1 40 1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource May 2022 List Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month May 2022 List URL Address <a href="http://doi.org/10.1542/hpeds.2021-006334" target="_blank" rel="noreferrer noopener">http://doi.org/​10.1542/hpeds.2021-006334</a> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Impact of COVID-19 on Admissions and Outcomes for Children With Complex Chronic Conditions Publisher An entity responsible for making the resource available Hospital Pediatrics Date A point or period of time associated with an event in the lifecycle of the resource 2022 Subject The topic of the resource COVID-19; Child; Chronic Disease; Cross-Sectional Studies; Hospitalization; Humans; Pandemics Creator An entity primarily responsible for making the resource Markham JL; Richardson T; Teufel RJ; Hersh AL; DePorre A; Fleegler EW; Antiel RM; Williams DC; Hotz A; Wilder JL; Shah SS Description An account of the resource BACKGROUND: Although pediatric health care use declined during the coronavirus disease 2019 (COVID-19) pandemic, the impact on children with complex chronic conditions (CCCs) has not been well reported. OBJECTIVE: To describe the impact of the pandemic on inpatient use and outcomes for children with CCCs. METHODS: This multicenter cross-sectional study used data from the Pediatric Health Information System. We examined trends in admissions between January 2020 through March 2021, comparing them to the same timeframe in the previous 3 years (pre-COVID-19). We used generalized linear mixed models to examine the association of the COVID-19 period and outcomes for children with CCCs presenting between March 16, 2020 to March 15, 2021 (COVID-19 period) to the same timeframe in the previous 3 years (pre-COVID-19). RESULTS: Children with CCCs experienced a 19.5% overall decline in admissions during the COVID-19 pandemic. Declines began in the second week of March of 2020, reaching a nadir in early April 2020. Changes in admissions varied over time and by admission indication. Children with CCCs hospitalized for pneumonia and bronchiolitis experienced overall declines in admissions of 49.7% to 57.7%, whereas children with CCCs hospitalized for diabetes experienced overall increases in admissions of 21.2%. Total and index length of stay, costs, and ICU use, although statistically higher during the COVID-19 period, were similar overall to the pre-COVID-19 period. CONCLUSIONS: Total admissions for children with CCCs declined nearly 20% during the pandemic. Among prevalent conditions, the greatest declines were observed for children with CCCs hospitalized with respiratory illnesses. Despite declines in admissions, overall hospital-level outcomes remained similar. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1542/hpeds.2021-006334" target="_blank" rel="noreferrer noopener">10.1542/hpeds.2021-006334</a> 2022 Antiel RM Child Chronic Disease COVID-19 Cross-sectional Studies DePorre A Fleegler EW Hersh AL Hospital Pediatrics Hospitalization Hotz A Humans Markham JL May 2022 List Pandemics Richardson T Shah SS Teufel RJ Wilder JL Williams DC