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Published on: February 16, 2022
Evaluation of Our Paediatric Patients Hospitalised with Covid-19 Diagnosis: Single Centre Experience
Emre Aygun1, Ayse Sahin1, Nazan Dalgic2
1Department of Pediatrics, Sisli Etfal Training and Research Hospital, Istanbul, Türkiye.
Insights
COVID-19 impacts children differently based on age and existing health conditions. Younger children and those with comorbidities require closer monitoring for better outcomes in pediatric COVID-19 cases.
Area of Science:
- Pediatric Infectious Diseases
- Clinical Virology
- Public Health
Background:
- COVID-19 presents varied clinical manifestations in pediatric populations.
- Understanding age-specific and comorbidity-influenced disease progression is crucial for effective management.
Purpose of the Study:
- To analyze clinical symptoms, laboratory findings, and treatment of hospitalized pediatric COVID-19 patients.
- To investigate the influence of age groups and comorbidities on COVID-19 disease course in children.
Main Methods:
- Retrospective analysis of 90 hospitalized pediatric patients (1 month-18 years) with confirmed COVID-19.
- Classification by age groups (0-2, 2-5, 5-12, >12 years), disease severity, and comorbidities.
- Evaluation of demographic data, clinical features, lab results, and imaging.
Main Results:
- Most pediatric COVID-19 cases (73.3%) had a mild course.
- Younger children (0-2 years) experienced more fever and respiratory distress, with longer hospital stays.
- Comorbidities were linked to moderate-to-severe disease and prolonged recovery times; obesity correlated with elevated CRP and abnormal chest X-rays.
Conclusions:
- COVID-19 severity and presentation in children are significantly influenced by age and the presence of comorbidities.
- Younger children and those with pre-existing conditions necessitate vigilant monitoring and tailored care strategies.
- Age-related variations and comorbidity impact are key factors in pediatric COVID-19 management.
Objectives:
We analyses separate age groups for in-hospital COVID pediatric patients clinical symptoms, lab tests, and treatment efforts. We also wanted to see if having another illness or a patient's nutritional condition could change the way the disease unfolds.
Methods:
Between July 2020 and September 2021, 90 pediatric patients (aged 1 month-18 years) with positive PCR and/or antibody tests who were hospitalised in our hospital were included in the study. Patients were classified according to age groups (0-2, 2-5, 5-12, >12 years), disease severity and presence of comorbidities. Demographic characteristics, clinical findings, laboratory parameters and radiological imaging were evaluated.
Results:
The disease had a mild course in 73.3% of the patients with a mean age of 87 months. In the youngest age group (0-2 years), fever (53.3%) and respiratory distress (26.7%) were more common and hospital stay was longer (median 7 days). Comorbidity rate (47.4%) was significantly higher in the moderate to severe disease group (p<0.001). The rates of elevated CRP (54.5%) and pathological chest radiography (36.4%) were higher in obese children. Recovery time was significantly longer in comorbid patients (7.3±2.4 days).
Conclusion:
Our study suggests that COVID-19 does not affect all children in the same way-it appears to vary notably with age. In our observations, younger children and those with existing health conditions seem to require a bit more care and close monitoring to ensure the best outcomes.
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