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The Evaluation of Health Care Services for Children and Adolescents With Post-COVID-19 Condition: Protocol for a
Chiara Rathgeb1,2, Maja Pawellek1,2, Uta Behrends3
1University Children's Hospital Regensburg, Hospital St. Hedwig of the Order of St. John, University of Regensburg, Regensburg, Germany.
Insights
A new care network, Post-COVID Kids Bavaria (PoCo), is evaluating services for children with post-COVID-19 condition. This study assesses health care use and outcomes to optimize care for pediatric long COVID.
Area of Science:
- Pediatric Health
- Infectious Diseases
- Healthcare Systems
Background:
- Late effects of SARS-CoV-2 infection, or post-COVID-19 condition, affect children and adolescents.
- Specialized care networks for pediatric post-COVID-19 are limited.
- The Post-COVID Kids Bavaria (PoCo) network was established as a model project in Germany.
Purpose of the Study:
- To evaluate healthcare services for children and adolescents with post-COVID-19 condition within the PoCo network.
- To assess the effectiveness of a structured care approach for pediatric long COVID.
Main Methods:
- A pre-post study design was employed.
- 117 children and adolescents (up to 17 years) with post-COVID-19 condition were recruited from 16 outpatient clinics.
- Data collected include healthcare use, treatment satisfaction, health-related quality of life, fatigue, postexertional malaise, and mental health via routine data, interviews, and questionnaires at multiple time points.
Main Results:
- Study recruitment occurred between April and December 2022.
- Interim analyses are planned.
- Full data analysis will follow the completion of follow-up assessments.
Conclusions:
- The study results will inform the evaluation of therapeutic services for pediatric post-COVID-19 condition.
- Findings may identify strategies for optimizing care delivery for young individuals experiencing long COVID.
Background:
Some children and adolescents suffer from late effects of a SARS-CoV-2 infection despite a frequently mild course of the disease. Nevertheless, extensive care for post-COVID-19 condition, also known as post-COVID-19 syndrome, in children and young people is not yet available. A comprehensive care network, Post-COVID Kids Bavaria (PoCo), for children and adolescents with post-COVID-19 condition has been set up as a model project in Bavaria, Germany.
Objective:
The aim of this study is to evaluate the health care services provided within this network structure of care for children and adolescents with post-COVID-19 condition in a pre-post study design.
Methods:
We have already recruited 117 children and adolescents aged up to 17 years with post-COVID-19 condition who were diagnosed and treated in 16 participating outpatient clinics. Health care use, treatment satisfaction, patient-reported outcomes related to health-related quality of life (the primary endpoint), fatigue, postexertional malaise, and mental health are being assessed at different time points (at baseline and after 4 weeks, 3 months, and 6 months) using routine data, interviews, and self-report questionnaires.
Results:
The study recruitment process ran from April 2022 until December 2022. Interim analyses will be carried out. A full analysis of the data will be conducted after follow-up assessment is completed, and the results will be published.
Conclusions:
The results will contribute to the evaluation of therapeutic services provided for post-COVID-19 condition in children and adolescents, and avenues for optimizing care may be identified.
International Registered Report Identifier (Irrid):
DERR1-10.2196/41010.
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