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Ann Allergy Asthma Immunol ; 126(5): 569-575, 2021 05.
Artículo en Inglés | MEDLINE | ID: covidwho-1114370

RESUMEN

BACKGROUND: Coronavirus disease 2019 (COVID-19) emerged as a pandemic toward the end of 2019, causing large numbers of people to become infected and die. OBJECTIVE: To determine whether allergic diseases are a risk factor for hospitalization in COVID-19. METHODS: We conducted a study including 107 pediatric patients after COVID-19 recovery. The International Study of Asthma and Allergies in Childhood Phase 3 questionnaires were distributed together with a detailed history of environmental factors and an allergic evaluation including skin prick tests, specific immunoglobulin E tests, and spirometry. We investigated the prevalence of allergic diseases and evaluated the factors associated with hospitalization in COVID-19. RESULTS: A total of 61 (57%) patients were hospitalized and 46 (43%) patients were followed closely in the outpatient clinic. The prevalences of allergic rhinitis, asthma, atopic dermatitis, and episodic wheezing were 10.3%, 6,5%, 4.7%, and 3.7%, respectively, within the whole study population. Although having asthma with or without allergic rhinitis, atopic dermatitis, and passive tobacco exposure were not found to be related to hospitalization because of COVID-19, having a pet at home was found to decrease the risk of hospitalization (odds ratio, 0.191; 95% confidence interval, 0.047-0.779; P = .02). Spirometry tests revealed a higher forced expiratory volume in one second to forced vital capacity ratio and a peak expiratory flow reversibility in hospitalized patients than in nonhospitalized ones (P = .02 and P = .003, respectively). CONCLUSION: Asthma and allergic diseases do not seem to be risk factors for hospitalization in children because of COVID-19, and having a pet at home can be a protective effect. Pulmonary function testing seems to be important for monitoring lung damage after COVID-19.


Asunto(s)
Asma/epidemiología , COVID-19/epidemiología , Coinfección/epidemiología , Dermatitis Atópica/epidemiología , Rinitis Alérgica/epidemiología , Adolescente , Asma/complicaciones , COVID-19/diagnóstico , COVID-19/patología , Niño , Preescolar , Coinfección/diagnóstico , Coinfección/patología , Dermatitis Atópica/complicaciones , Susceptibilidad a Enfermedades/patología , Femenino , Volumen Espiratorio Forzado/fisiología , Hospitalización/estadística & datos numéricos , Humanos , Lactante , Masculino , Estudios Prospectivos , Rinitis Alérgica/complicaciones , Factores de Riesgo , SARS-CoV-2 , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios , Contaminación por Humo de Tabaco/efectos adversos , Resultado del Tratamiento , Capacidad Vital/fisiología
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