{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:02:50Z","timestamp":1777928570339,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Allergy, Immunology, and Pulmonology"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The COVID-19 pandemic impacted multiple aspects of care at pediatric long-term care facilities (pLTCFs). This study evaluated the effect of COVID-19 infection control policies on pLTCF resident\u2019s respiratory health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective study of 76 residents\u2019 oxygen, albuterol, hypertonic saline (HTS), and pulmonary hygiene treatment use from January 2019 to December 2022 was completed using de-identified billing data and chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was a statistically significant increase in rate of oxygen use among residents (5.67; 95% CI 3.44\u20137.8;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) during the study period, but at a slower rate than expected by the pre-pandemic trend (\u22124.89; 95% CI \u22127.20\u20132.59;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). HTS use decreased during the study period, with a change in the prior trend to downward (\u22123.43; \u22125.89\u20139.68;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.007). There was no significant change in albuterol or pulmonary hygiene treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study demonstrates that patterns of oxygen and HTS use in a pLTCF changed during the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/ped.2024.0125","type":"journal-article","created":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T10:00:42Z","timestamp":1750672842000},"page":"88-92","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Changes in Respiratory Care Use During the COVID-19 Pandemic in a Pediatric Long-Term Care Facility"],"prefix":"10.1177","volume":"38","author":[{"given":"Rose","family":"Hawkins","sequence":"first","affiliation":[{"name":"Division of Pulmonology, Allergy &amp; Immunology, Norton Children\u2019s and University of Louisville School of Medicine, University of Louisville, Louisville, Kentucky, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corrie","family":"Harris","sequence":"additional","affiliation":[{"name":"Division of Pediatric Hospital Medicine, Norton Children\u2019s and University of Louisville School of Medicine, University of Louisville, Louisville, Kentucky, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Huxol","sequence":"additional","affiliation":[{"name":"Division of Pediatric Hospital Medicine, Norton Children\u2019s and University of Louisville School of Medicine, University of Louisville, Louisville, Kentucky, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Bickel","sequence":"additional","affiliation":[{"name":"Division of Pulmonology, Allergy &amp; Immunology, Norton Children\u2019s and University of Louisville School of Medicine, University of Louisville, Louisville, Kentucky, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Elise","family":"McClanahan","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center and Monroe Carrell Jr Children\u2019s Hospital, Nashville, Tennessee, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa","family":"Kluthe","sequence":"additional","affiliation":[{"name":"Norton Children\u2019s Research Institute, University of Louisville School of Medicine, Louisville, Kentucky, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald","family":"Morton","sequence":"additional","affiliation":[{"name":"Division of Pulmonology, Allergy &amp; Immunology, Norton Children\u2019s and University of Louisville School of Medicine, University of Louisville, Louisville, Kentucky, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"e_1_3_4_2_2","volume-title":"Services DoHaH","author":"Wright DR","year":"2023","unstructured":"Wright DR. Guidance for infection control and prevention of coronavirus disease 2019 (COVID-19) in nursing home (REVISED). In: Services DoHaH, ed. 2020, CMS; 2023.","edition":"2020"},{"key":"e_1_3_4_3_2","unstructured":"Children with Medical Complexity. Patient Care. Available from: https:\/\/www.aap.org\/en\/patient-care\/children-with-medical-complexity\/?srsltid=AfmBOop2I_5b-tdkaHB2q3bV2QodwE7BdJYI_IZx8UO8isHbfIKSnQ9q [Last accessed: October4 2024]."},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.88.1.75"},{"issue":"3","key":"e_1_3_4_5_2","first-page":"195","article-title":"The effects of the COVID-19 pandemic on community respiratory virus activity","volume":"21","author":"Chow EJ","year":"2023","unstructured":"Chow EJ, , Uyeki TM, , Chu HY. The effects of the COVID-19 pandemic on community respiratory virus activity. Nat Rev Microbiol, 2023; 21(3):195\u2013210.","journal-title":"Nat Rev Microbiol"},{"issue":"29","key":"e_1_3_4_6_2","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.15585\/mmwr.mm7029a1","article-title":"Changes in influenza and other respiratory virus activity during the COVID-19 pandemic\u2014United States, 2020\u20132021","volume":"70","author":"Olsen SJ","year":"2021","unstructured":"Olsen SJ, , Winn AK, , Budd AP, et al. Changes in influenza and other respiratory virus activity during the COVID-19 pandemic\u2014United States, 2020\u20132021. MMWR Morb Mortal Wkly Rep, 2021; 70(29):1013\u20131019.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"18","key":"e_1_3_4_7_2","doi-asserted-by":"crossref","first-page":"9550","DOI":"10.3390\/ijerph18189550","article-title":"The disappearance of respiratory viruses in children during the COVID-19 Pandemic","volume":"18","author":"Vittucci AC","year":"2021","unstructured":"Vittucci AC, , Piccioni L, , Coltella L, et al. The disappearance of respiratory viruses in children during the COVID-19 Pandemic. Int J Environ Res Public Health, 2021; 18(18):9550.","journal-title":"Int J Environ Res Public Health"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.43318"},{"issue":"1","key":"e_1_3_4_9_2","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1002\/jhm.13021","article-title":"Impact of the COVID-19 pandemic on hospitalizations of children with neurologic impairment","volume":"18","author":"Thomson J","year":"2023","unstructured":"Thomson J, , Richardson T, , Auger KA, et al. Impact of the COVID-19 pandemic on hospitalizations of children with neurologic impairment. 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