ackground: While COVID-19 per se does not seem to represent a significant threat to the paediatric population, the pandemic has caused indirect detrimental consequences in the management of children in paediatric intensive care units (PICUs). This study analyses the impact of the pandemic on PICU admission patterns in a tertiary care centre. Methods: We performed a retrospective observational study of all admissions to PICU during COVID-19 pandemic i.e. from April 2020-September 2021, and compared the data with corresponding pre-covid times.