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Long COVID-19 in Hospitalized and Ambulatory Children in Jamaica
Samantha Ann-Patrice Mosha Miller1,2, Mark Daniel Hicar3, Crista-Lee Shahine Berry4,5
1From the Faculty of Medical Sciences, Department of Child and Adolescent Health, University of the West Indies, Mona, Kingston 7, Jamaica.
Insights
Pediatric Long COVID in Jamaica is predicted by acute symptoms like vomiting and loss of smell. High incidence highlights the need for better care in resource-limited areas.
Area of Science:
- Pediatric infectious diseases
- Epidemiology
- Public Health
Background:
- Long coronavirus disease 2019 (Long COVID) is a growing concern in children.
- Understanding acute illness predictors is crucial for early identification and intervention.
- Resource-constrained settings face unique challenges in managing pediatric Long COVID.
Purpose of the Study:
- To identify predictors of pediatric Long COVID following acute infection in Jamaica.
- To analyze the association between specific acute symptoms and Long COVID development.
- To inform public health strategies in similar settings.
Main Methods:
- Retrospective observational cohort study design.
- Poisson regression modeling to analyze symptom associations.
- Inclusion of univariate and multivariable analyses of acute symptoms.
Main Results:
- Vomiting, abdominal pain, ageusia, anosmia, fatigue, confusion, brain fog, and multisystem inflammatory syndrome in children (MIS-C) were associated with acute illness.
- Multivariable predictors included MIS-C, vomiting, and ageusia.
- An overall incidence of 47.3% for pediatric Long COVID was observed.
Conclusions:
- Specific acute symptoms are significant predictors of pediatric Long COVID.
- The high incidence underscores the substantial burden of Long COVID in Jamaican children.
- Findings emphasize the need for enhanced healthcare strategies in resource-limited environments.
Abstract:
This retrospective observational cohort study evaluated acute illness predictors of pediatric Long coronavirus disease 2019 in Jamaica. Poisson regression modeling associated acute univariate symptoms of vomiting, abdominal pain, ageusia, anosmia, fatigue, confusion, brain fog, and multisystem inflammatory syndrome in children and multivariable composite predictors of multisystem inflammatory syndrome in children, vomiting and ageusia. The 47.3% incidence supports the need for improvements in similar resource-constrained settings.
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