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Emergency department utilization among children with Long COVID symptoms: a COVID-19 research consortium study

Pranav Bhimani1,2, Adina Scheinfeld3, Mangala Rajan4

  • 1Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, 420 E 70th street LH 348, New York, NY, USA.

BMC Pediatrics
|October 5, 2024
PubMed

Insights

Children with Long COVID symptoms are significantly more likely to visit the Emergency Department (ED). Specific symptoms like chest pain and fluid imbalances increase the odds of ED visits for pediatric Long COVID patients.

Area of Science:

  • Pediatric Health
  • Infectious Diseases
  • Public Health

Background:

  • Long COVID in children is not well understood.
  • Persistent symptoms after acute COVID-19 infection are a concern.
  • Emergency Department (ED) utilization is a key indicator of healthcare burden.

Purpose of the Study:

  • To investigate the association between Long COVID symptoms in children and Emergency Department (ED) utilization.
  • To compare ED visit rates in pediatric COVID-19 survivors with and without Long COVID symptoms.

Main Methods:

  • Utilized the HealthJump ambulatory database (March 2020-May 2023).
  • Defined Long COVID symptoms as occurring 30-180 days post-COVID-19 diagnosis.
  • Employed descriptive statistics and multivariable logistic regression to analyze ED utilization.

Main Results:

  • 33.6% of 130,010 pediatric COVID-19 cases reported Long COVID symptoms.
  • Children with Long COVID had 152% higher odds of ED visits (OR: 2.52).
  • Specific symptoms like chest pain (AOR: 3.55) and fluid imbalances (AOR: 3.29) significantly increased ED visit odds.

Conclusions:

  • Pediatric Long COVID is associated with substantially higher Emergency Department (ED) utilization.
  • Chest pain, fluid imbalances, and generalized pain are strongly linked to increased ED visits in children with Long COVID.
  • Findings emphasize the significant impact of pediatric Long COVID on healthcare resources and the need for better management guidelines.
Abstract

Keywords:
COVID-19 Research DatabaseEmergency useLong COVIDSymptoms

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