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Cigarette Smoke Exposure, Pediatric Lung Disease, and COVID-19.
Schiliro, Marta; Vogel, Elizabeth R; Paolini, Lucia; Pabelick, Christina M.
  • Schiliro M; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, United States.
  • Vogel ER; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, United States.
  • Paolini L; Department of Pediatric, San Gerardo Hospital, University of Milano-Bicocca, Fondazione MBBM, Monza, Italy.
  • Pabelick CM; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, United States.
Front Physiol ; 12: 652198, 2021.
Article in English | MEDLINE | ID: covidwho-1229227
Semantic information from SemMedBD (by NLM)
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Subject
Lung
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Pediatric Disorder
2. Disease PROCESS_OF Adolescent (age group)
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Disease
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Adolescent (age group)
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Chronic disease of respiratory system
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4. Chronic disease of respiratory system PROCESS_OF Adolescent (age group)
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Chronic disease of respiratory system
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PROCESS_OF
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Adolescent (age group)
5. Asthma PROCESS_OF Child
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Asthma
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Child
6. Asthma PROCESS_OF Adolescent (age group)
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Asthma
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PROCESS_OF
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Adolescent (age group)
7. Disease PROCESS_OF Child
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Disease
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Child
8. Respiratory Distress Syndrom PROCESS_OF C0001675
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Respiratory Distress Syndrom
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PROCESS_OF
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C0001675
9. COVID-19 AFFECTS Child
Subject
COVID-19
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AFFECTS
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Child
10. Cigarette Smoke Exposure PROCESS_OF Vulnerable Populations
Subject
Cigarette Smoke Exposure
Predicate
PROCESS_OF
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Vulnerable Populations
11. Lung LOCATION_OF Pediatric Disorder
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Lung
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LOCATION_OF
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Pediatric Disorder
12. Disease PROCESS_OF Adolescent (age group)
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Disease
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Adolescent (age group)
13. Chronic disease of respiratory system PROCESS_OF Child
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Chronic disease of respiratory system
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PROCESS_OF
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14. Chronic disease of respiratory system PROCESS_OF Adolescent (age group)
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Chronic disease of respiratory system
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PROCESS_OF
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15. Asthma PROCESS_OF Child
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Asthma
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PROCESS_OF
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Child
16. Asthma PROCESS_OF Adolescent (age group)
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Asthma
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PROCESS_OF
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Adolescent (age group)
17. Disease PROCESS_OF Child
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Disease
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PROCESS_OF
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Child
18. Respiratory Distress Syndrome, Adult PROCESS_OF Adult
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PROCESS_OF
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19. COVID-19 AFFECTS Child
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COVID-19
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AFFECTS
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20. Cigarette Smoke Exposure PROCESS_OF Vulnerable Populations
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Cigarette Smoke Exposure
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PROCESS_OF
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Vulnerable Populations
ABSTRACT
The detrimental effects of tobacco exposure on children's health are well known. Nonetheless, the prevalence of secondhand or direct cigarette smoke exposure (CSE) in the pediatric population has not significantly decreased over time. On the contrary, the rapid incline in use of e-cigarettes among adolescents has evoked public health concerns since increasing cases of vaping-induced acute lung injury have highlighted the potential harm of these new "smoking" devices. Two pediatric populations are especially vulnerable to the detrimental effects of cigarette smoke. The first group is former premature infants whose risk is elevated both due to their prematurity as well as other risk factors such as oxygen and mechanical ventilation to which they are disproportionately exposed. The second group is children and adolescents with chronic respiratory diseases, in particular asthma and other wheezing disorders. Coronavirus disease 2019 (COVID-19) is a spectrum of diseases caused by infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that has spread worldwide over the last year. Here, respiratory symptoms ranging from mild to acute respiratory distress syndrome (ARDS) are at the forefront of COVID-19 cases among adults, and cigarette smoking is associated with worse outcomes in this population, and cigarette smoking is associated with worse outcomes in this population. Interestingly, SARS-CoV-2 infection affects children differently in regard to infection susceptibility, disease manifestations, and complications. Although children carry and transmit the virus, the likelihood of symptomatic infection is low, and the rates of hospitalization and death are even lower when compared to the adult population. However, multisystem inflammatory syndrome is recognized as a serious consequence of SARS-CoV-2 infection in the pediatric population. In addition, recent data demonstrate specific clinical patterns in children infected with SARS-CoV-2 who develop multisystem inflammatory syndrome vs. severe COVID-19. In this review, we highlight the pulmonary effects of CSE in vulnerable pediatric populations in the context of the ongoing SARS-CoV-2 pandemic.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Language: English Journal: Front Physiol Year: 2021 Document Type: Article Affiliation country: Fphys.2021.652198

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Language: English Journal: Front Physiol Year: 2021 Document Type: Article Affiliation country: Fphys.2021.652198