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- Title
COVID-19 Pediatric Follow-Up: Respiratory Long COVID-Associated Comorbidities and Lung Ultrasound Alterations in a Cohort of Italian Children.
- Authors
Indolfi, Cristiana; Klain, Angela; Dinardo, Giulio; D'Addio, Elisabetta; Ferrara, Serena; Decimo, Fabio; Ciprandi, Giorgio; Tosca, Maria Angela; Miraglia del Giudice, Michele
- Abstract
In children, the factors that influence COVID-19 disease and its medium- and long-term effects are little known. Our investigation sought to evaluate the presence of comorbidity factors associated with respiratory long COVID manifestations in children and to study ultrasound abnormalities following SARS-CoV-2 infection. Children, who arrived at the 'Respiratory Diseases of Pediatric Interest Unit' at the Department of Woman, Child, and General and Specialized Surgery of the University of Campania 'Luigi Vanvitelli', were selected during the timeframe from September 2021 to October 2022. The children were diagnosed with a SARS-CoV-2 infection that occurred at least one month before the visit. All patients followed a COVID-19 follow-up protocol, developed by the Italian Society of Pediatric Respiratory Diseases (SIMRI), which included: collection of data regarding SARS-CoV-2 illness and history of known respiratory and allergic diseases; physical examination; BMI assessment; baseline spirometry and after bronchodilation test; six-minute walking test; and lung ultrasound (LUS). In a cohort of 104 participants with respiratory long COVID symptoms (64.7% male, average age 8.92 years), 46.1% had fever with other symptoms, and 1% required hospitalization. BMI analysis showed 58.4% of the cohort was overweight. The LUS was positive in 27.0% of cases. A significant BMI association was observed with COVID-19 symptoms and LUS score (p-value < 0.05). No associations were found with asthma or atopy.
- Subjects
ITALY; LUNG radiography; RESPIRATORY diseases; PHYSICAL diagnosis; OBESITY; COVID-19; ULTRASONIC imaging; FEVER; SCIENTIFIC observation; POST-acute COVID-19 syndrome; LUNG diseases; TIME; PEDIATRICS; RETROSPECTIVE studies; ACQUISITION of data; MEDICAL protocols; HOSPITAL care; MEDICAL records; DESCRIPTIVE statistics; MEDICAL appointments; BODY mass index; SPIROMETRY; ALLERGIES; COMORBIDITY; LONGITUDINAL method; DISEASE complications; SYMPTOMS; CHILDREN
- Publication
Children, 2024, Vol 11, Issue 2, p166
- ISSN
2227-9067
- Publication type
Article
- DOI
10.3390/children11020166