{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T13:50:44Z","timestamp":1768917044285,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,6,11]],"date-time":"2021-06-11T00:00:00Z","timestamp":1623369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The COVID\u201019 pandemic is pushing healthcare systems to their limits. Dramatic reductions in the adult elective surgery are ubiquitous, but corresponding changes in pediatric services are not well described. The Swedish Perioperative Registry contains data on all anesthetic procedures in Sweden, and therefore, provides a unique opportunity to analyze the effect of the pandemic on the pediatric anesthesia capacity on a national level. We hypothesized that there would be a significant reduction in pediatric elective procedures. The aim was to determine the effects on pediatric surgical and anesthetic services during the first wave of the COVID\u201019 pandemic in Sweden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>For this retrospective registry cohort study, we extracted all procedures performed on patients &lt;18\u00a0years of age in 2020 and 2019. Weeks 12 to 26 of 2020 were defined as the first wave, and data were analyzed according to level of care, type of surgery, procedure code, and emergency or elective surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found 7015 fewer procedures during the first wave epoch. Elective cases were reduced by 53.7% while emergency surgery was not significantly affected. During the peak of the first wave in April, there was a 72.8% reduction in elective cases; ENT\/maxillofacial surgery showed the greatest reduction (86.7%). The surgical and anesthesia capacity recovered to near\u2010normal levels by the end of June 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We conclude that the impact of COVID\u201019 on pediatric surgical procedures in Sweden during the first wave of the pandemic was dramatic, but elective services were restored a few months after the peak.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.14203","type":"journal-article","created":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T19:07:03Z","timestamp":1620673623000},"page":"846-853","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The COVID\u201019 pandemic first wave in Sweden: A national registry study of the effects on pediatric anesthesia and surgery"],"prefix":"10.1111","volume":"31","author":[{"given":"Sixten","family":"Melander","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences Section of Anaesthesia and Intensive Care Medicine Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimmy","family":"Almstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Section of Anaesthesia and Intensive Care Medicine Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9438-3644","authenticated-orcid":false,"given":"Gunnar","family":"Enlund","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Section of Anaesthesia and Intensive Care Medicine Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6402-136X","authenticated-orcid":false,"given":"Peter","family":"Frykholm","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Section of Anaesthesia and Intensive Care Medicine Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,11]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"1440","article-title":"Elective surgery cancellations due to the COVID\u201019 pandemic: global predictive modelling to inform surgical recovery plans","volume":"107","author":"CovidSurg Collaborative","year":"2020","journal-title":"Br J Surg"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15582"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11670"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15270"},{"key":"e_1_2_10_6_1","article-title":"Pediatric Surgery during the COVID\u201019 Pandemic: An International Survey of Current Practice","author":"Nasher O","year":"2020","journal-title":"Eur J Pediatr Surg"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000283"},{"key":"e_1_2_10_8_1","unstructured":"CarlanderA.Folkhalsomyndigheten\u2010Covid19 (sheet 9 weekly report about COVID\u201019)[Internet]. Public Health Agency; 2021 [Cited 5 Mar 2021].www.folkhalsomyndigheten.se\/the\u2010public\u2010health\u2010agency\u2010of\u2010sweden\/communicable\u2010disease\u2010control\/covid\u201019\/covid\u201019\u2010faq\/"},{"key":"e_1_2_10_9_1","unstructured":"AnderssonL.Antal som intensivv\u00e5rdas med Covid\u201019 per dag (daily number of patients with Covid\u201019 in ICU)[Internet]. Swedish Intensive Care Registry; 2021 [Cited 10 Mar 2021].portal.icuregswe.org\/siri\/report\/corona.covid\u2010dagligen"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2020.06.001"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1302\/1863-2548.14.200099"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2020.08.006"},{"key":"e_1_2_10_13_1","first-page":"1","article-title":"Collateral damage of the COVID\u201019 pandemic: an alarming decline in critical procedures in otorhinolaryngology in a German university hospital","author":"Riemann S","year":"2020","journal-title":"Eur Arch Oto\u2010Rhino\u2010Laryngol"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-N0832"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29335"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1302\/1863-2548.14.200174"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1457496920968014"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04637-3"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001600"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00521"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15376"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-020-00849-w"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(20)30250-9"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(20)30251-0"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(20)30249-2"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15264"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-020-00915-3"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14000"},{"key":"e_1_2_10_29_1","article-title":"Mortality trends among hospitalized COVID\u201019 patients in Sweden: A nationwide observational cohort study","author":"Stralin K","year":"2021","journal-title":"Lancet Reg Health"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.14203","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pan.14203","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.14203","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T21:11:08Z","timestamp":1693343468000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.14203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,11]]},"references-count":28,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1111\/pan.14203"],"URL":"https:\/\/doi.org\/10.1111\/pan.14203","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,11]]},"assertion":[{"value":"2021-02-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}