Evidence map›Paper›PMID 40344424›Full record

Observational studyDevelopmental medicine and child neurology2025

Respiratory admissions and impact of COVID-19 lockdowns for children with severe cerebral palsy.

Susan M Reid, Moya Vendeleur, Danielle Wurzel, Katherine Frayman, Joshua Osowicki, Kylie Crompton, Gordon Baikie, Giuliana Antolovich, Angela Guzys, Monica S Cooper

Abstract readObservational Study
In one paragraph

Observational study in Developmental medicine and child neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Susan M ReidNeurodisability and Rehabilitation, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0001-9415-5246
Moya VendeleurDepartment of Respiratory and Sleep Medicine, The Royal Children's Hospital, Parkville, Victoria, Australia.
Danielle WurzelDepartment of Respiratory and Sleep Medicine, The Royal Children's Hospital, Parkville, Victoria, Australia.
Katherine FraymanDepartment of Paediatrics, University of Melbourne, Parkville, Victoria, Australia.
Joshua OsowickiDepartment of Paediatrics, University of Melbourne, Parkville, Victoria, Australia.
Kylie CromptonNeurodisability and Rehabilitation, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Gordon BaikieNeurodisability and Rehabilitation, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Giuliana AntolovichNeurodisability and Rehabilitation, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Angela GuzysNeurodisability and Rehabilitation, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Monica S CooperNeurodisability and Rehabilitation, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0002-6589-8451

Funding

Cerebral Palsy Alliance Research Foundation PRG00123National Health and Medical Research Council GNT1149332Victorian Department of Health and Human Services
6 · The paper itself

Abstract

aimTo explore factors contributing to the burden of respiratory admissions in children with severe cerebral palsy (CP) by comparing admissions to a single tertiary paediatric hospital before, during, and after the period of social restrictions implemented to reduce transmission of COVID-19 (lockdown period).

methodFor this observational study, three severe CP cohorts (pre-lockdown, lockdown, post-lockdown) were identified from a state-wide cerebral palsy register and linked to patient-level clinical and demographic data. Medical records were manually searched to identify respiratory hospitalizations. Frequency and details of admissions were compared across the three 2-year periods.

resultsDuring the lockdown period, there were 24 hospitalizations for respiratory illness per 100 children compared to 37 and 47 in the pre-lockdown and post-lockdown periods (p < 0.001). Respiratory viruses (excluding picornaviruses) were detected in only 7% of lockdown admissions compared to 24% pre-lockdown and 30% post-lockdown. Sputum sampling was performed in 34% of admissions with gram-positive bacteria cultured in 6% admissions and gram-negative bacteria only in 18%.

interpretationThe study findings highlight an important dynamic contribution of viral infections to respiratory illnesses in children with severe CP and the potential to improve outcomes with personalized approaches based on defining individual factors predisposing to recurrent respiratory admissions.

Indexed as

Cerebral PalsyCOVID-19HospitalizationAdolescentChildChild, PreschoolFemaleHumansInfantMaleSARS-CoV-2Severity of Illness Index

Identifiers

PMID40344424
PMCPMC12618963

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Registered trials

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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.