A study published in BMCPrimaryCare reports a marked decrease in primary care consultations in France during 2020 – especially during the first COVID-19 lockdown – despite strong teleconsultation activity.
]. A first lockdown of almost eight weeks was implemented in the spring of 2020 and a second, slightly shorter, in the fall. During the first lockdown, the population was instructed to restrict movement outside the home to the minimum necessary. Companies were instructed to make maximum use of working from home, and schools, shops, and “non-essential” businesses, social and leisure establishments were closed, with infractions of the rules punished.
The primary objective of this study was to describe the change in healthcare use and consultations for the various primary care, medical, and paramedical professionals for the French population for the year 2020, and any decreases relative to 2019. This analysis was broken down by sociodemographic characteristics, chronic diseases identified in 2019, and the rate of hospitalization for COVID-19 in the area of residence.France provides universal medical coverage for all residents.
Comorbid conditions were identified with the healthcare expenditures and conditions mapping tool for the year 2019. Algorithms were developed for the identification of 58 non-exclusive health conditions from the medical information available in the SNDS.
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Health Impairments in Children and Adolescents After Hospitalization for Acute COVID-19 or MIS-COBJECTIVES:. To evaluate risk factors for postdischarge sequelae in children and adolescents hospitalized for acute coronavirus disease 2019 (COVID-19) or multisystem inflammatory syndrome in children (MIS-C).METHODS:. Multicenter prospective cohort study conducted in 25 United States pediatric hospitals. Patients |21-years-old, hospitalized May 2020 to May 2021 for acute COVID-19 or MIS-C with follow-up 2 to 4 months after admission. We assessed readmissions, persistent symptoms or activity impairment, and new morbidities. Multivariable regression was used to calculate adjusted risk ratios (aRR) and 95% confidence intervals (CI).RESULTS:. Of 358 eligible patients, 2 to 4 month survey data were available for 119 of 155 (76.8%) with acute COVID-19 and 160 of 203 (78.8%) with MIS-C. Thirteen (11%) patients with acute COVID-19 and 12 (8%) with MIS-C had a readmission. Thirty-two (26.9%) patients with acute COVID-19 had persistent symptoms (22.7%) or activity impairment (14.3%) and 48 (30.0%) with MIS-C had persistent symptoms (20.0%) or activity impairment (21.3%). For patients with acute COVID-19, persistent symptoms (aRR, 1.29 [95% CI, 1.04–1.59]) and activity impairment (aRR, 1.37 [95% CI, 1.06–1.78]) were associated with more organ systems involved. Patients with MIS-C and pre-existing respiratory conditions more frequently had persistent symptoms (aRR, 3.09 [95% CI, 1.55–6.14]) and those with obesity more frequently had activity impairment (aRR, 2.52 [95% CI, 1.35–4.69]). New morbidities were infrequent (9% COVID-19, 1% MIS-C).CONCLUSIONS:. Over 1 in 4 children hospitalized with acute COVID-19 or MIS-C experienced persistent symptoms or activity impairment for at least 2 months. Patients with MIS-C and respiratory conditions or obesity are at higher risk of prolonged recovery.
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