Caring for Children With Medical Complexity in the Early COVID-19 Pandemic in an Ambulatory Primary Care Setting

Frontiers in Pediatrics

article

Mariecel Pilapil¹  Kristina Bianco¹  Caren Steinway¹  Sheri Feigenbaum¹  Anna Yang⁴  Sophia Jan¹  Allison Driansky¹ 

[1] Steven and Alexandra Cohen Children's Medical Center;Donald and Barbara Zucker School of Medicine at Hofstra, Northwell Health;South Shore University Hospital, Northwell Health;Children's Hospital of Philadelphia

关键词: children with medical complexity;    COVID-19;    general pediatrics;    complex care;    caregivers;   

DOI  :  10.3389/fped.2022.813393

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background Children with medical complexity (CMC) have multiple chronic conditions and require a high level of coordinated healthcare. The risk of COVID-19 among CMC is unclear. Objectives We aim to identify and describe the prevalence and experience of COVID-19 among CMC and their caregivers during the initial weeks of the COVID-19 pandemic in the NY metropolitan area. Methods We performed a cross-sectional study of children enrolled in a structured clinical program for CMC at a large urban, academic general pediatrics practice in NY. Results In our patient population ( n = 132), 16 patients had a known exposure with parents being the most common exposure in 37.5% ( n = 6). Two patients were hospitalized for COVID-19 while the remainder of the confirmed or suspected COVID-19 cases were managed as an outpatient. Conclusions Common sources of COVID-19 exposure were family members and home care providers. Almost all of our patients experienced interruption of medical care including missed therapies and visits.

【 授权许可】

CC BY