Impact of COVID-19 on Pediatric Asthma: Practice Adjustments and Disease Burden
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. To describe the impact of the COVID-19 pandemic on pediatric asthma services and on disease burden in thei...
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| Veröffentlicht in: | The journal of allergy and clinical immunology in practice (Cambridge, MA) MA), 2020-09, Vol.8 (8), p.2592-2599.e3 |
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| creator | Papadopoulos, Nikolaos G. Custovic, Adnan Deschildre, Antoine Mathioudakis, Alexander G. Phipatanakul, Wanda Wong, Gary Xepapadaki, Paraskevi Agache, Ioana Bacharier, Leonard Bonini, Matteo Castro-Rodriguez, Jose A. Chen, Zhimin Craig, Timothy Ducharme, Francine M. El-Sayed, Zeinab Awad Feleszko, Wojciech Fiocchi, Alessandro Garcia-Marcos, Luis Gern, James E. Goh, Anne Gómez, René Maximiliano Hamelmann, Eckard H. Hedlin, Gunilla Hossny, Elham M. Jartti, Tuomas Kalayci, Omer Kaplan, Alan Konradsen, Jon Kuna, Piotr Lau, Susanne Le Souef, Peter Lemanske, Robert F. Mäkelä, Mika J. Morais-Almeida, Mário Murray, Clare Nagaraju, Karthik Namazova-Baranova, Leyla Garcia, Antonio Nieto Yusuf, Osman M. Pitrez, Paulo M.C. Pohunek, Petr Pozo Beltrán, Cesar Fireth Roberts, Graham C. Valiulis, Arunas Zar, Heather J. Taam, Rola Abou Azuara, Hugo Brouard, Jacques Cros, Pierrick De Lira, Cindy Dubus, Jean-Christophe Dunder, Teija Efendieva, Kamilla Egron, Carole Emeryk, Andrzej Huerta Villalobos, Yunuen R. Karen, Nidia Le Roux, Pascal Levina, Julia Medley, Monica Najaraju, Major Yeverino, Daniela Rivero Ruotsalainen, Marja Szefler, Stanley Schweitzer, Cyril Benhumea, Berenice Velasco Villarreal, Rosalaura Weiss, Laurence Zawadzka-Krajewska, Anna |
| description | 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.
To describe the impact of the COVID-19 pandemic on pediatric asthma services and on disease burden in their patients.
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.
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.
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. |
| doi_str_mv | 10.1016/j.jaip.2020.06.001 |
| format | Article |
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To describe the impact of the COVID-19 pandemic on pediatric asthma services and on disease burden in their patients.
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.
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.
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.</description><identifier>ISSN: 2213-2198</identifier><identifier>EISSN: 2213-2201</identifier><identifier>DOI: 10.1016/j.jaip.2020.06.001</identifier><identifier>PMID: 32561497</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adherence ; Allergies ; Appointments and Schedules ; Asthma ; Asthma - epidemiology ; Asthma - physiopathology ; Asthma - therapy ; Betacoronavirus ; Child ; Children ; Chronic illnesses ; Clinical medicine ; Control ; Coronavirus Infections - epidemiology ; Coronaviruses ; COVID-19 ; Disease control ; Global Health ; Humans ; Medication Adherence ; Pandemics ; Patients ; Pediatrics ; Pneumonia, Viral - epidemiology ; Primary care ; Questionnaires ; SARS-CoV-2 ; SARS-CoV2 ; Severe acute respiratory syndrome coronavirus 2 ; Severity of Illness Index ; Teenagers ; Telemedicine ; Telemedicine - organization & administration ; Telemedicine - statistics & numerical data ; Time Factors ; Virus</subject><ispartof>The journal of allergy and clinical immunology in practice (Cambridge, MA), 2020-09, Vol.8 (8), p.2592-2599.e3</ispartof><rights>2020 American Academy of Allergy, Asthma & Immunology</rights><rights>Copyright © 2020 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.</rights><rights>2020. American Academy of Allergy, Asthma & Immunology</rights><rights>2020 American Academy of Allergy, Asthma & Immunology. 2020 American Academy of Allergy, Asthma & Immunology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c616t-6562b318e506392b781e1370237be012007208e1e8d07a294d8d88ebd21a71343</citedby><cites>FETCH-LOGICAL-c616t-6562b318e506392b781e1370237be012007208e1e8d07a294d8d88ebd21a71343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,550,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32561497$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:144895093$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Papadopoulos, Nikolaos G.</creatorcontrib><creatorcontrib>Custovic, Adnan</creatorcontrib><creatorcontrib>Deschildre, Antoine</creatorcontrib><creatorcontrib>Mathioudakis, Alexander G.</creatorcontrib><creatorcontrib>Phipatanakul, Wanda</creatorcontrib><creatorcontrib>Wong, Gary</creatorcontrib><creatorcontrib>Xepapadaki, Paraskevi</creatorcontrib><creatorcontrib>Agache, Ioana</creatorcontrib><creatorcontrib>Bacharier, Leonard</creatorcontrib><creatorcontrib>Bonini, Matteo</creatorcontrib><creatorcontrib>Castro-Rodriguez, Jose A.</creatorcontrib><creatorcontrib>Chen, Zhimin</creatorcontrib><creatorcontrib>Craig, Timothy</creatorcontrib><creatorcontrib>Ducharme, Francine M.</creatorcontrib><creatorcontrib>El-Sayed, Zeinab Awad</creatorcontrib><creatorcontrib>Feleszko, Wojciech</creatorcontrib><creatorcontrib>Fiocchi, Alessandro</creatorcontrib><creatorcontrib>Garcia-Marcos, Luis</creatorcontrib><creatorcontrib>Gern, James E.</creatorcontrib><creatorcontrib>Goh, Anne</creatorcontrib><creatorcontrib>Gómez, René Maximiliano</creatorcontrib><creatorcontrib>Hamelmann, Eckard H.</creatorcontrib><creatorcontrib>Hedlin, Gunilla</creatorcontrib><creatorcontrib>Hossny, Elham M.</creatorcontrib><creatorcontrib>Jartti, Tuomas</creatorcontrib><creatorcontrib>Kalayci, Omer</creatorcontrib><creatorcontrib>Kaplan, Alan</creatorcontrib><creatorcontrib>Konradsen, Jon</creatorcontrib><creatorcontrib>Kuna, Piotr</creatorcontrib><creatorcontrib>Lau, Susanne</creatorcontrib><creatorcontrib>Le Souef, Peter</creatorcontrib><creatorcontrib>Lemanske, Robert F.</creatorcontrib><creatorcontrib>Mäkelä, Mika J.</creatorcontrib><creatorcontrib>Morais-Almeida, Mário</creatorcontrib><creatorcontrib>Murray, Clare</creatorcontrib><creatorcontrib>Nagaraju, Karthik</creatorcontrib><creatorcontrib>Namazova-Baranova, Leyla</creatorcontrib><creatorcontrib>Garcia, Antonio Nieto</creatorcontrib><creatorcontrib>Yusuf, Osman M.</creatorcontrib><creatorcontrib>Pitrez, Paulo M.C.</creatorcontrib><creatorcontrib>Pohunek, Petr</creatorcontrib><creatorcontrib>Pozo Beltrán, Cesar Fireth</creatorcontrib><creatorcontrib>Roberts, Graham C.</creatorcontrib><creatorcontrib>Valiulis, Arunas</creatorcontrib><creatorcontrib>Zar, Heather J.</creatorcontrib><creatorcontrib>Taam, Rola Abou</creatorcontrib><creatorcontrib>Azuara, Hugo</creatorcontrib><creatorcontrib>Brouard, Jacques</creatorcontrib><creatorcontrib>Cros, Pierrick</creatorcontrib><creatorcontrib>De Lira, Cindy</creatorcontrib><creatorcontrib>Dubus, Jean-Christophe</creatorcontrib><creatorcontrib>Dunder, Teija</creatorcontrib><creatorcontrib>Efendieva, Kamilla</creatorcontrib><creatorcontrib>Egron, Carole</creatorcontrib><creatorcontrib>Emeryk, Andrzej</creatorcontrib><creatorcontrib>Huerta Villalobos, Yunuen R.</creatorcontrib><creatorcontrib>Karen, Nidia</creatorcontrib><creatorcontrib>Le Roux, Pascal</creatorcontrib><creatorcontrib>Levina, Julia</creatorcontrib><creatorcontrib>Medley, Monica</creatorcontrib><creatorcontrib>Najaraju, Major</creatorcontrib><creatorcontrib>Yeverino, Daniela Rivero</creatorcontrib><creatorcontrib>Ruotsalainen, Marja</creatorcontrib><creatorcontrib>Szefler, Stanley</creatorcontrib><creatorcontrib>Schweitzer, Cyril</creatorcontrib><creatorcontrib>Benhumea, Berenice Velasco</creatorcontrib><creatorcontrib>Villarreal, Rosalaura</creatorcontrib><creatorcontrib>Weiss, Laurence</creatorcontrib><creatorcontrib>Zawadzka-Krajewska, Anna</creatorcontrib><creatorcontrib>Pediatric Asthma in Real Life Collaborators</creatorcontrib><title>Impact of COVID-19 on Pediatric Asthma: Practice Adjustments and Disease Burden</title><title>The journal of allergy and clinical immunology in practice (Cambridge, MA)</title><addtitle>J Allergy Clin Immunol Pract</addtitle><description>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.
To describe the impact of the COVID-19 pandemic on pediatric asthma services and on disease burden in their patients.
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.
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.
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.</description><subject>Adherence</subject><subject>Allergies</subject><subject>Appointments and Schedules</subject><subject>Asthma</subject><subject>Asthma - epidemiology</subject><subject>Asthma - physiopathology</subject><subject>Asthma - therapy</subject><subject>Betacoronavirus</subject><subject>Child</subject><subject>Children</subject><subject>Chronic illnesses</subject><subject>Clinical medicine</subject><subject>Control</subject><subject>Coronavirus Infections - epidemiology</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Disease control</subject><subject>Global Health</subject><subject>Humans</subject><subject>Medication Adherence</subject><subject>Pandemics</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>Primary care</subject><subject>Questionnaires</subject><subject>SARS-CoV-2</subject><subject>SARS-CoV2</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Severity of Illness Index</subject><subject>Teenagers</subject><subject>Telemedicine</subject><subject>Telemedicine - organization & administration</subject><subject>Telemedicine - statistics & numerical data</subject><subject>Time 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Pascal</creator><creator>Levina, Julia</creator><creator>Medley, Monica</creator><creator>Najaraju, Major</creator><creator>Yeverino, Daniela Rivero</creator><creator>Ruotsalainen, Marja</creator><creator>Szefler, Stanley</creator><creator>Schweitzer, Cyril</creator><creator>Benhumea, Berenice Velasco</creator><creator>Villarreal, Rosalaura</creator><creator>Weiss, Laurence</creator><creator>Zawadzka-Krajewska, Anna</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><general>American Academy of Allergy, Asthma & Immunology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20200901</creationdate><title>Impact of COVID-19 on Pediatric Asthma: Practice Adjustments and Disease Burden</title><author>Papadopoulos, Nikolaos G. ; Custovic, Adnan ; Deschildre, Antoine ; Mathioudakis, Alexander G. ; Phipatanakul, Wanda ; Wong, Gary ; Xepapadaki, Paraskevi ; Agache, Ioana ; Bacharier, Leonard ; Bonini, Matteo ; Castro-Rodriguez, Jose A. ; Chen, Zhimin ; Craig, Timothy ; Ducharme, Francine M. ; El-Sayed, Zeinab Awad ; Feleszko, Wojciech ; Fiocchi, Alessandro ; Garcia-Marcos, Luis ; Gern, James E. ; Goh, Anne ; Gómez, René Maximiliano ; Hamelmann, Eckard H. ; Hedlin, Gunilla ; Hossny, Elham M. ; Jartti, Tuomas ; Kalayci, Omer ; Kaplan, Alan ; Konradsen, Jon ; Kuna, Piotr ; Lau, Susanne ; Le Souef, Peter ; Lemanske, Robert F. ; Mäkelä, Mika J. ; Morais-Almeida, Mário ; Murray, Clare ; Nagaraju, Karthik ; Namazova-Baranova, Leyla ; Garcia, Antonio Nieto ; Yusuf, Osman M. ; Pitrez, Paulo M.C. ; Pohunek, Petr ; Pozo Beltrán, Cesar Fireth ; Roberts, Graham C. ; Valiulis, Arunas ; Zar, Heather J. ; Taam, Rola Abou ; Azuara, Hugo ; Brouard, Jacques ; Cros, Pierrick ; De Lira, Cindy ; Dubus, Jean-Christophe ; Dunder, Teija ; Efendieva, Kamilla ; Egron, Carole ; Emeryk, Andrzej ; Huerta Villalobos, Yunuen R. ; Karen, Nidia ; Le Roux, Pascal ; Levina, Julia ; Medley, Monica ; Najaraju, Major ; Yeverino, Daniela Rivero ; Ruotsalainen, Marja ; Szefler, Stanley ; Schweitzer, Cyril ; Benhumea, Berenice Velasco ; Villarreal, Rosalaura ; Weiss, Laurence ; Zawadzka-Krajewska, Anna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c616t-6562b318e506392b781e1370237be012007208e1e8d07a294d8d88ebd21a71343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adherence</topic><topic>Allergies</topic><topic>Appointments and Schedules</topic><topic>Asthma</topic><topic>Asthma - epidemiology</topic><topic>Asthma - physiopathology</topic><topic>Asthma - therapy</topic><topic>Betacoronavirus</topic><topic>Child</topic><topic>Children</topic><topic>Chronic illnesses</topic><topic>Clinical medicine</topic><topic>Control</topic><topic>Coronavirus Infections - epidemiology</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Disease control</topic><topic>Global Health</topic><topic>Humans</topic><topic>Medication Adherence</topic><topic>Pandemics</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Pneumonia, Viral - epidemiology</topic><topic>Primary care</topic><topic>Questionnaires</topic><topic>SARS-CoV-2</topic><topic>SARS-CoV2</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>Severity of Illness Index</topic><topic>Teenagers</topic><topic>Telemedicine</topic><topic>Telemedicine - organization & administration</topic><topic>Telemedicine - statistics & numerical data</topic><topic>Time Factors</topic><topic>Virus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Papadopoulos, Nikolaos G.</creatorcontrib><creatorcontrib>Custovic, Adnan</creatorcontrib><creatorcontrib>Deschildre, Antoine</creatorcontrib><creatorcontrib>Mathioudakis, Alexander G.</creatorcontrib><creatorcontrib>Phipatanakul, Wanda</creatorcontrib><creatorcontrib>Wong, Gary</creatorcontrib><creatorcontrib>Xepapadaki, Paraskevi</creatorcontrib><creatorcontrib>Agache, Ioana</creatorcontrib><creatorcontrib>Bacharier, Leonard</creatorcontrib><creatorcontrib>Bonini, Matteo</creatorcontrib><creatorcontrib>Castro-Rodriguez, Jose A.</creatorcontrib><creatorcontrib>Chen, Zhimin</creatorcontrib><creatorcontrib>Craig, Timothy</creatorcontrib><creatorcontrib>Ducharme, Francine M.</creatorcontrib><creatorcontrib>El-Sayed, Zeinab Awad</creatorcontrib><creatorcontrib>Feleszko, Wojciech</creatorcontrib><creatorcontrib>Fiocchi, Alessandro</creatorcontrib><creatorcontrib>Garcia-Marcos, Luis</creatorcontrib><creatorcontrib>Gern, James E.</creatorcontrib><creatorcontrib>Goh, Anne</creatorcontrib><creatorcontrib>Gómez, René Maximiliano</creatorcontrib><creatorcontrib>Hamelmann, Eckard H.</creatorcontrib><creatorcontrib>Hedlin, Gunilla</creatorcontrib><creatorcontrib>Hossny, Elham M.</creatorcontrib><creatorcontrib>Jartti, Tuomas</creatorcontrib><creatorcontrib>Kalayci, Omer</creatorcontrib><creatorcontrib>Kaplan, Alan</creatorcontrib><creatorcontrib>Konradsen, Jon</creatorcontrib><creatorcontrib>Kuna, Piotr</creatorcontrib><creatorcontrib>Lau, Susanne</creatorcontrib><creatorcontrib>Le Souef, Peter</creatorcontrib><creatorcontrib>Lemanske, Robert F.</creatorcontrib><creatorcontrib>Mäkelä, Mika J.</creatorcontrib><creatorcontrib>Morais-Almeida, Mário</creatorcontrib><creatorcontrib>Murray, Clare</creatorcontrib><creatorcontrib>Nagaraju, Karthik</creatorcontrib><creatorcontrib>Namazova-Baranova, Leyla</creatorcontrib><creatorcontrib>Garcia, Antonio Nieto</creatorcontrib><creatorcontrib>Yusuf, Osman M.</creatorcontrib><creatorcontrib>Pitrez, Paulo M.C.</creatorcontrib><creatorcontrib>Pohunek, Petr</creatorcontrib><creatorcontrib>Pozo Beltrán, Cesar Fireth</creatorcontrib><creatorcontrib>Roberts, Graham C.</creatorcontrib><creatorcontrib>Valiulis, Arunas</creatorcontrib><creatorcontrib>Zar, Heather J.</creatorcontrib><creatorcontrib>Taam, Rola Abou</creatorcontrib><creatorcontrib>Azuara, Hugo</creatorcontrib><creatorcontrib>Brouard, Jacques</creatorcontrib><creatorcontrib>Cros, Pierrick</creatorcontrib><creatorcontrib>De Lira, Cindy</creatorcontrib><creatorcontrib>Dubus, Jean-Christophe</creatorcontrib><creatorcontrib>Dunder, Teija</creatorcontrib><creatorcontrib>Efendieva, Kamilla</creatorcontrib><creatorcontrib>Egron, Carole</creatorcontrib><creatorcontrib>Emeryk, Andrzej</creatorcontrib><creatorcontrib>Huerta Villalobos, Yunuen R.</creatorcontrib><creatorcontrib>Karen, Nidia</creatorcontrib><creatorcontrib>Le Roux, Pascal</creatorcontrib><creatorcontrib>Levina, Julia</creatorcontrib><creatorcontrib>Medley, Monica</creatorcontrib><creatorcontrib>Najaraju, Major</creatorcontrib><creatorcontrib>Yeverino, Daniela Rivero</creatorcontrib><creatorcontrib>Ruotsalainen, Marja</creatorcontrib><creatorcontrib>Szefler, Stanley</creatorcontrib><creatorcontrib>Schweitzer, Cyril</creatorcontrib><creatorcontrib>Benhumea, Berenice Velasco</creatorcontrib><creatorcontrib>Villarreal, Rosalaura</creatorcontrib><creatorcontrib>Weiss, Laurence</creatorcontrib><creatorcontrib>Zawadzka-Krajewska, Anna</creatorcontrib><creatorcontrib>Pediatric Asthma in Real Life Collaborators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>The journal of allergy and clinical immunology in practice (Cambridge, MA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Papadopoulos, Nikolaos G.</au><au>Custovic, Adnan</au><au>Deschildre, Antoine</au><au>Mathioudakis, Alexander G.</au><au>Phipatanakul, Wanda</au><au>Wong, Gary</au><au>Xepapadaki, Paraskevi</au><au>Agache, Ioana</au><au>Bacharier, Leonard</au><au>Bonini, Matteo</au><au>Castro-Rodriguez, Jose A.</au><au>Chen, Zhimin</au><au>Craig, Timothy</au><au>Ducharme, Francine M.</au><au>El-Sayed, Zeinab Awad</au><au>Feleszko, Wojciech</au><au>Fiocchi, Alessandro</au><au>Garcia-Marcos, Luis</au><au>Gern, James E.</au><au>Goh, Anne</au><au>Gómez, René Maximiliano</au><au>Hamelmann, Eckard H.</au><au>Hedlin, Gunilla</au><au>Hossny, Elham M.</au><au>Jartti, Tuomas</au><au>Kalayci, Omer</au><au>Kaplan, Alan</au><au>Konradsen, Jon</au><au>Kuna, Piotr</au><au>Lau, Susanne</au><au>Le Souef, Peter</au><au>Lemanske, Robert F.</au><au>Mäkelä, Mika J.</au><au>Morais-Almeida, Mário</au><au>Murray, Clare</au><au>Nagaraju, Karthik</au><au>Namazova-Baranova, Leyla</au><au>Garcia, Antonio Nieto</au><au>Yusuf, Osman M.</au><au>Pitrez, Paulo M.C.</au><au>Pohunek, Petr</au><au>Pozo Beltrán, Cesar Fireth</au><au>Roberts, Graham C.</au><au>Valiulis, Arunas</au><au>Zar, Heather J.</au><au>Taam, Rola Abou</au><au>Azuara, Hugo</au><au>Brouard, Jacques</au><au>Cros, Pierrick</au><au>De Lira, Cindy</au><au>Dubus, Jean-Christophe</au><au>Dunder, Teija</au><au>Efendieva, Kamilla</au><au>Egron, Carole</au><au>Emeryk, Andrzej</au><au>Huerta Villalobos, Yunuen R.</au><au>Karen, Nidia</au><au>Le Roux, Pascal</au><au>Levina, Julia</au><au>Medley, Monica</au><au>Najaraju, Major</au><au>Yeverino, Daniela Rivero</au><au>Ruotsalainen, Marja</au><au>Szefler, Stanley</au><au>Schweitzer, Cyril</au><au>Benhumea, Berenice Velasco</au><au>Villarreal, Rosalaura</au><au>Weiss, Laurence</au><au>Zawadzka-Krajewska, Anna</au><aucorp>Pediatric Asthma in Real Life Collaborators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of COVID-19 on Pediatric Asthma: Practice Adjustments and Disease Burden</atitle><jtitle>The journal of allergy and clinical immunology in practice (Cambridge, MA)</jtitle><addtitle>J Allergy Clin Immunol Pract</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>8</volume><issue>8</issue><spage>2592</spage><epage>2599.e3</epage><pages>2592-2599.e3</pages><issn>2213-2198</issn><eissn>2213-2201</eissn><abstract>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.
To describe the impact of the COVID-19 pandemic on pediatric asthma services and on disease burden in their patients.
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.
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.
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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32561497</pmid><doi>10.1016/j.jaip.2020.06.001</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2213-2198 |
| ispartof | The journal of allergy and clinical immunology in practice (Cambridge, MA), 2020-09, Vol.8 (8), p.2592-2599.e3 |
| issn | 2213-2198 2213-2201 |
| language | eng |
| recordid | cdi_swepub_primary_oai_swepub_ki_se_470361 |
| source | MEDLINE; Alma/SFX Local Collection; SWEPUB Freely available online |
| subjects | Adherence Allergies Appointments and Schedules Asthma Asthma - epidemiology Asthma - physiopathology Asthma - therapy Betacoronavirus Child Children Chronic illnesses Clinical medicine Control Coronavirus Infections - epidemiology Coronaviruses COVID-19 Disease control Global Health Humans Medication Adherence Pandemics Patients Pediatrics Pneumonia, Viral - epidemiology Primary care Questionnaires SARS-CoV-2 SARS-CoV2 Severe acute respiratory syndrome coronavirus 2 Severity of Illness Index Teenagers Telemedicine Telemedicine - organization & administration Telemedicine - statistics & numerical data Time Factors Virus |
| title | Impact of COVID-19 on Pediatric Asthma: Practice Adjustments and Disease Burden |
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