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Symptom clusters helping the assessment of SARS-COV-2-infected children: Amiens cohort versus European data
Hyppolite K Tchidjou1, Lucia Palandri2, Elena Righi2
1Pediatric Emergency Services, Amiens University Hospital, Amiens, France.
Insights
Identifying symptom clusters in pediatric COVID-19 cases can help predict illness severity. This research aids clinicians in early screening and patient management for better outcomes in children.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Epidemiology
Background:
- The SARS-CoV-2 pandemic has significantly impacted global health, with increasing pediatric cases.
- Understanding clinical patterns in children is crucial for early prognosis and effective patient management.
- This study addresses the need for better screening tools in pediatric emergency departments.
Purpose of the Study:
- To investigate symptom clusterization in pediatric SARS-CoV-2 infections.
- To explore the connection between symptom clusters and illness categories.
- To aid first-line medical screening and orientation in pediatric emergency settings.
Main Methods:
- Retrospective cohort study of SARS-CoV-2 infected children in a French monocentric cohort.
- Description of clinical, laboratory, and radiological characteristics.
- Scoping review of literature to investigate symptom clusters.
Main Results:
- Analysis of 1086 tested children, with 48 testing positive for SARS-CoV-2.
- Identification of two distinct clusters of clinical phenotypes.
- Mucocutaneous-enteric and respiratory symptom clusters are associated with more severe illness.
Conclusions:
- Early identification of prognostic patterns is vital for clinical decision-making.
- This research supports improved management of pediatric COVID-19 patients.
- Symptom cluster analysis offers a valuable tool for pediatric emergency departments.
Background:
Since December 2019, the novel coronavirus (SARS-CoV-2) pandemic, caused >240 million cases and >5 million deaths. Given the current wider dissemination of pediatric cases, it is important to address questions regarding the clinical picture in children or if there are clinical patterns that may help us identify in an early stage what can be the prognosis and help clinicians with patient management. The study aimed to investigate in a French monocentric cohort and other European cohorts the presence of symptom clusterization and its possible connection to illness categories to help medical first-line screening and orientation in the pediatric emergency department (ED).
Methods:
We conducted a retrospective cohort study describing clinical, laboratory, and radiological characteristics of SARS-CoV-2-infected children admitted to pediatric ED to assess the presence of symptom clustering. A scoping review of the literature was performed to further investigate symptom clusters.
Results:
Of 1086 tested children, 48 tested positive to SARS-CoV-2. The clinical, laboratory, and radiological characteristics of our sample were fully described. Two distinct clusters of clinical phenotypes were identified as well as their potential association with illness categories in SARS-CoV-2-infected children. Comparison with similar European cohorts highlights how symptoms coming from the mucocutaneous-enteric, and the respiratory clusters are associated with a more severe clinical picture.
Conclusions:
This study promotes the importance to identify early prognostic patterns to help clinicians in the decision process, especially in COVID-19 pediatric patients.
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