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- Title
SARS-CoV-2 infection in technology-dependent children: a multicenter case series.
- Authors
Robinson, Joan; Dewan, Tammie; Morris, Shaun K.; Bitnun, Ari; Gill, Peter; Tal, Tala El; Laxer, Ronald M.; Yeh, E. Ann; Yea, Carmen; Ulloa-Gutierrez, Rolando; Brenes-Chacon, Helena; Yock-Corrales, Adriana; Ivankovich-Escoto, Gabriela; Soriano-Fallas, Alejandra; Mezerville, Marcela Hernandez-de; Papenburg, Jesse; Lefebvre, Marie-Astrid; Nateghian, Alireza; Aski, Behzad Haghighi; Manafi, Ali
- Abstract
Purpose: The objective of this study was to describe the clinical course and outcomes in children with technology dependence (TD) hospitalized with SARS-CoV-2 infection. Methods: Seventeen pediatric hospitals (15 Canadian and one each in Iran and Costa Rica) included children up to 17 years of age admitted February 1, 2020, through May 31, 2021, with detection of SARS-CoV-2. For those with TD, data were collected on demographics, clinical course and outcome. Results: Of 691 children entered in the database, 42 (6%) had TD of which 22 had feeding tube dependence only, 9 were on supplemental oxygen only, 3 had feeding tube dependence and were on supplemental oxygen, 2 had a tracheostomy but were not ventilated, 4 were on non-invasive ventilation, and 2 were on mechanical ventilation prior to admission. Three of 42 had incidental SARS-CoV-2 infection. Two with end-stage underlying conditions were transitioned to comfort care and died. Sixteen (43%) of the remaining 37 cases required increased respiratory support from baseline due to COVID-19 while 21 (57%) did not. All survivors were discharged home. Conclusion: Children with TD appear to have an increased risk of COVID-19 hospitalization. However, in the absence of end-stage chronic conditions, all survived to discharge.
- Subjects
COSTA Rica; CANADA; IRAN; TRACHEOTOMY; COVID-19; CHILDREN'S hospitals; TRANSITIONAL care; HOSPITAL care of teenagers; SEVERITY of illness index; RISK assessment; ARTIFICIAL respiration; TREATMENT effectiveness; HOSPITAL care; CASE studies; OXYGEN therapy; DESCRIPTIVE statistics; ENTERAL feeding; COMPULSIVE behavior; HOSPITAL care of children; PALLIATIVE treatment; DISCHARGE planning
- Publication
Infection, 2023, Vol 51, Issue 3, p737
- ISSN
0300-8126
- Publication type
Article
- DOI
10.1007/s15010-022-01910-y