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Persistent symptoms and conditions among children and adolescents hospitalised with COVID-19 illness: a qualitative

Sarah E Messiah1,2, Jackson Francis2, Sitara Weerakoon2

  • 1Department of Epidemiology, Human Genetics and Environmental Sciences, University of Texas Health Science Center at Houston School of Public Health, Dallas, Texas, USA Sarah.E.Messiah@uth.tmc.edu.

BMJ Open
|September 21, 2023
PubMed

Insights

Hospitalized children with COVID-19 may experience long-term physical and mental health issues, including PTSD and anxiety. Families face challenges with treatment access and support systems, highlighting the need for integrated care strategies.

Area of Science:

  • Pediatric Health
  • Infectious Diseases
  • Mental Health

Background:

  • Limited research exists on long-term health outcomes for children hospitalized with COVID-19.
  • Persistent symptoms and conditions post-hospitalization require further investigation.

Purpose of the Study:

  • To explore the physical, mental, and social health outcomes of children hospitalized with COVID-19.
  • To understand the experiences of families navigating post-COVID-19 conditions in their children.

Main Methods:

  • Qualitative study involving in-depth interviews with 25 parents whose children were hospitalized with COVID-19.
  • Interviews were audio-recorded, transcribed, and analyzed using NVivo software.

Main Results:

  • Seven themes emerged regarding children's prolonged COVID-19 experiences: PTSD, social anxiety, severe reinfection symptoms, worsened pre-existing conditions, insurance issues, support system access, and resilience.
  • Four parent-specific themes included fear of unknowns, mixed health messaging, school-related challenges, and the desire for support.

Conclusions:

  • A subset of hospitalized children experience significant mental health impacts from persistent COVID-19 symptoms.
  • Development of clinical and public health strategies is crucial to support children and families during reintegration into school and community activities.
Abstract

Keywords:
COVID-19INFECTIOUS DISEASESPaediatric infectious disease & immunisation

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