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波兰 COVID-19 大流行前后的新生儿住院情况:基于国家医院登记处的比较研究。

Newborn Hospitalizations Before and During COVID-19 Pandemic in Poland: A Comparative Study Based on a National Hospital Registry.

机构信息

Department of Social Medicine and Public Health, Medical University of Warsaw, Faculty of Medicine, Warsaw, Poland.

Institute of Rural Health in Lublin, Lublin, Poland.

出版信息

Int J Public Health. 2024 Feb 14;69:1606272. doi: 10.3389/ijph.2024.1606272. eCollection 2024.

Abstract

There are limited data on the impact of the COVID-19 outbreak in Poland on newborn health. The aim of the study is to show recent information on hospitalizations of newborns in Poland in the pre-pandemic and COVID-19 pandemic era. A retrospective, population-based study was conducted using data from hospital discharge records of patients hospitalized in 2017-2021. The data on which the study was based consisted of a substantial number of 104,450 hospitalization records. Annual hospitalization rate was estimated to be 50.3-51.9 per 1,000 in 2017-2019, 56 per 1,000 in 2020 and it rose to 77.7 per 1,000 in 2021. In comparison to the pre-pandemic period, in the COVID-19 era, we observed significantly more hospitalization cases of newborns affected by maternal renal and urinary tract diseases ( < 0.001), syndrome of infant of mother with gestational diabetes ( < 0.001), maternal complications of pregnancy ( < 0.001). In the COVID-19 era, the prevalence of COVID-19 among newborns was 4.5 cases per 1,000 newborn hospitalizations. The COVID-19 pandemic outbreak could significantly contribute to qualitative and quantitative changes in hospitalizations among newborns.

摘要

关于 COVID-19 疫情对波兰新生儿健康的影响,数据有限。本研究旨在展示波兰新生儿在大流行前和 COVID-19 大流行期间住院的最新信息。这是一项回顾性的基于人群的研究,使用了 2017-2021 年住院患者出院记录中的数据。该研究基于大量的 104450 例住院记录。2017-2019 年,新生儿的年住院率估计为每千 50.3-51.9 例,2020 年为每千 56 例,2021 年上升至每千 77.7 例。与大流行前时期相比,在 COVID-19 时期,我们观察到受母亲肾脏和泌尿道疾病影响的新生儿住院病例明显增加(<0.001)、患有妊娠糖尿病母亲的婴儿综合征(<0.001)、母亲妊娠并发症(<0.001)显著增加。在 COVID-19 时期,每千例新生儿住院病例中 COVID-19 的患病率为 4.5 例。COVID-19 大流行的爆发可能会对新生儿住院的质量和数量产生重大影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ad6/10899492/578c00446885/ijph-69-1606272-g001.jpg

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