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Acta Paediatr . The respiratory consequences of COVID-19 lasted for a median of 4 months in a cohort of children aged 2-18 years of age

tetano

Editor, Senior Moderator
Acta Paediatr


. 2022 Feb 17.
doi: 10.1111/apa.16297. Online ahead of print.
The respiratory consequences of COVID-19 lasted for a median of 4 months in a cohort of children aged 2-18 years of age


Karolína Doležalová[SUP] 1 [/SUP], Jana Tuková[SUP] 2 [/SUP], Petr Pohunek[SUP] 3 [/SUP]



Affiliations

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.

Keywords: COVID-19; chronic cough; coronavirus; dyspnoea; post-COVID syndrome.
 
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