Email Alert | RSS

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

Previous Articles     Next Articles

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

RICH HTML

   

PDF (PC)

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
[1] Chan JF, Yuan S, Kok KH, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster [J]. Lancet, 2020, 395(10223):514-523.
doi: 10.1016/S0140-6736(20)30154-9
[2] Ji LN, Chao S, Wang YJ, et al. Clinical features of pediatric patients with COVID-19: a report of two family cluster cases [J]. World J Pediatr, 2020, 16(3):267-270.
doi: 10.1007/s12519-020-00356-2
[3] Wei M, Yuan J, Liu Y, et al. Novel coronavirus infection in hospitalized infants under 1 year of age in China [J]. JAMA, 2020, 323(13):1313-1314.
doi: 10.1001/jama.2020.2131
[4] 国家呼吸系统疾病临床医学研究中心. 中华医学会儿科学分会呼吸学组. 儿童流感诊断与治疗专家共识(2020年版) [J]. 中华实用儿科临床杂志, 2020, 35(18):1281-1288.
[5] Song P, Theodoratou E, Li X, et al. Causes of death in children younger than five years in China in 2015: an updated analysis [J]. J Glob Health, 2016, 6(2):20802.
doi: 10.7189/jogh.06.020802
[6] 秦强, 申昆玲. 儿童重症流感发病机制 [J]. 中华实用儿科临床杂志, 2019, 34(2):98-101.
[7] Gaglani MJ. Editorial commentary: school-located influenza vaccination: why worth the effort [J]. Clin Infect Dis, 2014, 59(3):333-335.
doi: 10.1093/cid/ciu344
[8] Piedra PA, Gaglani MJ, Kozinetz CA, et al. Herd immunity in adults against influenza-related illnesses with use of the trivalent-live attenuated influenza vaccine (CAIV-T) in children [J]. Vaccine, 2005, 23(13):1540-1548.
pmid: 15694506
[9] 邢燕, 张娟, 韩彤妍, 等. 新型冠状病毒感染肺炎疫情下综合医院儿科防控方式探索 [J]. 北京大学学报(医学版), 2020, 52(3):410-413.
[10] 秦强, 谢正德, 申昆玲. 美国感染病协会关于季节性流感诊断、治疗、药物预防和机构内流感暴发应对措施2018指南更新儿童相关内容解读. 中华实用儿科临床杂志, 2019, 34(2):87-90.
[11] 王芳, 钱渊, 邓洁, 等. 2004至2017年北京地区儿童流行性感冒样病例中甲型流行性感冒的流行特征 [J]. 中华儿科杂志, 2018, 56(6):429-434.
[12] Shen KL, Yang Y. Diagnosis and treatment of 2019 novel coronavirus infection in children: a pressing issue [J]. World J Pediatr, 2020, 16(3):219-221.
doi: 10.1007/s12519-020-00344-6
[1] Xin LIU,Xueying SHI,Jun LI. A case of COVID-19 associated ischemic colitis [J]. Journal of Peking University (Health Sciences), 2024, 56(2): 362-365.
[2] Jinrong ZHU,Yana ZHAO,Wei HUANG,Weiwei ZHAO,Yue WANG,Song WANG,Chunyan SU. Clinical characteristics of COVID-19 infection in patients undergoing hemodialysis [J]. Journal of Peking University (Health Sciences), 2024, 56(2): 267-272.
[3] Jian-bin LI,Meng-na LYU,Qiang CHI,Yi-lin PENG,Peng-cheng LIU,Rui WU. Early prediction of severe COVID-19 in patients with Sjögren’s syndrome [J]. Journal of Peking University (Health Sciences), 2023, 55(6): 1007-1012.
[4] Jin-hui LAI,Qi WANG,Jia-xiang JI,Ming-rui WANG,Xin-wei TANG,Ke-xin XU,Tao XU,Hao HU. Effects of delayed ureteral stents removal during the COVID-19 pandemic on the quality of life and psychological status of postoperative patients with urinary calculi [J]. Journal of Peking University (Health Sciences), 2023, 55(5): 857-864.
[5] Zhi-yu KANG,Lei-lei WANG,Yong-zheng HAN,Xiang-yang GUO. Anesthesia management of athletes' operation in Beijing Olympic Winter Games [J]. Journal of Peking University (Health Sciences), 2022, 54(4): 770-773.
[6] Ming-long CHEN,Xiao-han LIU,jing GUO. Relationship between social support and parental burnout in COVID-19 among Chinese young parents [J]. Journal of Peking University (Health Sciences), 2022, 54(3): 520-525.
[7] Guang-qi LIU,Yuan-jie PANG,Jiang WU,Min LV,Meng-ke YU,Yu-tong LI,Yang-mu HUANG. Trend analysis of influenza vaccination among hospitalized elderly people in Beijing, 2013-2019 [J]. Journal of Peking University (Health Sciences), 2022, 54(3): 505-510.
[8] LI Jia,XU Yu,WANG You-ya,GAO Zhan-cheng. Clinical characteristics of influenza pneumonia in the elderly and relationship between D-dimer and disease severity [J]. Journal of Peking University (Health Sciences), 2022, 54(1): 153-160.
[9] HUANG Bing, WANG Hong-yuan. Analysis of the development trend and severity of the COVID-19 panidemic in the global world [J]. Journal of Peking University (Health Sciences), 2021, 53(3): 536-542.
[10] Qiu WANG,Jin-yu GUO,Hong SUN,Ling WANG,Ju-su YING,Hui-xin LIU. Investigation of protective exposure risk events in nurses against corona virus disease 2019 in Wuhan [J]. Journal of Peking University (Health Sciences), 2020, 52(4): 711-714.
[11] Hang YANG,Lin-cheng YANG,Rui-tao ZHANG,Yun-peng LING,Qing-gang GE. Risks factors for death among COVID-19 patients combined with hypertension, coronary heart disease or diabetes [J]. Journal of Peking University (Health Sciences), 2020, 52(3): 420-424.
[12] Mei-lian CHEN,Yan GAO,Wei GUO,Li ZUO,Tian-bing WANG. Infection prevention and control of bedside blood purification treatment in patients with COVID-19 [J]. Journal of Peking University (Health Sciences), 2020, 52(3): 414-419.
[13] Wen FENG,Liang-nan ZHANG,Jing-yuan LI,Tian WEI,Ting-ting PENG,Dong-xu ZHANG,Zai-xin GUO,Wei-song WANG. Analysis of special ehealth service for corona virus disease 2019 (COVID-19) pneumonia [J]. Journal of Peking University (Health Sciences), 2020, 52(2): 302-307.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright © Journal of Peking University (Health Sciences), All Rights Reserved.
Powered by Beijing Magtech Co. Ltd