COVID-19 Infection in Pediatric Patients: An Epidemiological Study in Iran

IF 0.3 Q4 PEDIATRICS Journal of Pediatrics Review Pub Date : 2022-01-01 DOI:10.32598/jpr.10.specialissue.919.2
M. Naseri, G. Khademi, Majid Khadem Rezaeian, Shahabaldin Sorouri, M. Sezavar
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Abstract

Background: COVID-19 is a highly infectious and contagious disease. Since the outbreak of COVID-19, most studies on children have focused on the incidence and prognosis of the disease, and few studies have investigated the epidemiological characteristics of the disease. Objectives: This study aimed to investigate some epidemiological aspects of the disease in children with COVID-19. Methods: We examined children with COVID-19 (under 18 years) hospitalized in the North East of Iran from the beginning of the outbreak until the end of September 2020. Study information was collected from patients’ medical records and interviews with their parents. We recorded demographic data; history of diseases and taking medicine in children; educational, occupational, and smoking status of parents; patients’ residence conditions; and any report of COVID-19 in patients’ families and relatives. Results: Of 107 children studied, 57% were male, and 52.3% had no underlying disease. The mean age of patients was 67 months. The Mean±SD weight of the children was 20.36±13.75 kg, and their Mean±SD length of hospital stay was 9±8 days. Multisystem inflammatory syndrome in children (MIS-C) was observed in 34.6% of patients, and its relationship with death was highly significant (P=0.001). The length of hospital stay was influenced by the history of medication consumption (P=0.013) and underlying disease (P=0.001), and its increase was associated with an increased risk of MIS-C (P=0.032) and death (P=0.047). Conclusions: Male sex, length of hospital stay, and MIS-C were identified as risk factors associated with worsening the outcome of COVID-19 disease in children.
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伊朗儿童COVID-19感染的流行病学研究
背景:COVID-19是一种高度传染性疾病。自2019冠状病毒病暴发以来,大多数关于儿童的研究都集中在疾病的发病率和预后方面,很少有研究调查疾病的流行病学特征。目的:探讨新冠肺炎患儿的流行病学特征。方法:我们调查了从疫情开始到2020年9月底在伊朗东北部住院的COVID-19儿童(18岁以下)。研究信息是从患者的医疗记录和对其父母的访谈中收集的。我们记录了人口统计数据;儿童病史及用药情况;父母的教育、职业、吸烟状况;患者居住条件;以及患者家属和亲属中出现COVID-19的任何报告。结果:107名儿童中,57%为男性,52.3%无基础疾病。患者平均年龄为67个月。患儿体重平均±SD为20.36±13.75 kg,住院时间平均±SD为9±8天。34.6%的患者出现儿童多系统炎症综合征(MIS-C),其与死亡的关系非常显著(P=0.001)。住院时间受用药史(P=0.013)和基础疾病(P=0.001)的影响,住院时间的增加与MIS-C (P=0.032)和死亡(P=0.047)的风险增加相关。结论:男性、住院时间和MIS-C被确定为与儿童COVID-19疾病结局恶化相关的危险因素。
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发文量
20
审稿时长
8 weeks
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