Appendix Table 3.
Trends in Medication Use Over Time for Children Hospitalized with COVID-19 Stratified by Disease Severity, Interrupted Time Series Parameter Estimates on Logit Scale (Corresponding to Figure 2)
| Mild-Moderate | Severe (non-critical) | Critical | |||||
|---|---|---|---|---|---|---|---|
| Estimate (95% CI) | p-value | Estimate (95% CI) | p-value | Estimate (95% CI) | p-value | ||
| Enoxaparin | |||||||
| Pre-guideline slope | 0.02 (−0.04, 0.08) | 0.448 | −0.08 (−0.18, 0.02) | 0.124 | −0.03 (−0.12, 0.06) | 0.505 | |
| Level change immediately after guideline | −0.2 (−0.44, 0.04) | 0.108 | −0.28 (−0.71, 0.15) | 0.208 | 0.17 (−0.19, 0.54) | 0.355 | |
| Change in slope | −0.02 (−0.08, 0.04) | 0.577 | 0.13 (0.02, 0.23) | 0.017 | 0.04 (−0.06, 0.13) | 0.440 | |
| Post-guideline slope | 0.01 (−0.01, 0.02) | 0.466 | 0.05 (0.02, 0.08) | < 0.001 | 0.01 (−0.02, 0.03) | 0.610 | |
| Remdesivir | |||||||
| Pre-guideline slope | 0.39 (0.23, 0.54) | < 0.001 | 0.22 (0.08, 0.36) | 0.002 | 0.33 (0.2, 0.46) | < 0.001 | |
| Level change immediately after guideline | −0.65 (−1.01, −0.3) | 0.001 | −0.47 (−0.95, 0) | 0.058 | 0.45 (0.02, 0.87) | 0.046 | |
| Change in slope | −0.33 (−0.48, −0.17) | < 0.001 | −0.13 (−0.27, 0.01) | 0.063 | −0.21 (−0.34, −0.08) | 0.002 | |
| Post-guideline slope | 0.06 (0.04, 0.07) | < 0.001 | 0.09 (0.06, 0.11) | < 0.001 | 0.12 (0.1, 0.15) | < 0.001 | |
| Steroids | |||||||
| Pre-guideline slope | 0.15 (0.1, 0.2) | < 0.001 | 0.13 (0.03, 0.24) | 0.009 | 0.23 (0.12, 0.33) | < 0.001 | |
| Level change immediately after guideline | −0.09 (−0.28, 0.09) | 0.340 | −0.18 (−0.61, 0.26) | 0.431 | 0.41 (−0.05, 0.88) | 0.086 | |
| Change in slope | −0.12 (−0.17, −0.06) | < 0.001 | −0.05 (−0.15, 0.06) | 0.394 | −0.21 (−0.31, −0.1) | < 0.001 | |
| Post-guideline slope | 0.04 (0.02, 0.05) | < 0.001 | 0.09 (0.06, 0.12) | < 0.001 | 0.02 (−0.01, 0.05) | 0.242 | |
Abbreviations: CI: Confidence Interval
Event point is IDSA Guideline Version 3.5.1 online publication December 2, 2020. Slope is trend in medication use. Level change immediately after guideline represents change in series at event point (end of pre-guideline versus start of post-guideline period); change in slope is difference in slopes between pre- and post-guideline periods.