Impact of COVID-19 on Pediatric Asthma: Practice Adjustments and Disease Burden

Nikolaos G. Papadopoulos, Adnan Custovic, Antoine Deschildre, Alexander G. Mathioudakis, Wanda Phipatanakul, Gary Wong, Paraskevi Xepapadaki, Ioana Agache, Leonard Bacharier, Matteo Bonini, Jose A. Castro-Rodriguez, Zhimin Chen, Timothy Craig, Francine M. Ducharme, Zeinab Awad El-Sayed, Wojciech Feleszko, Alessandro Fiocchi, Luis Garcia-Marcos, James E. Gern, Anne GohRené Maximiliano Gómez, Eckard H. Hamelmann, Gunilla Hedlin, Elham M. Hossny, Tuomas Jartti, Omer Kalayci, Alan Kaplan, Jon Konradsen, Piotr Kuna, Susanne Lau, Peter Le Souef, Robert F. Lemanske, Mika J. Mäkelä, Mário Morais-Almeida, Clare Murray, Karthik Nagaraju, Leyla Namazova-Baranova, Antonio Nieto Garcia, Osman M. Yusuf, Paulo M.C. Pitrez, Petr Pohunek, Cesar Fireth Pozo Beltrán, Graham C. Roberts, Arunas Valiulis, Heather J. Zar, Rola Abou Taam, Hugo Azuara, Jacques Brouard, Pierrick Cros, Cindy De Lira, Jean Christophe Dubus, Teija Dunder, Kamilla Efendieva, Carole Egron, Andrzej Emeryk, Yunuen R. Huerta Villalobos, Nidia Karen, Pascal Le Roux, Julia Levina, Monica Medley, Major Najaraju, Daniela Rivero Yeverino, Marja Ruotsalainen, Stanley Szefler, Cyril Schweitzer, Berenice Velasco Benhumea, Rosalaura Villarreal, Laurence Weiss, Anna Zawadzka-Krajewska

Research output: Contribution to journalArticlepeer-review

112 Scopus citations


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.

Original languageEnglish
Pages (from-to)2592-2599.e3
JournalJournal of Allergy and Clinical Immunology: In Practice
Issue number8
StatePublished - Sep 2020


  • Adherence
  • Asthma
  • COVID-19
  • Children
  • Control
  • SARS-CoV2
  • Virus


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