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Comparative study shows that 1 in 7 Spanish children with COVID-19 symptoms were still experiencing issues after
María Bergia1, Elena Sanchez-Marcos2, Blanca Gonzalez-Haba1
1Pediatrics and Infectious Diseases Department, La Paz University Hospital, Madrid, Spain.
Insights
A significant percentage of children experience prolonged symptoms after COVID-19, with older children and those hospitalized at higher risk. This highlights the need for ongoing monitoring and research into long COVID in pediatric populations.
Area of Science:
- Pediatric Infectious Diseases
- Public Health
Background:
- The long-term effects of COVID-19 in children, known as long COVID or post-COVID conditions, are an emerging concern.
- Understanding the prevalence and risk factors for prolonged symptoms in pediatric populations is crucial for effective management and public health strategies.
Purpose of the Study:
- To investigate the clinical characteristics and risk factors associated with prolonged symptoms in children following COVID-19 infection.
- To determine the percentage of children experiencing persistent symptoms and identify predictors of longer symptom duration.
Main Methods:
- A multicentre retrospective study involving 451 children under 18 with symptomatic COVID-19.
- Persistent symptoms were assessed via telephone questionnaire, with a control group of 98 children without COVID-19 history included for comparison.
Main Results:
- 18.4% of children experienced symptoms lasting 4-12 weeks, and 14.6% had symptoms for over 12 weeks.
- Risk factors for prolonged symptoms included older age (≥5 years), hospitalization, pediatric intensive care unit (PICU) admission, and symptomatic relatives.
- A notable percentage of the control group also reported prolonged symptoms, particularly older children.
Conclusions:
- A significant proportion of children develop prolonged symptoms after COVID-19, indicating a substantial public health challenge.
- Identifying high-risk groups, such as hospitalized children and those with specific demographic factors, is essential for targeted interventions and support.
Aim:
We investigated prolonged symptoms in children after COVID-19, including the clinical characteristics and risk factors.
Methods:
This multicentre retrospective study focused on 451 children under 18 years old who were diagnosed with symptomatic COVID-19 between 14 March and 31 December 2020. Persistent symptoms were analysed with a telephone questionnaire by the attending physicians from 1 August to 30 September 2021. A control group of 98 with no history of COVID-19, who were treated for other reasons, was also included.
Results:
Most (82.0%) of the cases had mild infections that required outpatient care and 5.1% were admitted to the paediatric intensive care unit (PICU). We found that 18.4% had symptoms that lasted 4-12 weeks. There were also 14.6% who were symptomatic for longer than 12 weeks and the odds risks were higher for children aged 5 years or more (OR 3.0), hospitalised (OR 3.9), admitted to the PICU (OR 4.3) and with relatives who were symptomatic for 12 weeks or more (OR 2.8). The controls had similar percentages of prolonged symptoms, despite having no history of COVID-19, especially those who were older than 5 years.
Conclusion:
This study confirmed that a worrying percentage of children had prolonged symptoms after COVID-19.
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