The outcomes of COVID-19 pneumonia in children-clinical, radiographic, and pulmonary function assessment.
SARS-CoV-2
complications
long COVID
lungs ultrasound
pediatric
pulmonary function tests
sequelae
viral pneumonia
Journal
Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
revised:
15
12
2022
received:
29
06
2022
accepted:
20
12
2022
pubmed:
24
12
2022
medline:
21
3
2023
entrez:
23
12
2022
Statut:
ppublish
Résumé
The goal of this study was to assess the pulmonary sequelae of COVID-19 pneumonia in children. Children (0-18 years old) diagnosed with COVID-19 pneumonia hospitalized between March 2020 and March 2021 were included in this observational study. All children underwent follow-up visits 3 months postdischarge, and if any abnormalities were stated, a second visit after the next 3 months was scheduled. Clinical assessment included medical history, physical examination, lung ultrasound (LUS) using a standardized protocol, and pulmonary function tests (PFTs). PFTs results were compared with healthy children. Forty-one patients with COVID-19 pneumonia (severe disease n = 3, mechanical ventilation, n = 0) were included in the study. Persistent symptoms were reported by seven (17.1%) children, the most common was decreased exercise tolerance (57.1%), dyspnea (42.9%), and cough (42.9%). The most prevalent abnormalities in LUS were coalescent B-lines (37%) and small subpleural consolidations (29%). The extent of LUS abnormalities was significantly greater at the first than at the second follow-up visit (p = 0.03). There were no significant differences in PFTs results neither between the study group and healthy children nor between the two follow-up visits in the study group. Our study shows that children might experience long-term sequelae following COVID-19 pneumonia. In the majority of cases, these are mild and resolve over time.
Identifiants
pubmed: 36562653
doi: 10.1002/ppul.26291
pmc: PMC9880754
doi:
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1042-1050Informations de copyright
© 2022 Wiley Periodicals LLC.
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