Difference in predicted and observed rates of hospital contact per 1000 child-years among children aged 0–4 years during the pandemic (March 2020–2021) by period and clinical vulnerability
First lockdown 23 March–23 June 2020 | Easing of restrictions 24 June–4 November 2020 | second lockdown Nov five to Dec 31, 2020 | third lockdown Jan one to March 22, 2021 | |||||
Reduction (95% CI) | % change | Reduction (95% CI) | % change | Reduction (95% CI) | % change | Reduction (95% CI) | % change | |
Outpatient attendances | ||||||||
Total | −167 (−163 to 170) | −30.7 | −88 (−86 to 91) | −16.3 | −96 (−91 to 100) | −17.9 | −128 (−123 to 132) | −23.5 |
No known vulnerability | −106 (−104 to 107) | −37.2 | −55 (−54 to 56) | −19.5 | −56 (−55 to 58) | −20.6 | −75 (−73 to 77) | −26.2 |
Any vulnerability | −428* (−417 to 439) | −25.9 | −230* (−221 to 240) | −13.9 | −264* (−249 to 278) | −16.0 | −352* (−337 to 367) | −21.4 |
LBW/preterm only | −121* (−116 to 127) | −28.7 | −57 (−53 to 61) | −13.8 | −73* (−67 to 80) | −18.0 | −84 (−77 to 92) | −19.9 |
CC only | −664* (−651 to 677) | −26.2 | −357* (−346 to 368) | −14.0 | −398* (−381 to 414) | −15.9 | −516* (−499 to 533) | −20.8 |
Both | −655* (−629 to 681) | −23.3 | −385* (−364 to 407) | −13.7 | −450* (−416 to 483) | −15.5 | −699* (−665 to 735) | −24.2 |
Any CC | −663* (−652 to 675) | −25.5 | −364* (−354 to 374) | −14.0 | −410* (−395 to 425) | −15.8 | −559* (−544 to 574) | −21.7 |
Planned admissions | ||||||||
Total | −32 (−31 to 33) | −59.2 | −16 (−15 to 17) | −29.3 | −9 (−8 to 11) | −19.2 | −16 (−15 to 17) | −31.9 |
No known vulnerability | −14 (−14 to 15) | −79.1 | −9 (−9 to 9) | −48.5 | −7 (−6 to 7) | −38.9 | −11 (−11 to 12) | −62.0 |
Any vulnerability | −105* (−101 to 109) | −51.6 | −46* (−43 to 49) | −22.0 | −22* (−18 to 26) | −11.6 | −36* (−32 to 41) | −19.4 |
LBW/preterm only | −12* (−11 to 13) | −75.3 | −8 (−7 to 9) | −49.4 | −6 (−5 to 7) | −42.1 | −11 (−11 to 10) | −64.9 |
CC only | −185* (−180 to 190) | −49.0 | −71* (−67 to 75) | −18.4 | −24* (−18 to 30) | −6.9 | −40* (−34 to 46) | −11.6 |
Both | −144* (−137 to 152) | −60.3 | −86* (−80 to 93) | −35.8 | −70* (−61 to 79) | −31.6 | −114* (−105 to 125) | −48.2 |
Any CC | −177* (−172 to 181) | −50.8 | −75* (−71 to 78) | −21.2 | −35* (−30 to 40) | −10.7 | −57* (−52 to 62) | −17.7 |
Unplanned admissions | ||||||||
Total | −88 (−87 to 90) | −60.0 | −77 (−76 to 79) | −51.9 | −140 (−138 to 143) | −66.2 | −99 (−97 to 101) | −64.2 |
No known vulnerability | −68 (−67 to 69) | −66.5 | −66 (−66 to 67) | −63.2 | −116 (−115 to 118) | −75.3 | −84 (−83 to 85) | −76.7 |
Any vulnerability | −176* (−171 to 182) | −51.6 | −124* (−120 to 128) | −36.9 | −245* (−237 to 253) | −53.2 | −161* (−154 to 168) | −47.1 |
LBW/preterm only | −69 (−66 to 72) | −68.0 | −64 (−62 to 66) | −64.1 | −125* (−121 to 130) | −78.3 | −90* (−86 to 94) | −79.9 |
CC only | −263* (−257 to 270) | −47.2 | −157* (−152 to 162) | −28.5 | −309* (−300 to 318) | −43.1 | −189* (−181 to 197) | −34.8 |
Both | −241* (−231 to 251) | −59.1 | −216* (−208 to 225) | −54.8 | −434* (−419 to 450) | −73.1 | −311* (−298 to 325) | −72.8 |
Any CC | −259* (−254 to 265) | −49.3 | −171* (−166 to 175) | −33.0 | −337* (−330 to 345) | −48.8 | −217* (−210 to 224) | −41.8 |
*Significantly different from children with no known vulnerability (5% level of significance).
CC, chronic conditions; LBW, low birth weight.