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Published on: December 19, 2020
Coronavirus Disease 2019 (COVID-19) in pediatric emergency. Presentation and disposition
1Department of Emergency Medicine, Faculty of Medicine King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. E-mail. rsjamjoom@kau.edu.sa.
Insights
Pediatric coronavirus disease 2019 (COVID-19) patients in the emergency department frequently presented with fever and cough. The gastrointestinal tract was the second most affected system, leading to the most return visits.
Area of Science:
- Pediatric Emergency Medicine
- Infectious Diseases
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19) emerged as a global pandemic.
- Understanding the clinical characteristics of pediatric COVID-19 is crucial for effective management.
- Pediatric presentations of COVID-19 can vary significantly.
Purpose of the Study:
- To analyze the demographics of pediatric patients with COVID-19 in the emergency department.
- To identify common clinical presentations and outcomes for pediatric COVID-19 cases.
- To investigate factors such as contact history, return visits, and patient disposition.
Main Methods:
- Retrospective chart review of confirmed pediatric COVID-19 cases.
- Data collected from March 2020 to June 2020.
- Analysis of patient demographics, symptoms, treatments, and outcomes.
Main Results:
- Fifty-two pediatric patients with COVID-19 were identified.
- Fever (85%) and cough (48%) were the most common symptoms.
- Gastrointestinal symptoms, particularly diarrhea (23%), were prevalent and led to return visits.
Conclusions:
- The gastrointestinal tract was the second most affected system in pediatric COVID-19 cases.
- Diarrhea was a significant factor contributing to emergency department return visits.
- COVID-19 presents clinical and operational challenges due to its diverse manifestations in children.
Objectives:
To examine the demographics and common presentations of pediatric coronavirus disease 2019 patients in the emergency department (ED), as well as their contact with positive COVID-19 cases, return visits, and patients' disposition from the ED. Methods: A retrospective chart review of confirmed cases of COVID-19 presenting to the Pediatric ED from March 2020 until June 2020 was conducted.
Results:
Fifty-two patients were identified, with a higher frequency of male patients. Forty-four (85%) patients were discharged from the ED, and 8 (15%) required admission. Three patients were admitted to the pediatric intensive care unit and 2 died, resulting in a mortality rate of 3.8%. The most frequent presentations were fever (85%), cough (48%), and diarrhea (23%). Conclusion: In our study, the second most affected system after the respiratory tract was the gastrointestinal tract, which was also the system responsible for the most return visits due to diarrhea. Coronavirus disease 2019 poses clinical and operational challenges given its variable clinical presentations.
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