ArticlePediatric pulmonology2021
Reduced pediatric urgent asthma utilization and exacerbations during the COVID-19 pandemic.
Article in Pediatric pulmonology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 53 citations in OpenAlex.
- Effect of the Telemedicine Enhanced Asthma Management-Uniting Providers (TEAM-UP) Program on Asthma Outcomes: A Randomized Clinical Trial.The Journal of pediatrics · 2026Trial
- Vitamin D Oral Replacement in Children With Obesity Related Asthma: VDORA1 Randomized Clinical Trial.Clinical pharmacology and therapeutics · 2024Trial
- Paediatric Healthcare Utilisation Trends From the Pre-Pandemic Period Through Two Years Post-COVID-19: Evidence From a Nationwide Big-Data Analysis.Acta paediatrica (Oslo, Norway : 1992) · 2026Article
- Concurrent Viral Transmission and Wildfire Smoke Events Following COVID-19 Pandemic School Closures in New York City: Associations of a Large Natural Experiment With Acute Care for Pediatric Asthma, 2018-2023.Journal of the American College of Emergency Physicians open · 2026Article
- Trends in asthma exacerbations in children before, during, and after the COVID-19 pandemic.Epidemiology and infection · 2025Article
- Somatic and mental health of and the COVID-19 pandemic's impact on adolescents diagnosed with asthma.NPJ primary care respiratory medicine · 2025Article
- Effects of nonpharmaceutical interventions during COVID-19 pandemic on pediatric asthma exacerbations and viral infections.The journal of allergy and clinical immunology. Global · 2024Article
- Effects of Medicaid Accountable Care Organizations on children's access to and utilization of health services.Health services research · 2024Article
- Trends in US Pediatric Asthma Hospitalizations, by Race and Ethnicity, 2012-2020.Preventing chronic disease · 2024Article
- Modifiable risk factors for asthma exacerbations during the COVID-19 pandemic: a population-based repeated cross-sectional study using the Research and Surveillance Centre primary care database.The Lancet regional health. Europe · 2024Article
- Health Insurance Type and Outpatient Specialist Care Among Children With Asthma.JAMA network open · 2024Article
- Pediatric asthma comorbidities: Global impact and unmet needs.The World Allergy Organization journal · 2024Review
- Effect of the COVID-19 pandemic on asthma exacerbations in New Zealand: An interrupted time series analysis.The journal of allergy and clinical immunology. Global · 2023Article
- Impact of the COVID-19 on asthma control among children: A systematic review.Journal of public health research · 2023Review
- Childhood asthma diagnoses declined during the COVID-19 pandemic in the United States.Respiratory research · 2023Article
- Effect of Disease Severity, Age of Child, and Clinic No-Shows on Unscheduled Healthcare Use for Childhood Asthma at an Academic Medical Center.International journal of environmental research and public health · 2023Article
- Get SMART: Teaching Pediatric Residents the 2020 Focused Asthma Updates' Recommendations for Symptom-Based Medication Increases.MedEdPORTAL : the journal of teaching and learning resources · 2023Article
- Healthcare utilization in Canadian children and young adults with asthma during the COVID-19 pandemic.PloS one · 2023Article
- Youth and caregiver asthma functioning and quality of life throughout the COVID-19 pandemic.Frontiers in allergy · 2023Article
- Pediatric asthma control in tertiary care setting using telemedicine during COVID-19 era.Translational pediatrics · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
The COVID-19 pandemic has had a profound impact on healthcare access and utilization, which could have important implications for children with chronic diseases, including asthma. We sought to evaluate changes in healthcare utilization and outcomes in children with asthma during the COVID-19 pandemic. We used electronic health records data to evaluate healthcare use and asthma outcomes in 3959 children and adolescents, 5-17 years of age, with a prior diagnosis of asthma who had a history of well-child visits and encounters within the healthcare system. We assessed all-cause healthcare encounters and asthma exacerbations in the 12-months preceding the start of the COVID-19 pandemic (March 1, 2019-February 29, 2020) and the first 12 months of the pandemic (March 1, 2020-February 28, 2021). All-cause healthcare encounters decreased significantly during the pandemic compared to the preceding year, including well-child visits (48.1% during the pandemic vs. 66.6% in the prior year; p < .01), emergency department visits (9.7% vs. 21.0%; p < .01), and inpatient admissions (1.6% vs. 2.5%; p < .01), though there was over a 100-fold increase in telehealth encounters. Asthma exacerbations that required treatment with systemic steroids also decreased (127 vs. 504 exacerbations; p < .01). Race/ethnicity was not associated with changes in healthcare utilization or asthma outcomes. The COVID-19 pandemic corresponded to dramatic shifts in healthcare utilization, including increased telehealth use and improved outcomes among children with asthma. Social distancing measures may have also reduced asthma trigger exposure.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.