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자료유형
학술저널
저자정보
Kim Beom Joon (Department of Pediatrics College of Medicine The Catholic University of Korea Seoul Korea.) Choi Arum (Department of Preventive Medicine and Public Health College of Medicine The Catholic University of) Kim Hwan Soo (Department of Pediatrics College of Medicine The Catholic University of Korea Seoul Korea.) Oh Jin-Hee (Department of Pediatrics College of Medicine The Catholic University of Korea Seoul Korea.) Lee Jae-Young (Department of Pediatrics College of Medicine The Catholic University of Korea Seoul Korea.) Kim Sukil (Department of Preventive Medicine and Public Health College of Medicine The Catholic University of) Han Ji-Whan (Department of Pediatrics College of Medicine The Catholic University of Korea Seoul Korea.) Kim Kyunghoon (Department of Pediatrics Seoul National University Bundang Hospital Seongnam Korea.Department of Pe) Kim Hyun Hee (Department of Pediatrics College of Medicine The Catholic University of Korea Seoul Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.37 No.20
발행연도
2022.5
수록면
1 - 12 (12page)
DOI
10.3346/jkms.2022.37.e141

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Background: The impact of the coronavirus disease 2019 (COVID-19) pandemic on Kawasaki disease (KD) has not yet been established. We investigated changes in the observed number and severity of KD cases and accompanying coronary artery complications during the COVID-19 pandemic in Korea. Methods: This retrospective observational study included patients aged < 18 years with acute-phase KD diagnosed between March 2018 and February 2021. Data were extracted from the Clinical Data Warehouse that houses data from five affiliated university hospitals in Korea. We analyzed changes in the number of patient admissions and clinical characteristics, including cardiac complications, before and after the onset of the COVID-19 pandemic. Results: A total of 475 admissions were included in the analysis. After March 2020, we observed a significant decrease of 33% in the number of hospitalizations for KD compared with the average number of hospitalizations during the previous 2 years. The number of admissions per month significantly decreased by 7.9 persons/month (95% confidence interval, ?13.8 to ?2.0; P < 0.05) compared with that before COVID-19. By contrast, the proportion of patients aged < 1 year with KD increased. The proportion of patients with refractory KD and the rate of cardiac complications did not change significantly. Conclusion: Since the onset of the COVID-19 pandemic, the total number of hospital admissions for KD has decreased in Korea. Although the proportion of admissions of infants aged < 1 year increased, no changes were observed in clinical courses and complications.

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