The Outcome of Hospitalized Children with COVID-19 in a Referral Center in Yazd, Iran
Introduction:As there is limited research on COVID-19 in children, and reports have indicated low adverse clinical outcomes and mortality rates, our team conducted this study to investigate the clinical outcomes in hospitalized children with COVID-19. Materials and Methods: This historical cohort st...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mashhad University of Medical Sciences
2023-07-01
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| Series: | Patient Safety and Quality Improvement Journal |
| Subjects: | |
| Online Access: | https://psj.mums.ac.ir/article_23139_08ba34741a246a9e4bc7bde356001473.pdf |
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| Summary: | Introduction:As there is limited research on COVID-19 in children, and reports have indicated low adverse clinical outcomes and mortality rates, our team conducted this study to investigate the clinical outcomes in hospitalized children with COVID-19. Materials and Methods: This historical cohort study included children aged 1 month to 18 years with COVID-19. They were admitted to a referral hospital in Yazd, Iran, over a year from February 2020. Demographic information such as age and sex, the length of hospitalization, and the reverse transcription-polymerase chain reaction (PCR) test results were recorded. We also evaluated Patients' outcomes, including admission to the pediatric intensive care unit (PICU), need for mechanical ventilation, and mortality. Results: Our study included 94 patients, of which 52.1% were female and 29.8% were under one year old. Children aged 1-59 months accounted for more than half of the sample (53.2%). The most common symptoms reported were fever (85.1%), respiratory problems (47.9%), and gastrointestinal symptoms (46.8%). The mean duration of hospital stay was 6.4±5.7 days. About 38.3% of cases required admission to the PICU, and 11.7% needed mechanical ventilation. 75% of deaths occurred in children with confirmed COVID-19 who had an underlying disease. Moreover, respiratory distress at the time of referral was significantly associated with admission to the intensive care unit (P=0.008), requiring mechanical ventilation (P=0.003), and mortality (P=0.02). Conclusion:Our findings suggest that children under one year old, patients with underlying diseases, and those experiencing respiratory distress at the time of referral are high-risk groups and require special attention in care and treatment. |
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| ISSN: | 2345-4482 2345-4490 |