在大流行早期和三角洲变种期间,住院治疗COVID-19的儿童的特征和结果
L Denise Willis1, Beverly J Spray2, Erin Henderson1
1Mss Willis, Henderson, and Lloyd are affiliated with Respiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas.
Respiratory care
|February 19, 2025
概括
与早期的COVID-19流行病相比,Delta变种导致了更长的住院时间,并增加了儿童的呼吸支持需求. 患有潜在疾病和较高BMI Z分数的儿童经历了更严重的结果.
科学领域:
- 儿童传染病 儿童传染病
- 病毒性疾病的流行病学.
- 关键护理医学 关键护理医学
背景情况:
- 儿童最初的COVID-19影响比成年人少.
- 变种的出现导致了儿科住院和多系统炎症障碍的增加.
- 了解儿科COVID-19趋势对于公共卫生反应至关重要.
研究的目的:
- 描述住院患有COVID-19的儿童.
- 为了比较早期的流行病和三角洲变种期间的结果.
- 确定影响儿科COVID-19住院治疗严重程度的因素.
主要方法:
- 儿童COVID-19住院病例的回顾性数据收集 (2020年3月至2021年11月).
- 将入院者分类为早期的流行病和德尔塔变种时期.
- 住院时间的比较,呼吸辅助器的使用和每月入院率.
主要成果:
- 在三角洲变种期间,月入院人数增加,住院时间更长.
- 在三角洲变种激增期间,增加了对呼吸支的需求,特别是氧气.
- 患有先前存在的疾病和较高的BMI Z分数的儿童停留时间较长,需要更多的呼吸支持.
结论:
- 德尔塔变种显著增加了儿科住院的严重程度和资源利用率.
- 预先存在的疾病和高BMI Z分数与住院儿童的表现较差有关.
- 大多数儿科住院不是因为COVID-19的原因,除了在Delta变种激增期间.
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