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COVID-19 in pediatric palliative care patients: Multicenter, retrospective cohort study

Aleksandra Korzeniewska-Eksterowicz1,2, Olga Brzezinska3, Urszula Dryja2

  • 1Pediatric Palliative Care Unit, Department of Pediatrics, Oncology and Hematology, Medical University of Lodz, Lodz, Poland.

Palliative Medicine
|November 8, 2023
PubMed

Insights

COVID-19 in children receiving palliative care often presented mildly, but data is limited. Advance care planning for COVID-19 is crucial for these vulnerable pediatric patients.

Area of Science:

  • Pediatric Palliative Care
  • Infectious Diseases
  • COVID-19 Research

Background:

  • Limited data exists on COVID-19's impact on children with life-limiting conditions.
  • Previous studies focused on general pediatric COVID-19 risk factors, not palliative care populations.

Purpose of the Study:

  • To investigate the clinical course and severity of COVID-19 in pediatric patients receiving palliative care.
  • To highlight the need for specific care plans for this population.

Main Methods:

  • Retrospective cohort study analyzing medical records of pediatric palliative care patients with confirmed COVID-19.
  • Utilized the WHO Clinical Progression Scale to assess disease severity.
  • Data collected from seven participating pediatric palliative care centers between January 2020 and April 2022.

Main Results:

  • Sixty pediatric patients (mean age 9.8 years) with COVID-19 were analyzed.
  • The most common underlying condition was congenital malformations (42%); fever was the most frequent symptom (85%).
  • Most cases were mild (73%), with 25% requiring hospitalization and 3% experiencing severe disease or death.

Conclusions:

  • COVID-19 in this cohort was predominantly mild, though the small sample size limits definitive conclusions.
  • Emphasizes the importance of advance care planning for COVID-19 in pediatric palliative care.
  • Further research is necessary to understand the long-term effects of COVID-19 in children with life-limiting conditions.
Abstract

Keywords:
COVID-19Life-limiting conditionsSARS-CoV-2childrenpediatric palliative care

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