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Characteristics and Management of Children With COVID-19 in a Tertiary Care Hospital in Turkey

Burcu Ceylan Cura Yayla, Kübra Aykaç, Yasemin Özsürekçi, Mehmet Ceyhan

2020Clinical Pediatrics20 citationsDOI

Abstract

INTRODUCTION: Limited data are available for pediatric patients with coronavirus disease 2019 (COVID-19), especially with regard to disease management strategies. OBJECTIVE: To assess the children with COVID-19. METHOD: We conducted a retrospective review of the medical records of pediatric patients on March 11 and May 23, 2020. RESULTS: We evaluated 77 COVID-19 pediatric patients, of whom 45.5% were male, with a median age of 8 years (interquartile range [IQR] = 2-13), and 6.4% had underlying diseases. Patients were classified according to severity, with the percentages of asymptomatic, mild, moderate, and critical/severe cases determined to be 24.7%, 41.6%, 29.9%, and 3.9%, respectively. Extracorporeal membrane oxygenation and mechanic ventilation were only required for 1 patient. Targeted therapies were used in 3 patients. CONCLUSION: The disease course of COVID-19 appears to be milder in children than in adults, and the treatment course primarily consists of supportive care.

Topics & Concepts

MedicineInterquartile rangeAsymptomaticExtracorporeal membrane oxygenationCoronavirus disease 2019 (COVID-19)Retrospective cohort studyPediatricsMedical recordTertiary careDiseaseSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Severity of illness2019-20 coronavirus outbreakYoung adultEmergency medicineIntensive care medicineInternal medicineInfectious disease (medical specialty)PathologyOutbreakCOVID-19 Clinical Research StudiesSARS-CoV-2 and COVID-19 ResearchCOVID-19 Impact on Reproduction
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