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COVID-19 disease characteristics in different pediatric age groups
Eda Kepenekli1, Nurhayat Yakut2, Zeynep Ergenc2
1Marmara University School of Medicine, Pendik Training and Research Hospital. Department of Pediatrics, Division of Pediatric Infectious Diseases, Istanbul, Turkey. ekepenekli@yahoo.com.
Insights
COVID-19 in children presents differently across age groups, with younger children experiencing more fever and laboratory differences. These findings highlight age-variable disease pathogenesis in pediatric coronavirus disease 2019.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Clinical Medicine
Background:
- Limited understanding of COVID-19 disease characteristics in pediatric populations.
- Need for age-specific data on pediatric coronavirus disease 2019.
- Variability in disease presentation across different pediatric age groups.
Purpose of the Study:
- To investigate and compare COVID-19 disease characteristics in distinct pediatric age groups.
- To identify age-related differences in clinical symptoms and laboratory findings of pediatric COVID-19.
- To contribute to understanding the age-dependent pathogenesis of coronavirus disease 2019 in children.
Main Methods:
- Retrospective, single-center study of 139 pediatric COVID-19 patients.
- Patients categorized into three age groups: 15 days-24 months (Group 1), 25-144 months (Group 2), and 145-210 months (Group 3).
- Analysis of clinical symptoms, hospitalization rates, chest X-ray (CXR) scores, and laboratory parameters.
Main Results:
- Common symptoms included cough (55.4%) and fever (51.8%).
- Fever was more frequent in Group 1; chest pain was more frequent in Group 3.
- Group 1 showed higher WBC, lymphocyte, and thrombocyte counts, with altered levels of AST, LDH, D-dimer, Troponin T, hemoglobin, total protein, and albumin compared to other groups.
Conclusions:
- Pediatric COVID-19 is generally less severe than in adults.
- Significant clinical and laboratory differences exist between pediatric age groups.
- These variations support the concept of age-dependent disease pathogenesis in pediatric coronavirus disease 2019.
Introduction:
Little is known about the COVID-19 disease characteristics and differences between different pediatric age groups. This study aimed to investigate the disease characteristics according to age groups.
Methodology:
We conducted a retrospective, single-center study of pediatric COVID-19 in a tertiary care hospital in Turkey. The patients were divided into three groups: 15 days-24 months old (Group 1), 25-144 months old (Group 2), and 145-210 months old (Group 3) according to age.
Results:
A total of 139 pediatric patients with COVID-19 were examined. Twenty-nine patients (20.9%) were in Group 1, 52 (37.4%) were in Group 2, 58 (41.7%) were in Group 3. Thirty-nine patients (28.1%) were hospitalized. The most common symptoms were cough (55.4%) and fever (51.8%). The median chest X-ray (CXR) score of hospitalized patients was 1 (min 0-max 7), and the median CXR score of outpatients was 1 (min 0-max 6). Fever was significantly more frequent in Group 1, and chest pain was more frequent in Group 3. Group 1 had significantly higher WBC, lymphocyte, thrombocyte counts, AST, LDH, D-dimer, and Troponin T levels but lower hemoglobin, total protein, and albumin levels. The treatment included antibiotics, oseltamivir, hydroxychloroquine, and supportive therapy. Only one patient (0.7%) received non-invasive mechanical ventilatory support.
Conclusions:
As we know the clinical course of COVID-19 in children is less severe than in adults. We also found significant differences in both clinical and laboratory findings between different pediatric age groups which supports the theory that disease pathogenesis is highly variable according to age.
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