{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T23:52:34Z","timestamp":1788306754719,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T00:00:00Z","timestamp":1651190400000},"content-version":"vor","delay-in-days":118,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Coronavirus disease 2019 (COVID\u201019) has drastically changed the recommended activities and environment for patients worldwide. Our aim was to assess the impact of COVID\u201019 on pediatric hospitalizations in Kitami, Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective, single\u2010center study was conducted on hospitalized patients aged 0\u201314\u2009years at the Japanese Red Cross Kitami Hospital. We compared the incidence of pediatric patients hospitalized in 2020 with those in 2017\u20132019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The number of pediatric hospitalized patients dropped significantly in 2020 compared to that in 2017\u20132019 (median 43.0 vs 78.5 per month,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). The patients were significantly older in 2020 (4.3 vs 3.4\u2009years,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). Hospitalization from respiratory (8.5 vs 30.5,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) and gastrointestinal infections (3.0 vs 6.0,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.004) significantly decreased. Admission due to respiratory syncytial virus (0.0 vs 4.0,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001), human metapneumovirus (0.0 vs 1.0,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.005), influenza (0.0 vs 0.0,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.009), adenovirus (0.0 vs 1.0,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.003), and rotavirus infection (0.0 vs 0.0,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.025) also decreased significantly. The &lt;1\u20135 age groups significantly decreased (&lt;1\u2009year old, 6.5 vs 12.5,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001; 1\u20133\u2009years old, 13.0 vs 29.5,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001; 4\u20135\u2009years old, 5.5 vs 11.5,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). Hospitalization due to foreign body ingestions increased significantly in 2020 (1.0 vs 0.0,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.010).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The COVID\u201019 control measures inadvertently reduced the number of hospitalized pediatric patients, especially younger children with respiratory and gastrointestinal infections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ped.14937","type":"journal-article","created":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T13:20:17Z","timestamp":1627564817000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The impact of the coronavirus disease 2019 pandemic on pediatric hospitalization in Kitami, Japan"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5056-6569","authenticated-orcid":false,"given":"Yuji","family":"Maruo","sequence":"first","affiliation":[{"name":"Department of Pediatrics Japanese Red Cross Kitami Hospital  Kitami Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichi","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Japanese Red Cross Kitami Hospital  Kitami Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0551-3879","authenticated-orcid":false,"given":"Kazumi","family":"Oura","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Japanese Red Cross Kitami Hospital  Kitami Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruki","family":"Shiraishi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Japanese Red Cross Kitami Hospital  Kitami Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norio","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Japanese Red Cross Kitami Hospital  Kitami Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Suganuma","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Japanese Red Cross Kitami Hospital  Kitami Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Mikawa","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Japanese Red Cross Kitami Hospital  Kitami Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomonobu","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Japanese Red Cross Kitami Hospital  Kitami Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-020-2012-7"},{"key":"e_1_2_7_3_1","volume-title":"WHO Director\u2010General's opening remarks at the media briefing on COVID\u201019","author":"World Health Organization"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-020-02303-6"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-020-02469-z"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2020-210273"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000002845"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.604089"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2012.244"},{"key":"e_1_2_7_10_1","volume-title":"Homepage","author":"National Institute of Infectious Diseases"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-020-00907-3"},{"issue":"2","key":"e_1_2_7_12_1","first-page":"CD010768","article-title":"Improving adherence to Standard Precautions for the control of health care\u2010associated infections","author":"Moralejo D","year":"2018","journal-title":"Cochrane Database Syst. 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