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Evaluation of Pulmonary Functions After Discharge in Pediatric Patients with COVID-19: A Prospective Study

Sevcan Ipek1, Sukru Gungor2, Ufuk Utku Gullu3

  • 1Department of Pediatrics, Kahramanmaraş Sütçü İmam University Medical Faculty, Kahramanmaraş, Türkiye.

Sisli Etfal Hastanesi Tip Bulteni
|October 28, 2022
PubMed

Insights

Pediatric patients recovering from COVID-19 showed abnormal pulmonary function tests (PFTs), indicating potential mixed-type lung disease. Further research is needed to understand long-term outcomes in these children.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Respiratory Medicine

Background:

  • COVID-19 can affect multiple organ systems, including the lungs.
  • Long-term respiratory sequelae in pediatric COVID-19 survivors are not fully understood.
  • Assessing pulmonary function post-infection is crucial for evaluating recovery and potential complications.

Purpose of the Study:

  • To investigate pulmonary function in pediatric patients after recovery from COVID-19.
  • To compare spirometry results between recovered pediatric COVID-19 patients and a healthy control group.
  • To identify potential respiratory abnormalities and their characteristics in this population.

Main Methods:

  • A prospective study included pediatric patients (5-18 years) hospitalized with COVID-19 and discharged after recovery.
  • Pulmonary function tests (PFTs) were conducted using spirometry.
  • Results were compared between the patient group (n=34) and a control group (n=33).

Main Results:

  • Pediatric patients exhibited significantly lower forced vital capacity (FVC%) and forced expiratory volume in the first second (FEV1%) compared to controls.
  • FEV1/FVC% was also significantly reduced in the patient group.
  • Forced expiratory flow (FEF) 25-75% showed no significant difference, but a moderate negative correlation with hospital stay length was observed.

Conclusions:

  • Pulmonary function tests revealed abnormalities in pediatric patients after recovering from COVID-19.
  • The findings suggest a potential development of mixed-type lung disease.
  • Further long-term and short-term studies are essential to fully understand the prognosis for these patients.
Abstract

Keywords:
COVID-19pandemicpediatricspulmonary function testspirometry

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