急性损伤:儿童和青少年的COVID-19后并发症
Maria Clara Mendes Maranhão1, Marina do Nascimento Mateus1, Giovanna Sturzenegger Tosatto1
1Universidade Positivo, Curitiba, PA, Brazil.
概括
患有COVID-19的儿童的急性损伤 (AKI) 严重,通常需要密集护理. 虽然许多人幸存下来,但伴随性疾病增加了这些儿科COVID-19病例的死亡风险.
科学领域:
- 儿科脏病学 儿科脏病学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- COVID-19可能会导致儿童出现严重并发症.
- 急性损伤 (AKI) 是一种已知的,但不太常见的SARS-CoV-2感染并发症.
研究的目的:
- 描述COVID-19诊断的儿童中儿科急性损伤 (AKI) 的病例.
- 为了确定相关的风险因素,临床特征和儿童COVID-19患者AKI的结果.
主要方法:
- 对被诊断为COVID-19和AKI的儿科患者进行了回顾性研究.
- 从2020年3月到2021年9月收集的数据.
- 分析包括并发症,年龄,性别和毒药物的使用.
主要成果:
- 分析了40例患有AKI的COVID-19儿童病例.
- 男性儿童受到影响更大 (62.5%).
- AKI是严重的,100%的ICU入院率和22.5%的死亡率. 常见的并发病包括,脑和心脏病. 大多数患者 (42.5%) 是KDIGO第一阶段患者. 毒药物使用 (35%) 和透析 (17.5%) 是不常见的. 在患有并发症 (70.4%) 和侵入性通风 (88.8%) 的儿童中,死亡率更高.
结论:
- 患有COVID-19的儿童的急性损伤与严重疾病有关.
- 尽管情况严重,但大多数患有COVID-19和AKI的儿科患者都活着出院.
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