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Symptom patterns and life with post-acute COVID-19 in children aged 8-17 years: a mixed-methods study protocol
Alice Faux-Nightingale1, Claire Burton2, Helen Twohig2
1School of Medicine, Keele University, Keele, Newcastle, UK a.faux-nightingale@keele.ac.uk.
Insights
This study investigates long-COVID in children and young people (CYP), examining symptoms and needs. Findings will improve understanding and clinical care for pediatric long-COVID patients.
Area of Science:
- Pediatric Health
- Infectious Diseases
- Longitudinal Studies
Background:
- Limited understanding of long-COVID in children and young people (CYP) despite extensive research on acute COVID-19.
- Long-COVID is defined as symptoms persisting beyond 4 weeks post-infection.
Purpose of the Study:
- To characterize the longer-term effects of COVID-19 infection in CYP.
- To identify the specific needs of CYP experiencing long-COVID.
- To inform clinical practice and enhance understanding of pediatric long-COVID.
Main Methods:
- Observational prospective cohort and linked qualitative study in the West Midlands, UK.
- Online questionnaires for 12-month symptom monitoring in CYP aged 8-17 years.
- Interviews, diaries for symptomatic CYP, and focus groups with professionals; statistical and thematic analysis.
Main Results:
- The study aims to describe the incidence, symptom resolution rates, and predictors of long-COVID in CYP.
- Qualitative data will explore the impact of long-COVID on CYP and their families.
- Statistical models will identify associations between predictors and long-COVID development.
Conclusions:
- This research will provide a comprehensive description of long-COVID features in CYP.
- It will elucidate the impact of long-COVID on the lives of CYP and their families.
- Findings are expected to enhance clinical understanding and inform evidence-based practice for pediatric long-COVID.
Background:
While there is a substantial body of knowledge about acute COVID-19, less is known about long-COVID, where symptoms continue beyond 4 weeks.
Aim:
To describe longer-term effects of COVID-19 infection in children and young people (CYP) and identify their needs in relation to long-COVID.
Design & Setting:
This study comprises an observational prospective cohort study and a linked qualitative study, identifying participants aged 8-17 years in the West Midlands of England.
Method:
CYP will be invited to complete online questionnaires to monitor incidences and symptoms of COVID-19 over a 12-month period. CYP who have experienced long-term effects of COVID will be invited to interview, and those currently experiencing symptoms will be asked to document their experiences in a diary. Professionals who work with CYP will be invited to explore the impact of long-COVID on the wider experiences of CYP, in a focus group. Descriptive statistics will be used to describe the incidence and rates of resolution of symptoms, and comparisons will be made between exposed and non-exposed groups. Logistic regression models will be used to estimate associations between candidate predictors and the development of long-COVID, and linear regression will be used to estimate associations between candidate predictors. Qualitative data will be analysed thematically using the constant comparison method.
Conclusion:
This study will describe features and symptoms of long-COVID and explore the impact of long-COVID within the lives of CYP and their families, to provide better understanding of long-COVID and inform clinical practice.
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