@article{3103981,
    title = "Impact of COVID-19 on Pediatric Asthma: Practice Adjustments and Disease Burden",
    author = "Papadopoulos, N.G. and Custovic, A. and Deschildre, A. and Mathioudakis, A.G. and Phipatanakul, W. and Wong, G. and Xepapadaki, P. and Agache, I. and Bacharier, L. and Bonini, M. and Castro-Rodriguez, J.A. and Chen, Z. and Craig, T. and Ducharme, F.M. and El-Sayed, Z.A. and Feleszko, W. and Fiocchi, A. and Garcia-Marcos, L. and Gern, J.E. and Goh, A. and Gómez, R.M. and Hamelmann, E.H. and Hedlin, G. and Hossny, E.M. and Jartti, T. and Kalayci, O. and Kaplan, A. and Konradsen, J. and Kuna, P. and Lau, S. and Le Souef, P. and Lemanske, R.F. and Mäkelä, M.J. and Morais-Almeida, M. and Murray, C. and Nagaraju, K. and Namazova-Baranova, L. and Garcia, A.N. and Yusuf, O.M. and Pitrez, P.M.C. and Pohunek, P. and Pozo Beltrán, C.F. and Roberts, G.C. and Valiulis, A. and Zar, H.J. and Taam, R.A. and Azuara, H. and Brouard, J. and Cros, P. and De Lira, C. and Dubus, J.-C. and Dunder, T. and Efendieva, K. and Egron, C. and Emeryk, A. and Huerta Villalobos, Y.R. and Karen, N. and Le Roux, P. and Levina, J. and Medley, M. and Najaraju, M. and Yeverino, D.R. and Ruotsalainen, M. and Szefler, S. and Schweitzer, C. and Benhumea, B.V. and Villarreal, R. and Weiss, L. and Zawadzka-Krajewska, A.",
    journal = "The Journal of Allergy and Clinical Immunology: In Practice",
    year = "2020",
    volume = "8",
    number = "8",
    pages = "2592-2599.e3",
    publisher = "American Academy of Allergy, Asthma and Immunology",
    issn = "2213-2198",
    doi = "10.1016/j.jaip.2020.06.001",
    keywords = "Article;  asthma;  child;  cohort analysis;  consultation;  coronavirus disease 2019;  disease burden;  disease control;  disease course;  health care organization;  health center;  health impact assessment;  health service;  health survey;  hospital management;  human;  incidence;  major clinical study;  pandemic;  patient compliance;  virtual reality;  asthma;  Betacoronavirus;  Coronavirus infection;  global health;  medication compliance;  organization and management;  pathophysiology;  severity of illness index;  telemedicine;  time factor;  virus pneumonia, Appointments and Schedules;  Asthma;  Betacoronavirus;  Child;  Coronavirus Infections;  Global Health;  Humans;  Medication Adherence;  Pandemics;  Pneumonia, Viral;  Severity of Illness Index;  Telemedicine;  Time Factors",
    abstract = "Background: It is unclear whether asthma may affect susceptibility or severity of coronavirus disease 2019 (COVID-19) in children and how pediatric asthma services worldwide have responded to the pandemic. Objective: To describe the impact of the COVID-19 pandemic on pediatric asthma services and on disease burden in their patients. Methods: An online survey was sent to members of the Pediatric Asthma in Real Life think tank and the World Allergy Organization Pediatric Asthma Committee. It included questions on service provision, disease burden, and the clinical course of confirmed cases of COVID-19 infection among children with asthma. Results: Ninety-one respondents, caring for an estimated population of more than 133,000 children with asthma, completed the survey. COVID-19 significantly impacted pediatric asthma services: 39% ceased physical appointments, 47% stopped accepting new patients, and 75% limited patients' visits. Consultations were almost halved to a median of 20 (interquartile range, 10-25) patients per week. Virtual clinics and helplines were launched in most centers. Better than expected disease control was reported in 20% (10%-40%) of patients, whereas control was negatively affected in only 10% (7.5%-12.5%). Adherence also appeared to increase. Only 15 confirmed cases of COVID-19 were reported among the population; the estimated incidence is not apparently different from the reports of general pediatric cohorts. Conclusions: Children with asthma do not appear to be disproportionately affected by COVID-19. Outcomes may even have improved, possibly through increased adherence and/or reduced exposures. Clinical services have rapidly responded to the pandemic by limiting and replacing physical appointments with virtual encounters. © 2020 American Academy of Allergy, Asthma & Immunology"
}