{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:45:30Z","timestamp":1785757530485,"version":"3.56.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":214,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Pediatrics International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Respite care, particularly short\u2010stay services, is essential for maintaining the quality of life in children and adults with severe motor and intellectual disabilities (SMID) and their caregivers. This study evaluated the impact of the COVID\u201019 pandemic on short\u2010stay service utilization by children and adults with SMID.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A retrospective study of individuals (\n N<\/jats:italic>\n \u2009=\u200954) who received short\u2010stay services at a medical\u2010type residential facility in Japan between January 2017 and December 2025 was conducted. Utilization was compared across three phases: pre\u2010pandemic (January 2017\u2013December 2019), pandemic (January 2020\u2013April 2023), and post\u2010pandemic (May 2023\u2013December 2025). Participants were categorized into Care and Non\u2010care groups according to their need for intensive home medical care (e.g., ventilator, suctioning).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The total number of utilization days per month was significantly decreased during the pandemic phase (49.4\u2009\u00b1\u200915.6\u2009days;\n p<\/jats:italic>\n \u2009<\u20090.001), but dramatically increased in the post\u2010pandemic phase (92.1\u2009\u00b1\u200916.3;\n p<\/jats:italic>\n \u2009<\u20090.001), compared to pre\u2010pandemic levels (62.1\u2009\u00b1\u200910.9\u2009days). During the pandemic, the proportion of utilization days in the Care group was significantly increased (91.4% vs. 85.9% pre\u2010pandemic;\n p<\/jats:italic>\n \u2009=\u20090.001), indicating persistent and high demand among medically fragile cases. Intra\u2010ward COVID\u201019 outbreaks were associated with temporary declines in utilization.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The pandemic dynamically altered respite care utilization patterns. The relative maintenance of utilization by the Care group during the pandemic underscores the indispensable nature of these services for families of individuals with high medical needs. The post\u2010pandemic surge suggests accumulated caregiver exhaustion, highlighting the need for robust institutional capacity and infection control to ensure service continuity during future pandemics.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ped.70505","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T10:58:48Z","timestamp":1785754728000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["COVID\u201019 Pandemic Impact on Short\u2010Stay Utilization by Individuals With Severe Motor and Intellectual Disabilities"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0326-4776","authenticated-orcid":false,"given":"Hirokazu","family":"Yamagishi","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Nasu Institute for Developmental Disabilities International University of Health and Welfare Otawara Japan"},{"name":"Department of Pediatrics Jichi Medical University Shimotsuke Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Nasu Institute for Developmental Disabilities International University of Health and Welfare Otawara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideo","family":"Shimoizumi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Nasu Institute for Developmental Disabilities International University of Health and Welfare Otawara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2009.01.007"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311401947"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12755"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12358"},{"key":"e_1_2_9_6_1","volume-title":"Visualizing the Data: Information on COVID\u201019 Infections","author":"Ministry of Health, Labour and Welfare of Japan"},{"key":"e_1_2_9_7_1","volume-title":"COVID\u201019 Control Measures in Tochigi Prefecture: From the First to the Eighth Wave","author":"Tochigi Prefectural Government"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.104000"},{"key":"e_1_2_9_9_1","first-page":"1108","article-title":"Association Between Medical Avoidance Behavior and Lifestyle Changes During the Early Phase of Coronavirus Disease 2019 Emergency in Tokyo: A Cross\u2010Sectional Study in a Gastric Cancer Screening Cohort","volume":"8","author":"Terada N.","year":"2025","journal-title":"JMA Journal"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1071\/HC21009"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgf2.432"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/children8060511"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40653-024-00676-9"},{"key":"e_1_2_9_14_1","unstructured":"Website of Ministry of Health Labor and Welfare \u201cNovel Coronavirus Infectious Disease\u2010Clinical Practice Guideline for COVID\u201019 \u201dhttps:\/\/www.mhlw.go.jp\/content\/001248424.pdf."},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-022-03549-y"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.53044\/jinr.2023-0037"}],"container-title":["Pediatrics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70505","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ped.70505","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70505","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T10:58:51Z","timestamp":1785754731000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ped.70505"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ped.70505"],"URL":"https:\/\/doi.org\/10.1111\/ped.70505","archive":["Portico"],"relation":{},"ISSN":["1328-8067","1442-200X"],"issn-type":[{"value":"1328-8067","type":"print"},{"value":"1442-200X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-04-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70505"}}