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Published on: November 7, 2020
Respiratory sequelae after COVID-19 infection in Thai healthy children
Sirapoom Niamsanit1, Wicharn Boonjindasup1, Suchada Sritippayawan1
1Division of Pulmonology and Critical Care, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Insights
Long COVID in children can cause lasting respiratory issues like fatigue and cough, with one in four experiencing symptoms. Pneumonia during COVID-19 infection increases the risk of these prolonged respiratory problems.
Area of Science:
- Pediatric pulmonology
- Infectious diseases
- Public health
Background:
- Long-term respiratory effects of COVID-19 in children are not well understood.
- Variations in outcomes may exist globally.
- This study focuses on Thai children to assess respiratory sequelae.
Purpose of the Study:
- To investigate respiratory sequelae in children post-COVID-19 infection.
- To identify residual respiratory symptoms and assess pulmonary function.
- To determine factors associated with these long-term respiratory issues.
Main Methods:
- Observational study of 56 children (7-18 years) with COVID-19.
- Assessment of persistent symptoms up to 6 months post-infection.
- Pulmonary function evaluation using spirometry.
Main Results:
- 25% of children experienced post-COVID-19 symptoms (fatigue, cough, dyspnea).
- Pneumonia was significantly correlated with post-COVID-19 symptoms (OR=6.00).
- 17.8% showed abnormal pulmonary function, primarily obstructive impairment, with no significant clinical factor association.
Conclusions:
- Prolonged respiratory symptoms and abnormal pulmonary function are common in children after COVID-19.
- Post-COVID-19 symptoms may be linked to initial COVID-19 pneumonia.
Background And Aims:
The long-term respiratory sequelae of COVID-19 infection in children remain poorly understood and may differ across countries. This study aims to investigate the respiratory sequelae, including residual respiratory symptoms and pulmonary function in Thai children. The secondary aim is to identify factors associated with the respiratory sequelae.
Materials And Methods:
This is an observational study involving 56 healthy children, aged between 7 and 18 years, who were diagnosed with COVID-19 infection from July 2021 to February 2023. Clinical data relating to COVID-19 infection and persistent symptoms after the infection were assessed after the infection up to 6 months. Spirometry was performed to assess pulmonary function.
Results:
Post-COVID-19 symptoms were identified in 14 patients (25%), with fatigue, cough, and dyspnea being common symptoms (28%-35%). A significant correlation was found between post COVID-19 symptoms and pneumonia (OR = 6.00, 95%CI [1.54,23.33], p = .01). Abnormal pulmonary function was identified in 10 patients (17.8%) with obstructive impairment being the most common. However, there was no significant association between clinical factors and pulmonary function impairment.
Conclusion:
Prolonged respiratory symptoms and abnormal pulmonary function following COVID-19 infection are not uncommon in children. The post-COVID-19 symptoms are possibly associated with COVID-19 pneumonia.
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