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The respiratory consequences of COVID-19 lasted for a median of 4 months in a cohort of children aged 2-18 years of age.
Dolezalová, Karolína; Tuková, Jana; Pohunek, Petr.
  • Dolezalová K; Department of Paediatrics, 1st Faculty of Medicine, Charles University in Prague and Thomayer University Hospital, Prague 4, Czech Republic.
  • Tuková J; Department of Paediatrics and Inherited Metabolic Disorders, 1st Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.
  • Pohunek P; Department of Paediatrics, 2nd Faculty of Medicine, Charles University in Prague, and University Hospital Motol, Prague, Czech Republic.
Acta Paediatr ; 111(6): 1201-1206, 2022 Jun.
Article in English | MEDLINE | ID: covidwho-1691631
ABSTRACT

AIM:

We focused on the clinical picture, severity and prognosis of children who experienced long-term respiratory issues after COVID-19.

METHODS:

This was a national Czech multicentre study of paediatric post-COVID syndrome, which used a standard protocol to evaluate structural and functional anomalies and exclude alternative diagnoses. From 6 January to 30 June 2021, 11 paediatric pulmonologists enrolled all paediatric referrals aged 2-18 years with persistent respiratory symptoms more than 12 weeks after COVID-19, namely cough, dyspnoea and chest pain. Medical histories were taken, and physical examinations, lung function testing, chest X-ray and blood tests were performed.

RESULTS:

The dominant symptoms in the 39 children (56.4% girls) were exertional dyspnoea (76.9%) and a chronic cough (48.7%), while dyspnoea at rest (30.8%) and chest pain (17.9%) were less prevalent. More than half (53.8%) reported more than 1 symptom, and 38.5% had abnormal results for 1 of the following tests lung function, chest X-ray or D-dimers. The median age of the children was 13.5 years (interquartile range ±4.8 years), and the median recovery time was 4 months (range 1.5-8 months).

CONCLUSION:

Our initial data suggest that the long-term respiratory impact of COVID-19 was relatively mild in our cohort, with a favourable prognosis.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Language: English Journal: Acta Paediatr Year: 2022 Document Type: Article Affiliation country: Apa.16297

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Language: English Journal: Acta Paediatr Year: 2022 Document Type: Article Affiliation country: Apa.16297