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Inicio Medicina Clínica (English Edition) Clinical characteristics of children hospitalized for COVID-19
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Vol. 158. Issue 7.
Pages 336-339 (April 2022)
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Vol. 158. Issue 7.
Pages 336-339 (April 2022)
Clinical report
Clinical characteristics of children hospitalized for COVID-19
Características clínicas de los niños hospitalizados por COVID-19
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Rosa María Luz Romeroa,
Corresponding author
rosamaria.luz@salud.madrid.org

Corresponding author.
, Marta Illán Ramosa, Arantxa Berzosa Sáncheza, Belén Joyanes Abancensa, Elvira Baos Muñozb, José Tomás Ramos Amadora
a Servicio de Pediatría, Hospital Clínico San Carlos, Madrid, Spain
b Servicio de Microbiología Clínica, Hospital Clínico San Carlos, Madrid, Spain
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Tables (4)
Table 1. Epidemiological characteristics categorized by diagnostic groups and overall.
Table 2. Patients included in the study categorized by age range and diagnostic group.
Table 3. Clinical, analytical, and radiographic characteristics categorized by diagnostic group and overall.
Table 4. Treatments administered categorized by diagnostic group and overall.
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Abstract
Introduction

Most SARS-CoV2 infections in the pediatric population are asymptomatic or with mild symptoms, with a minimal proportion of severe cases described as SARS-CoV2-associated multi-system inflammatory syndrome (MIS-C).

The objective was to describe the clinical and epidemiological characteristics of pediatric patients admitted with confirmed diagnosis of SARS-CoV2 infection from the beginning of the pandemic until May 2021.

Methods

Retrospective observational study of pediatric patients hospitalized with confirmed COVID-19, in a tertiary hospital. Epidemiological and clinical data, additional tests, treatments administered and evolution were collected.

Results

30 patients were included, classified into 3 groups according to diagnosis: respiratory infection, MIS-C and compatible symptoms. The patients with pneumonia were associated with age older, comorbidities and lymphopenia. MIS-C were more serious patients, with marked laboratory involvement and greater admission to PICU. Most of these were secondary cases of contact in the family environment.

Discussion

The most frequent clinical manifestations of COVID-19 in children are mild-moderate respiratory with good evolution. MIS-C is another form of expression of SARS-COV2 infection of greater severity, but usually with good prognosis after early diagnosis and frequent PICU admission.

Keywords:
COVID-19
Pediatric
Hospitalization
Resumen
Introducción

La mayoría de infecciones por SARS-CoV2 en población pediátrica cursan asintomáticas o con síntomas leves, con porcentaje mínimo de casos graves descritos como síndrome inflamatorio multisistémico asociado al SARS-CoV2 (SIM-PEDs).

El objetivo fue describir las características clínico epidemiológicas de aquellos pacientes pediátricos ingresados, con diagnóstico confirmado de SARS-CoV2 desde el inicio de la pandemia hasta mayo 2021.

Métodos

Estudio retrospectivo observacional de pacientes pediátricos ingresados con diagnóstico de COVID-19, de un hospital terciario. Se recogieron datos demográficos, clínicos, pruebas complementarias, tratamiento administrado y evolución.

Resultados

Se incluyeron 30 pacientes, clasificándose en 3 grupos según diagnóstico: Infección respiratoria, SIM-PEDs y síntomas compatibles. Los pacientes con neumonía asociaban mayor edad, comorbilidades y linfopenia. SIM-PEDs fueron pacientes más graves, con afectación analítica marcada y mayor ingreso en UCIP. La mayoría eran casos secundarios de contacto en el entorno familiar.

Discusión

Los cuadros clínicos de COVID-19 más frecuentes en niños son respiratorios leves-moderados con buena evolución. SIM-PEDs es otra forma de expresión de infección por SARS-COV2 de mayor gravedad, pero habitualmente con buen pronóstico tras diagnóstico precoz y requiriendo frecuentemente ingreso en UCIP.

Palabras clave:
COVID-19
Pediatría
Hospitalización

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