem to have positively impacted paediatric asthma exacerbation admissions. Further studies are needed to draw public health policies and fine‐tune environmental and community policies.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.14423</identifier><language>eng</language><publisher>London: Hindawi Limited</publisher><subject>Asthma ; COVID-19 ; Developing countries ; LDCs ; Pediatrics ; Public health ; Teaching hospitals</subject><ispartof>International journal of clinical practice (Esher), 2021-09, Vol.75 (9), p.n/a</ispartof><rights>2021 John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2021 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3703-58e433830eca302eb57d6badd57a1b8407bb85586cb26facf4bb497a7c7582ff3</citedby><cites>FETCH-LOGICAL-c3703-58e433830eca302eb57d6badd57a1b8407bb85586cb26facf4bb497a7c7582ff3</cites><orcidid>0000-0003-4583-2727 ; 0000-0003-4504-4472 ; 0000-0002-5858-0699</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.14423$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.14423$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids></links><search><creatorcontrib>Alsulaiman, Jomana W.</creatorcontrib><creatorcontrib>Kheirallah, Khalid A.</creatorcontrib><creatorcontrib>Ajlony, Mohammed‐Jafar</creatorcontrib><creatorcontrib>Al‐Tamimi, Taha M.</creatorcontrib><creatorcontrib>Khasawneh, Rawand A.</creatorcontrib><creatorcontrib>Al‐Natour, Lara</creatorcontrib><title>Paediatric asthma exacerbation admissions and stringency of non‐pharmaceutical interventions: Results from a developing country</title><title>International journal of clinical practice (Esher)</title><description>Background Non‐pharmaceutical interventions (NPI) mitigation measures implemented to mitigate COVID‐19 has brought unprecedented global impact. Changes in daily living routines, reduction in physical activities, and changes in environmental indicators were suggested to positively impact paediatric asthma indicators in western cultures. Little is known about such impact in developing countries. This study investigated the potential impact of COVID‐19 NPI measures on paediatric asthma exacerbation admissions in Northern Jordan. Methods Aggregate data from a paediatric hospital, Princess Rahma Pediatric Teaching Hospital, and King Abdulla University Teaching Hospital were utilised from 2018 to 2020. The number of paediatric asthma exacerbation admissions was calculated by week and compared by year, lockdown status, and weeks for lockdown (weeks 13‐19). The stringency index was correlated with the number of weekly paediatric asthma exacerbation admissions for 2020. Results A total of 1,207 paediatric asthma exacerbation admissions were reported; 40.3%, 35.2%, and 24.5% in 2018, 2019 and 2020, respectively. The number of weekly admissions ranged from 1 to 13 paediatric asthma cases (mean (SD) = 7.6 (2.7)). In 2018 and 2019, respectively, mean weekly admissions were 9.2 (1.9) and 8.0 (2.0) paediatric asthma cases, while in 2020 the mean was 5.6 (2.7) cases. Significant differences in mean weekly paediatric asthma exacerbation admissions were detected by year, with mean weekly admissions for 2020 being significantly lower than that for 2018 and 2019. During the lockdown (22 March to 1 May 2020), mean weekly admissions (2.6 (1.4)) was significantly lower than that before the lockdown (8.6 (2.0)) and after the lockdown (5.2 (2.0)). For the lockdown weeks only, the mean admissions for the year 2020 was significantly lower than that for years 2019 and 2018. The stringency index negatively correlated with the number of weekly admissions. Conclusion NPI measures in Jordan seem to have positively impacted paediatric asthma exacerbation admissions. Further studies are needed to draw public health policies and fine‐tune environmental and community policies.</description><subject>Asthma</subject><subject>COVID-19</subject><subject>Developing countries</subject><subject>LDCs</subject><subject>Pediatrics</subject><subject>Public health</subject><subject>Teaching hospitals</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kE1OwzAQhSMEElDYcAJL7JBS7Dg_hh2q-CmqRIVgHY0dh7pK7GA7hezgBpyRk-AS1sxm3uJ7bzQvik4InpIw52otuilJ04TuRAekSJOYJCnZDZrmLM4wJfvRoXNrjJMsY_gg-lyCrBR4qwQC51ctIPkOQloOXhmNoGqVc0E5BLpCLoD6RWoxIFMjbfT3x1e3AtsGS--VgAYp7aXdSL21u0v0KF3feIdqa1oEqJIb2ZguhCBheu3tcBTt1dA4efy3J9HzzfXT7C5ePNzOZ1eLWNAC0zhjMqWUUSwFUJxInhVVzqGqsgIIZykuOGfhp1zwJK9B1Cnn6UUBhSgyltQ1nUSnY25nzWsvnS_Xprc6nCyTLMc5xixngTobKWGNc1bWZWdVC3YoCS63FZfbisvfigNMRvhNNXL4hyzn97Pl6PkBNVyDIA</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Alsulaiman, Jomana W.</creator><creator>Kheirallah, Khalid A.</creator><creator>Ajlony, Mohammed‐Jafar</creator><creator>Al‐Tamimi, Taha M.</creator><creator>Khasawneh, Rawand A.</creator><creator>Al‐Natour, Lara</creator><general>Hindawi Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0003-4583-2727</orcidid><orcidid>https://orcid.org/0000-0003-4504-4472</orcidid><orcidid>https://orcid.org/0000-0002-5858-0699</orcidid></search><sort><creationdate>202109</creationdate><title>Paediatric asthma exacerbation admissions and stringency of non‐pharmaceutical interventions: Results from a developing country</title><author>Alsulaiman, Jomana W. ; Kheirallah, Khalid A. ; Ajlony, Mohammed‐Jafar ; Al‐Tamimi, Taha M. ; Khasawneh, Rawand A. ; Al‐Natour, Lara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3703-58e433830eca302eb57d6badd57a1b8407bb85586cb26facf4bb497a7c7582ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Asthma</topic><topic>COVID-19</topic><topic>Developing countries</topic><topic>LDCs</topic><topic>Pediatrics</topic><topic>Public health</topic><topic>Teaching hospitals</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alsulaiman, Jomana W.</creatorcontrib><creatorcontrib>Kheirallah, Khalid A.</creatorcontrib><creatorcontrib>Ajlony, Mohammed‐Jafar</creatorcontrib><creatorcontrib>Al‐Tamimi, Taha M.</creatorcontrib><creatorcontrib>Khasawneh, Rawand A.</creatorcontrib><creatorcontrib>Al‐Natour, Lara</creatorcontrib><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alsulaiman, Jomana W.</au><au>Kheirallah, Khalid A.</au><au>Ajlony, Mohammed‐Jafar</au><au>Al‐Tamimi, Taha M.</au><au>Khasawneh, Rawand A.</au><au>Al‐Natour, Lara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paediatric asthma exacerbation admissions and stringency of non‐pharmaceutical interventions: Results from a developing country</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><date>2021-09</date><risdate>2021</risdate><volume>75</volume><issue>9</issue><epage>n/a</epage><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Background Non‐pharmaceutical interventions (NPI) mitigation measures implemented to mitigate COVID‐19 has brought unprecedented global impact. Changes in daily living routines, reduction in physical activities, and changes in environmental indicators were suggested to positively impact paediatric asthma indicators in western cultures. Little is known about such impact in developing countries. This study investigated the potential impact of COVID‐19 NPI measures on paediatric asthma exacerbation admissions in Northern Jordan. Methods Aggregate data from a paediatric hospital, Princess Rahma Pediatric Teaching Hospital, and King Abdulla University Teaching Hospital were utilised from 2018 to 2020. The number of paediatric asthma exacerbation admissions was calculated by week and compared by year, lockdown status, and weeks for lockdown (weeks 13‐19). The stringency index was correlated with the number of weekly paediatric asthma exacerbation admissions for 2020. Results A total of 1,207 paediatric asthma exacerbation admissions were reported; 40.3%, 35.2%, and 24.5% in 2018, 2019 and 2020, respectively. The number of weekly admissions ranged from 1 to 13 paediatric asthma cases (mean (SD) = 7.6 (2.7)). In 2018 and 2019, respectively, mean weekly admissions were 9.2 (1.9) and 8.0 (2.0) paediatric asthma cases, while in 2020 the mean was 5.6 (2.7) cases. Significant differences in mean weekly paediatric asthma exacerbation admissions were detected by year, with mean weekly admissions for 2020 being significantly lower than that for 2018 and 2019. During the lockdown (22 March to 1 May 2020), mean weekly admissions (2.6 (1.4)) was significantly lower than that before the lockdown (8.6 (2.0)) and after the lockdown (5.2 (2.0)). For the lockdown weeks only, the mean admissions for the year 2020 was significantly lower than that for years 2019 and 2018. The stringency index negatively correlated with the number of weekly admissions. Conclusion NPI measures in Jordan seem to have positively impacted paediatric asthma exacerbation admissions. 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subjects Asthma
COVID-19
Developing countries
LDCs
Pediatrics
Public health
Teaching hospitals
title Paediatric asthma exacerbation admissions and stringency of non‐pharmaceutical interventions: Results from a developing country
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