Evaluation of Children Hospitalized for COVID-19 COVID-19 Nedeniyle Hastaneye Yatırılan Çocukların Değerlendirilmesi


Avcu G., Atikan B. Y., SIĞ A. K.

Cocuk Enfeksiyon Dergisi, cilt.17, sa.2, 2023 (ESCI, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 17 Sayı: 2
  • Basım Tarihi: 2023
  • Doi Numarası: 10.5578/ced.20239806
  • Dergi Adı: Cocuk Enfeksiyon Dergisi
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CAB Abstracts, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
  • Anahtar Kelimeler: children, COVID-19, disease severity, laboratory findings, neutropenia
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: As the COVID-19 pandemic continues, childhood data chang-es daily. This study aimed to determine the epidemiological, clinical, and laboratory features of hospitalized pediatric patients with COVID-19. Material and Methods: We retrospectively collected the medical re-cords of hospitalized pediatric patients aged <18 years, diagnosed with COVID-19 between March 2020 and October 2021. Demographic char-acteristics, clinical features, and laboratory findings were recorded. The management and clinical course of the disease were also examined. Results: A total of 123 pediatric patients were included in the study. Six-ty-eight (55.3%) were males, with a mean age of 95.94 ± 72.20 months. Comorbidity was present in 30 (24%) patients; asthma (n= 9, 7.3%) was the most common underlying condition. Length of hospital stay-in medi-an range was 5.09 days (1-14 days). Thirty-two (26%) patients had severe disease, and five (4.1%) patients had PICU admission. C-reactive protein (CRP) and ferritin values were found to be higher in the severe disease group (p< 0.05), and no relationship was found with lymphopenia and neutrophil/lymphocyte ratio (NLR) in terms of disease severity. Neutro-penia was significant in patients younger than five years of age (p< 0.05). Conclusion: The rate of severe disease in hospitalized pediatric patients was not low. CRP and ferritin were essential in determining the progno-sis. There was a tendency for neutropenia which was benign and tran-sient in under five years old patients.