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Child health
Hospital care among children with chronic illness during the COVID-19 pandemic in England
  1. Ashish KC
  1. Women's and Children's Health, Uppsala Universitet, Uppsala, Sweden
  1. Correspondence to Dr Ashish KC, Women's and Children's Health, Uppsala Universitet, Uppsala, Sweden; ashish.k.c{at}

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Commentary on: Etoori D, Harron KL, Mc Grath-Lone L, et al. Reductions in hospital care among clinically vulnerable children aged 0-4 years during the COVID-19 pandemic. Arch Dis Child. 2022 Jun 21:archdischild-2021-323681. doi: 10.1136/archdischild-2021-323681. Epub ahead of print.

Implications for practice and research

  • Evidence from low-income and middle-income settings has suggested that during the pandemic lockdown, the healthcare utilisation declined with an increase in morbidity and mortality,1 especially among the socially advantaged population.2

  • There is a further need to understand the utilisation of healthcare among high-risk children during the pandemic in high-income settings.


In England, there were three lockdowns placed in between 23 March 2020 and March 2021. During this period, the hospital contact reduced substantially, which most likely will affect the children with chronic illness …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.