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10.1177/26924366251394487

http://scihub22266oqcxt.onion/10.1177/26924366251394487
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C12670714!12670714 !41341809
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suck abstract from ncbi

pmid41341809
      Telemed+Rep 2025 ; 6 (1 ): 396-400
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  • Telemedicine and Utilization of Chest X-Rays in Pediatric Community-Acquired Pneumonia: Lessons from the COVID-19 Lockdown #MMPMID41341809
  • Eilat-Tsanani S ; Almog M ; Levy V
  • Telemed Rep 2025[]; 6 (1 ): 396-400 PMID41341809 show ga
  • Community-acquired pneumonia (CAP) is a leading infectious disease in children, with management guidelines emphasizing clinical judgment over routine imaging. The COVID-19 pandemic accelerated telehealth adoption, raising questions about its impact on pediatric CAP care. We conducted a retrospective database study within primary care, comparing chest X-ray use for CAP diagnosis during three lockdown periods (2020-2021) with corresponding pre-pandemic periods (2018-2019). Children aged 1-14 years with CAP diagnoses were included (n = 3,499 pre-pandemic; n = 438 during lockdown). Remote consultations increased significantly (1.7% vs. 11.6%, p < 0.001), while chest X-ray referrals remained stable, and antibiotic use also stayed consistent. Predictors for imaging shifted: pre-pandemic, older age and longer travel distance were significant factors, whereas during lockdown, only higher socioeconomic status was associated. The ongoing use of telemedicine after COVID-19 offers an opportunity to develop strategies that improve diagnostic confidence and encourage "choosing wisely" in pediatric pneumonia diagnosis.
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