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Journal of Peking University (Health Sciences) ›› 2021, Vol. 53 ›› Issue (5): 952-956. doi: 10.19723/j.issn.1671-167X.2021.05.024

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Analysis of the changes and characteristics of pediatric outpatient visits in a general hospital in Beijing before and after the COVID-19 pandemic

MENG Hong1,JI Li-na1,△(),HUANG Jing1,2,CHAO Shuang1,ZHOU Jia-wen3,LI Xue-jun1,YIN Xiao-mei1,FAN Li-rong1   

  1. 1. Department of Pediatrics,Beijing Tsinghua Changgung Hospital Affiliated to Tsinghua University,School of Clinical Medicine of Tsinghua University, Beijing 102218, China
    2. Department of Traditional Chinese Medicine, Beijing Children’s Hospital affiliated to Capital Medical University & National Center for Children’s health, Beijing 100045, China
    3. Department of Information Management, Beijing Tsinghua Changgung Hospital affiliated to Tsinghua University,School of Clinical Medicine of Tsinghua University, Beijing, 102218, China
  • Received:2021-03-11 Online:2021-10-18 Published:2021-10-11
  • Contact: Li-na JI E-mail:jlna01103@btch.edu.cn

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Abstract:

Objective: To analyze the changes and characteristics of pediatric outpatient visits in a general hospital before and after the coronavirus disease (COVID-19) epidemic. Methods: Based on the registration data of pediatric outpatient visits in the information system (HIS)of Beijing Tsinghua Changgung Hospital, from January 1 2018 to December 31 2020, aged 0 to 16 years,we analyzed the changes of outpatient visits before and after the epidemic, focusing on respiratory infection including influenza. The relationship between the outpatient visits and age and quarterly distribution were also studied. Results: (1)Respiratory infection accounted for the majority of outpatient visits in 2018 and 2019 (60.6% and 60.5%, respectively). Non-respiratory infection accounted for the main proportion of outpatient visits in 2020, while respiratory infection accounted for only 47.4%. Annual respiratory infection visits, respiratory infectious diseases visits especially influenza visits all decreased significantly in 2020 compared with that in 2018 and 2019 (P<0.05). (2)Respiratory infection visits were highest in the infant group, lowest in the school age group (P<0.05) and highest in the fourth quarter each year. It decreased significantly in the second quarter of 2020 with statistical significance when compared with the other quarters of 2020(P<0.05). (3)Influenza accounted for the highest proportion of respiratory infectious diseases visits in each year. It was highest in first quarter, which was significantly different from the other quarters of the year (P<0.05). There were different distributions of influenza visits throughout 2018 and 2019, while it was only distributed in the first quarter and 99% in January in 2020. Conclusion: The respiratory infection and influenza visits have decreased significantly in our pediatric outpatient department after the COVID-19 epidemic,which is considered closely related to the lifestyle and personal protection after the epidemic. It is recommended that health education on respiratory infection and influenza prevention should be strengthened, especially in winter and spring, to promote the development of good respiratory and hand hygiene habits.

Key words: General Hospital, Pediatric outpatient, COVID-19, Respiratory infection, Influenza

CLC Number: 

  • R725.1

Table 1

Pediatrics outpatient visits from 2018 to 2020 number of visits"

Items 2018 2019 2020 χ2 P
Total visits 55 263 64 180 34 071
RI visits 33 510 38 821 16 145 1 883 <0.01
RID visits 1 007 1 904 596 174 <0.01
Flu visits 784 1 713 489 244 <0.01

Table 2

Gender and age composition of outpatient visits for respiratory infection from 2018 to 2020 number of visits(%)"

Items 2018 2019 2020 χ2 P
Gender Male 18 340
(54.7)		 21 184
(54.6)		 8 987
(55.7)		 5.74 0.05
Infant 20 894
(62.4)		 22 859
(58.9)		 9 211
(57.1)		 154 <0.01
Age groups Preschool 9 657
(28.8)		 11 857
(30.5)		 4 584
(28.4)		 36 <0.01
School age 2 959
(8.8)		 4 105
(10.6)		 2 350
(14.5)		 376 <0.01

Table 3

Quarterly distribution of outpatient visits for respiratory infection from 2018 to 2020 number of visits(%)"

Year First quarter Second quarter Third quarter Fourth quarter χ2 P
2018 7 680 (22.9) 7 436 (22.2) 7 675 (22.9) 10 719 (32) 445 <0.01
2019 9 083 (23.4) 9 197 (23.7) 8 897 (22.9) 11 644 (30) 182 <0.01
2020 3 632 (22.5) 1 386 (8.6) 3 570 (22.1) 7 557 (46.8) 2 574 <0.01

Table 4

Quarterly distribution of outpatient visits for respiratory infectious diseases and influenza from 2018 to 2020 number of visits(%)"

Items Year First quarter Second quarter Third quarter Fourth quarter χ2 P
RID
visits		 2018 710 (70.5) 50 (5) 123 (12.2) 124 (12.3) 1 342 <0.01
2019 833 (43.7) 641 (33.7) 76 (4.0) 354 (18.6) 838 <0.01
2020 506 (84.9) 20 (3.4) 16 (2.7) 54 (9) 1 384 <0.01
Flu
visits		 2018 696 (88.8) 3 (0.4) 0 (0) 85 (10.8) 1 987 <0.01
2019 815 (47.6) 584 (34.1) 3 (0.2) 311 (18.1) 1 015 <0.01
2020 489 (100) 0 (0) 0 (0) 0 (0) 1 737 <0.01
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