Descriptive analysis of the hospital discharge rate for chickenpox in the period 2020-2023 in Chile
DOI:
https://doi.org/10.52611/confluencia.2025.1435Keywords:
Chickenpox, Chile, Epidemiology, Pediatrics, HospitalizationAbstract
Introduction: Chickenpox is a contagious and preventable disease of childhood. With its inclusion in the National Immunization Program, updating hospital discharge rates is essential to understand the national situation. Objective: To determine the hospital discharge rate for chickenpox in Chile between 2020 and 2023. Methods: Observational, descriptive, and cross-sectional study. Data were obtained from the National Institute of Statistics and the Department of Health Statistics and Information of Chile, and processed using Microsoft Excel. A descriptive analysis was performed according to sex, age, and hospital stay length. Ethical committee evaluation was not required. Result: A total of 521 cases were analyzed, yielding an hospital discharge rate of 0.74 cases per 100,000 inhabitants, with the highest rate observed in 2023. A predominance in males and infants under one year of age was evident. The average hospital stay for uncomplicated chickenpox was 4,20 days, increasing to 14,15 days in cases with encephalitis. Discussion: While a 62.90% decrease in hospital discharge rate was observed between 2020 and 2021, a progressive increase of 64.70% was noted from 2021 to 2023, related to the gradual easing of COVID-19 preventive measures. Infants under one year presented a higher hospital discharge rate and complication rate, likely linked to their exclusion from the National Immunization Program. Conclusion: Chickenpox related hospitalization rates varied by age and sex, suggesting patterns of increased clinical vulnerability. Analyzing this indicator is essential to assess hospital burden and guide public health interventions.
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Alcaraz I, Robineau O, Senneville E, Ajana F. Varicela zóster. EMC - Dermatol [Internet]. 2021 [citado el 15 de junio 2025];55(4):1-14. Disponible en: https://doi.org/10.1016/S1761-2896(21)45724-9
Bardsley M, Loveridge P, Bednarska NG, Smith S, Morbey RA, Amirthalingam G, et al. The Epidemiology of Chickenpox in England, 2016-2022: An Observational Study Using General Practitioner Consultations. Viruses [Internet]. 2023 [citado el 15 de junio 2025];15(11):2163. Disponible en: https://doi.org/10.3390/v15112163
Dooling K, Marin M, Gershon AA. Clinical Manifestations of Varicella: Disease Is Largely Forgotten, but It's Not Gone. J Infect Dis [Internet]. 2022 [citado el 15 de junio 2025];226(Suppl 4):S380-4. Disponible en: https://doi.org/10.1093/infdis/jiac390
Patil A, Goldust M, Wollina U. Herpes zoster: A Review of Clinical Manifestations and Management. Viruses [Internet]. 2022 [citado el 15 de junio 2025];14(2):192. Disponible en: https://doi.org/10.3390/v14020192
Torres JP, De la Maza V, Izquierdo G, Contardo V, Conca N, Ducasse K, et al. Caracterización clínica y de costos de la hospitalización asociada a varicela en niños de la Región Metropolitana y de Valparaíso, Chile. Rev Chilena Infectol [Internet]. 2021 [citado 15 de junio 2025];38(5). Disponible en: http://dx.doi.org/10.4067/s0716-10182021000500647
Flores VC, González SI, Muñoz RR, Hernández CD, Corvalán Díaz VDP. Hospitalizaciones por varicela en Chile: caracterización de la tasa de egreso hospitalario durante el período 2018-2021. Rev Estud Med Sur [Internet]. 2024 [citado 15 de junio 2025];10(2). Disponible en: https://rems.ufro.cl/index.php/rems/article/view/176
Tabasizadeh H, Mahmoudi S, Khodabandeh M, Eshaghi H, Abdolsalehi MR, Gooran M, et al. Severe skin complications of varicella in previously healthy children in Iran: emerging concern. BMC Infect Dis [Internet]. 2025 [citado el 15 de junio 2025];25(1). Disponible en: https://doi.org/10.1186/s12879-025-10794-w
López AS, Zhang J, Marin M. Epidemiology of Varicella During the 2-Dose Varicella Vaccination Program - United States, 2005-2014. MMWR Morb Mortal Wkly Rep [Internet]. 2016 [citado el 15 de junio 2025];65(34):902-5. Disponible en: https://doi.org/10.15585/mmwr.mm6534a4
Barbieri E, Cocchio S, Furlan P, Scamarcia A, Cantarutti L, Giaquinto C, et al. A population database analysis to describe the residual burden of varicella in Italy-a high vaccination coverage area-from 2004 to 2022. Front Public Health [Internet]. 2025 [citado el 4 de julio 2025];13:1412620. Disponible en: https://doi.org/10.3389/fpubh.2025.1412620
Dabanch J, Bastías M, González C, Calvo M, Acevedo J, Cerda J, et al. Recomendación del CAVEI sobre la introducción de vacuna contra varicela al Programa Nacional de Inmunizaciones. Rev Chilena Infectol [Internet]. 2020 [citado el 15 de junio 2025];37(2):149-56. Disponible en: http://dx.doi.org/10.4067/s0716-10182020000200149
El Haddadi H, Hamami A, Sara A, Elouali A, Ghanam A, Babakhouya A, et al. Clinical Profile of Hospitalized Varicella Cases From Pediatric Emergency Consultations: A Retrospective Cohort Study. Cureus [Internet]. 2024 [citado el 15 de junio 2025];16(7):e64798. Disponible en: https://doi.org/10.7759/cureus.64798
Lee GH, Kim J, Kim HW, Cho JW. Herpes simplex viruses (1 and 2) and varicella-zoster virus infections in an adult population with aseptic meningitis or encephalitis: A nine-year retrospective clinical study. Medicine (Baltimore) [Internet]. 2021 [citado el 15 de junio 2025];100(46):e27856. Disponible en: https://doi.org/10.1097/md.0000000000027856
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