@article{9e53d60e1e1e4fca9ce3036c107ac199,
title = "The COVID-19 Pandemic and Changes in Healthcare Utilization for Pediatric Respiratory and Nonrespiratory Illnesses in the United States",
abstract = "The impact of COVID-19 public health interventions on pediatric illnesses nationwide is unknown. We performed a multicenter, cross-sectional study of encounters at 44 children's hospitals in the United States to assess changes in healthcare utilization during the pandemic. The COVID-19 pandemic was associated with substantial reductions in encounters for respiratory diseases; these large reductions were consistent across illness subgroups. Although encounters for nonrespiratory diseases decreased as well, reductions were more modest and varied by age. Encounters for respiratory diseases among adolescents declined to a lesser degree and returned to previous levels faster compared with those of younger children. Further study is needed to determine the contributions of decreased illness and changes in care-seeking behavior to this observed reduction.",
author = "Antoon, {James W.} and Williams, {Derek J.} and Cary Thurm and Michael Bendel-Stenzel and Spaulding, {Alicen B.} and {Ronald J Teufel}, {I. I.} and Reyes, {Mario A.} and Shah, {Samir S.} and Kenyon, {Ch{\'e}n C.} and Hersh, {Adam L.} and Florin, {Todd A.} and Grijalva, {Carlos G.}",
note = "Funding Information: Funding: Research reported in this publication was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health under Award Numbers K12 HL137943 (Dr. Antoon) and K23HL136842 (Dr. Kenyon), and National Institute of Allergy and Infectious Diseases Award Numbers K24 AI148459 (Dr. Grijalva) and R01 AI125642 (Dr. Williams). The National Institutes of Health had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Funding Information: Disclosures: Dr Spaulding is supported by a grant from the University of Minnesota Clinical and Translational Science Institute, Children's Minnesota, and the University of Minnesota Department of Pediatrics Child Health COVID‐19 Collaborative Grant, which are paid to her institution and are outside the submitted work. Dr. Florin is supported by grants from the National Institute of Allergy and Infectious Diseases and the National Heart, Lung, and Blood Institute paid to his institution and are outside the submitted work. Dr. Grijalva reports receiving consulting fees from Pfizer, Merck, and Sanofi‐Pasteur as well as grants from Campbell Alliance, the Centers for Disease Control and Prevention, National Institutes of Health, grants US Food and Drug Administration, the Agency for Health Care Research and Quality, and Sanofi, outside the submitted work. No other disclosures were reported. Publisher Copyright: {\textcopyright} 2021 Society of Hospital Medicine.",
year = "2021",
month = may,
doi = "10.12788/jhm.3608",
language = "English (US)",
volume = "16",
pages = "294--297",
journal = "Journal of hospital medicine (Online)",
issn = "1553-5606",
publisher = "John Wiley and Sons Inc.",
number = "5",
}
