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Comparison of Long-Term Complications of COVID-19 Illness among a Diverse Sample of Children by MIS-C Status.
Messiah, Sarah E; Xie, Luyu; Mathew, M Sunil; Shaikh, Sumbul; Veeraswamy, Apurva; Rabi, Angela; Francis, Jackson; Lozano, Alejandra; Ronquillo, Clarissa; Sanchez, Valeria; He, Weiheng; Weerakoon, Sitara M; Srikanth, Nimisha; Borel, Madeline; Kapera, Olivia; Kahn, Jeffrey.
  • Messiah SE; University of Texas Health Science Center at Houston, School of Public Health, Dallas Campus, Dallas, TX 75390, USA.
  • Xie L; Center for Pediatric Population Health, School of Public Health, Dallas, TX 75390, USA.
  • Mathew MS; University of Texas Health Science Center at Houston, School of Public Health, Dallas Campus, Dallas, TX 75390, USA.
  • Shaikh S; Center for Pediatric Population Health, School of Public Health, Dallas, TX 75390, USA.
  • Veeraswamy A; University of Texas Health Science Center at Houston, School of Public Health, Dallas Campus, Dallas, TX 75390, USA.
  • Rabi A; Center for Pediatric Population Health, School of Public Health, Dallas, TX 75390, USA.
  • Francis J; Children's Health System of Texas, Dallas, TX 75235, USA.
  • Lozano A; Center for Pediatric Population Health, School of Public Health, Dallas, TX 75390, USA.
  • Ronquillo C; Southern Methodist University, Dallas, TX 75205, USA.
  • Sanchez V; University of Texas Health Science Center at Houston, School of Public Health, Houston Campus, Houston, TX 77030, USA.
  • He W; University of Texas Health Science Center at Houston, School of Public Health, Dallas Campus, Dallas, TX 75390, USA.
  • Weerakoon SM; Center for Pediatric Population Health, School of Public Health, Dallas, TX 75390, USA.
  • Srikanth N; Children's Health System of Texas, Dallas, TX 75235, USA.
  • Borel M; University of Texas Health Science Center at Houston, School of Public Health, Austin Campus, Austin, TX 78701, USA.
  • Kapera O; University of Texas Health Science Center at Houston, School of Public Health, Austin Campus, Austin, TX 78701, USA.
  • Kahn J; University of Texas Health Science Center at Houston, School of Public Health, Dallas Campus, Dallas, TX 75390, USA.
Int J Environ Res Public Health ; 19(20)2022 Oct 17.
Article in English | MEDLINE | ID: covidwho-2071473
ABSTRACT
Most pediatric COVID-19 cases are asymptomatic; however, a small number of children are diagnosed with multisystem inflammatory syndrome in children (MIS-C), a rare but severe condition that is associated with SARS-CoV-2 infection. Persistent symptoms of COVID-19 illness in children diagnosed with/without MIS-C is largely unknown. A retrospective EHR review of patients with COVID-19 illness from one pediatric healthcare system to assess the presence of acute (<30 days) and chronic (≥30, 60-120, and >120 days) long-term COVID symptoms was conducted. Patients/caregivers completed a follow-up survey from March 2021 to January 2022 to assess the presence of long COVID. Results showed that non-MIS-C children (n = 286; 54.49% Hispanic; 19.23% non-Hispanic Black; 5.77% other ethnicity; 79.49% government insurance) were younger (mean age 6.43 years [SD 5.95]) versus MIS-C (n = 26) children (mean age 9.08 years, [SD 4.86]) (p = 0.032). A share of 11.5% of children with MIS-C and 37.8% without MIS-C reported acute long COVID while 26.9% and 15.3% reported chronic long COVID, respectively. Females were almost twice as likely to report long symptoms versus males and those with private insurance were 66% less likely to report long symptoms versus those with government insurance. In conclusion, a substantial proportion of ethnically diverse children from low resource backgrounds with severe COVID illness are reporting long-term impacts. Findings can inform pediatric professionals about this vulnerable population in post-COVID-19 recovery efforts.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Child / Female / Humans / Male Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph192013382

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Child / Female / Humans / Male Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph192013382