{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T08:03:20Z","timestamp":1789977800972,"version":"4.0.1"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Upper respiratory tract infections (URTIs) are amongst the commonest reasons for paediatric care, yet national evidence from Latin American middle\u2010income health systems remains limited. We used the COVID\u201019 pandemic as a system shock to examine whether paediatric URTI care returned to its pre\u2010pandemic trajectory or settled into a new service configuration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a nationwide population\u2010based time\u2010series study using Colombia's administrative healthcare registry (RIPS) linked to official population projections (DANE) for children and adolescents aged 0\u201317\u2009years from 2015 to 2024 (ICD\u201010 J00\u2013J06). We estimated crude and age\u2010standardized utilization rates per 100\u2009000, characterized diagnostic and service\u2010type composition, quantified service\u2010mix reconfiguration and fitted segmented Poisson models with population offsets by age group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We analyzed 14\u2009173\u2009511 URTI attended\u2010person records. National rates increased from 11\u2009139 per 100\u2009000 in 2015 to 14\u2009421 in 2019, fell to 4993 in 2020, and plateaued near 9806 by 2024. By 2024, observed utilization was approximately 50% below the trajectory expected from 2015 to 2019 growth. Children aged 0\u20134\u2009years accounted for 56.4% of all records and had the largest absolute burden (pooled rate approximately 21\u2009000 per 100\u2009000). Croup\/epiglottitis represented only 2.1% of all contacts but 11.3% of URTI hospitalizations, with a hospitalization enrichment ratio of 5.44.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Colombia's paediatric URTI utilization did not simply recover after the pandemic shock; it reconfigured. By 2024, emergency\u2010department and hospitalization rates remained 45% and 40% below their 2019 levels, respectively, while procedure\u2010based contacts made up a larger share of care. This persistent shift, together with the concentration of severe\u2010service use in children under 5\u2009years and in croup\u2010like diagnoses, identifies actionable targets for respiratory capacity planning, surveillance and post\u2010shock health\u2010system monitoring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70598","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T07:16:50Z","timestamp":1789975010000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paediatric Upper Respiratory Infection in Colombia: 10\u2010Year Nationwide Trends in Healthcare Utilization From Administrative Data (2015\u20132024)"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2404-6612","authenticated-orcid":false,"given":"Jefferson Antonio","family":"Buend\u00eda","sequence":"first","affiliation":[{"name":"Instituto de Evaluaci\u00f3n Tecnol\u00f3gica en Salud (IETS)  Bogot\u00e1 Colombia"},{"name":"Research Group in Pharmacology and Toxicology, Department of Pharmacology and Toxicology, Faculty of Medicine Universidad de Antioquia  Medell\u00edn Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana Guerrero","family":"Pati\u00f1o","sequence":"additional","affiliation":[{"name":"Research Group in Pharmacology and Toxicology, Department of Pharmacology and Toxicology, Faculty of Medicine Universidad de Antioquia  Medell\u00edn Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(03)12162\u20109"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.4.487"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.85.8_Pt_1.1109"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(10)60206\u20101"},{"key":"e_1_2_9_6_1","volume-title":"Health in the Americas 2022","author":"Pan American Health Organization","year":"2022"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431\u2010021\u201004015\u20100"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa710"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352\u20104642(20)30108\u20105"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7029a1"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14041387"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.70658"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.2807\/1560\u20107917.ES.2020.25.47.2001847"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa1906"},{"key":"e_1_2_9_15_1","volume-title":"Registro Individual de Prestaci\u00f3n de Servicios de Salud (RIPS)","author":"Ministerio de Salud y Protecci\u00f3n Social de Colombia","year":"2026"},{"issue":"6","key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"2817","DOI":"10.1590\/S1413-81232011000600020","article-title":"Sistema de salud en Colombia: 20 a\u00f1os de logros y problemas","volume":"16","author":"Agudelo C. A.","year":"2011","journal-title":"Ci\u00eancia & Sa\u00fade Coletiva"},{"key":"e_1_2_9_17_1","volume-title":"Proyecciones de poblaci\u00f3n","author":"Departamento Administrativo Nacional de Estad\u00edstica (DANE)","year":"2026"},{"key":"e_1_2_9_18_1","volume-title":"StatPearls","author":"Tobin E. H.","year":"2025"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1494463"},{"key":"e_1_2_9_20_1","volume-title":"Cough and Cold Remedies for the Treatment of Acute Respiratory Infections in Young Children","author":"World Health Organization","year":"2001"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70598","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.70598","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70598","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T07:16:51Z","timestamp":1789975011000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.70598"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,21]]},"references-count":19,"alternative-id":["10.1111\/jpc.70598"],"URL":"https:\/\/doi.org\/10.1111\/jpc.70598","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,21]]},"assertion":[{"value":"2026-06-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jpc.70598"}}