Children,
Год журнала:
2024,
Номер
12(1), С. 28 - 28
Опубликована: Дек. 27, 2024
Background:
Few
studies
have
evaluated
long-COVID
in
adolescents.
Methods:
Cohort
study.
Demographics,
clinical
data,
and
the
presence
of
30
symptoms
were
collected
with
a
modified
WHO
form.
Mean
values
compared
by
Student’s
t
test
proportions
chi-square
or
Fisher
test,
trends
over
time
analysed
using
for
trend.
Potential
risk
factors
independently
associated
persisting
multivariable
logistic
regression
model.
Clustering
cases
was
two-step
automatic
clustering.
Results:
A
total
97
adolescents
aged
12–17
(54.6%
females,
45.4%
males)
evaluated.
After
mean
interval
96
days
(SD
52)
from
acute
infection,
number
(2.8
overall)
higher
pre-Omicron
(3.2
vs.
2.5
Omicron,
p
=
0.046)
moderate/severe
infections
(4.2
2.7
mild,
0.023).
Fatigue
(62.9%)
dyspnea
(43.3%)
most
common
symptoms,
followed
headache
(28.9%),
thoracic
pain
(22.7%),
diarrhea
(20.6%),
palpitations/tachycardia
(17.5%),
articular
(15.5%),
difficult
concentration
(14.4%),
muscle
(12.4%),
taste
reduction
(8.2%),
smell
fever
(6.2%),
skin
disorders
(5.2%).
The
symptom
profile
similar
males
females
but
showed
significant
differences
that
observed
concurrently
adults.
340
45.3%
still
presented
persistence
initial
symptoms.
Two
clusters
defined
differed
phase
infection
Conclusions:
Long-COVID
manifestations
may
differ
those
Polisymptomaticity
predict
long-term
persistence.
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Март 12, 2024
ABSTRACT
Objectives
To
explore
experiences
of
physiotherapists
working
with
adults
living
Long
COVID
in
Canada.
Design
Cross-sectional
descriptive
qualitative
study
involving
online
semi-structured
interviews.
Participants
We
recruited
Canada
who
self-identified
as
having
clinically
treated
one
or
more
the
past
year.
Data
collection
Using
an
interview
guide,
we
inquired
about
physiotherapists’
knowledge
COVID,
assessment
and
treatment
experiences,
perspectives
on
roles,
contextual
implementation
factors
influencing
rehabilitative
outcomes,
their
recommendations
for
rehabilitation.
Interviews
were
audio-recorded,
transcribed
verbatim,
analyzed
using
a
group-based
thematic
analytical
approach.
administered
demographic
questionnaire
to
describe
sample
characteristics.
Results
Thirteen
from
five
provinces
participated;
most
women
(n=8;62%)
practised
urban
settings
(n=11;85%).
reported
variable
amounts
existing
guidelines
Physiotherapists
characterized
dynamic
process
involving:
1)
disruption
profession
(encountering
new
patient
population
pivoting
models
care
delivery),
followed
by
2)
cyclical
learning
curves
evolving
roles
persons
(navigating
uncertainty,
keeping
up
rapidly-emerging
evidence,
trial
error,
adapting
mindset
approaches,
growing
prominence
advocate
collaborator).
recommended
need
education
training,
active
open-minded
listening
patients,
interdisciplinary
care,
organizational-
system-level
improvements
foster
access
care.
Conclusions
Physiotherapists’
involved
Not
all
participants
demonstrated
in-depth
understanding
rehabilitation
guidelines.
may
help
inform
physiotherapy
STRENGTHS
AND
LIMITATIONS
OF
THIS
STUDY
our
knowledge,
this
is
first
studies
patients
Our
approach,
interviews,
enabled
exploration
into
Canadian
perceived
treatment,
acquisition,
facilitators
barriers
delivery
services.
team-based
approach
partnership
part
provided
valuable
collaboration,
guidance,
advice
refining
guide
fostering
student
researcher
skills
increase
quality
study.
The
diversity
participants’
characteristics
different
practice
across
variability
number
individuals
strengths
However,
Canada,
transferability
other
geographical
contexts
including
rural
countries
be
limited,
especially
those
larger
differences
healthcare
systems.
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Май 15, 2024
ABSTRACT
Objectives
We
aimed
to
assess
the
risk
of
autoimmune-
and
inflammatory
post-acute
COVID-19
conditions.
Design
Descriptive
network
cohort
study.
Setting
Electronic
health
records
from
UK
Dutch
primary
care,
Norwegian
linked
registry,
hospital
specialist
centres
in
Spain,
France,
Korea,
healthcare
claims
Estonia
US.
Participants
followed
individuals
between
September
2020
latest
available
data
day
they
fulfilled
at
least
365
days
prior
observation
(general
population),
additionally
91
after
a
SARS-Cov-2
negative
test
(comparator)
or
record
(exposed
patients).
Main
outcome
measures
assessed
postural
orthostatic
tachycardia
syndrome
(POTS)
diagnoses/symptoms,
myalgic
encephalomyelitis
/
chronic
fatigues
(ME/CFS)
multi-inflammatory
(MIS),
several
autoimmune
diseases.
For
contextualisation,
we
any
diabetes
mellitus
(DM).
Meta-analysed
crude
incidence
rate
ratios
(IRR)
outcomes
versus
testing
yield
absolute
risks.
Furthermore,
rates
(IR)
general
population
describe
total
disease
burden.
Results
included
34’549’575
whom
2’521’812
had
COVID-19,
4’233’145
first
test.
After
compared
patients,
observed
IRRs
1.24
(1.23-1.25),
1.22
(1.21-1.23),
1.12
(1.04-1.21)
for
POTS
symptoms,
ME/CFS
symptoms
diagnoses,
respectively.
In
contrast,
diseases
DM
did
not
higher
COVID-19.
individual
database
populations,
IRs
diagnoses
were
17-1’477/100’000
person-years
(pys)
2-473/100’000
pys,
MIS
lowest
with
0.4-16/100’000
those
as
benchmark
8-86/100’000
pys.
largely
depended
on
care
setting.
Conclusion
our
unmatched
comparison,
that,
following
yielded
than
testing.
terms,
have
similar
burden
DM.
WHAT
IS
ALREADY
KNOWN
ON
THIS
TOPIC
Observational
research
suggested
positive
associations
so
called
conditions,
whose
spectrum
is
yet
be
established
Basic
pathways
that
link
such
(POTS),
(ME/CFS),
multiple
STUDY
ADDS
symptoms/diagnoses
was
testing,
increased
working
age
group
children
elderly
Disease
burdens
among
women
men
overall
Frontiers in Public Health,
Год журнала:
2024,
Номер
12
Опубликована: Май 21, 2024
Objective
To
evaluate
the
long-term
gastrointestinal
(GI)
symptoms
and
sleep
quality
sequelae
in
adolescents
with
COVID-19.
Methods
Between
June
July
2023,
an
online
survey
was
done
Xiaoshan
District,
Hangzhou
City,
Zhejiang
Province,
China,
using
GI
Symptom
Rating
Scale
(GSRS)
Pittsburgh
Sleep
Quality
Inventory
(PSQI).
Results
COVID-19
patients
increased
by
11.86%
compared
to
before
infection,
while
decreased
10.9%.
Over
time,
there
a
significant
increase
cumulative
incidence
rate
of
disorders
(
p
<
0.001).
Follow-up
positive
within
6
months
infection
showed
that
began
ease
starting
from
first
month
after
infection.
Further
analysis
indicated
linear
relationship
between
severity
(R
>
0.5,
Moreover,
females,
older
age,
higher
education
were
identified
as
risk
factors
influencing
effects
Conclusion
SARS-CoV-2
affects
during
both
acute
phase
post-infection
periods.
these
gradually
alleviate.
A
correlation
exists
quality.
Frontiers in Pediatrics,
Год журнала:
2024,
Номер
12
Опубликована: Авг. 7, 2024
COVID-19
constitutes
a
pandemic
of
significant
detriment
to
human
health.
This
study
aimed
investigate
the
prevalence
Long
COVID
following
SARS-CoV-2
infection,
analyze
potential
predictors
chest
CT
for
development
in
children.
Authorea (Authorea),
Год журнала:
2024,
Номер
unknown
Опубликована: Авг. 25, 2024
Objectives:
This
study
aimed
to
assess
the
effect
of
water-
and
land-based
exercise
on
lung
function
in
children
with
post
COVID-19
condition.
Methods:
was
a
randomized
controlled
trial.
Children
condition
aged
10-12
years
were
randomly
assigned
water-based
(AQUA),
(LAND),
or
control
group
no
(CONTROL).
The
outcomes
changes
(Lungtest
Handy)
from
baseline
immediately
after
8-week
intervention.
Parameters
measured
included
forced
expiratory
volume
1
s
(FEV
1),
vital
capacity
(FVC),
(VC).
Results:
After
intervention,
there
significant
difference
(p<0.01)
between
AQUA
LAND
groups
compared
CONTROL
for
FEV
values
(F
(2,64)
=
6.80;
P
0.91;
p<0.01,
η2
0.18),
differences
(p<0.05)
(F(2,64)
6.96;
0.18).
Repetitions-Groups
interactions
1/%FVC
0.71,
0.162,
p>0.05,η2
0.030)
showed
that
occurred
varied
reason
this
an
upward
trend
downward
CONTROL.
Conclusion:
found
supervised
twice
weekly
training
program
water
land
improved
CHILD`S HEALTH,
Год журнала:
2024,
Номер
19(5), С. 316 - 322
Опубликована: Сен. 24, 2024
Background.
An
urgent
and
problematic
issue
in
medicine
today,
addition
to
the
acute
manifestation
of
severe
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
infection,
are
consequences
disease
2019
(COVID-19),
so-called
post-COVID
(PCS).
Currently,
leading
medical
research
institutions
around
world
studying
causes,
frequency
symptoms
PCS
both
adults
children.
Aim:
review
literature
on
incidence
manifestations
children
order
draw
attention
professionals
problem
its
from
various
body
systems.
Materials
methods.
The
search
was
conducted
PubMed
Google
Scholar
databases
using
following
keywords:
“SARS-CoV-2
or
COVID-19”
“post-COVID”,
“long
COVID”,
“diabetes
mellitus”
“in
children”.
Ukrainian
database
authors
article
reviewed
titles
abstracts
found
articles
select
relevant
publications.
Results.
provides
data
children:
definition
children,
incidence,
possible
pathogenesis
risk
factors
for
development
PCS.
Signs
somatic,
psychological
endocrinological
also
given.
greatest
is
paid
onset
type
1
diabetes
mellitus
(T1DM)
after
suffering
COVID-19.
It
noted
that
T1DM
pediatric
population
period
has
almost
doubled,
0.043
versus
0.025
%.
Global
rate
new
cases
2020
grew
32.39
per
100,000
compared
19.73
2019.
Probable
causes
COVID-19
direct
cytolysis
pancreatic
β-cells
affected
by
virus,
autoimmune
reaction.
A
clinical
case
a
young
child
as
provided.
Conclusions.
1.
with
quite
common.
2.
can
develop
not
only
COVID-19,
but
asymptomatic
course.
3.
Along
most
frequent
somatic
COVID-19
endocrinopathy
may
occur,
such
mellitus.
The Pediatric Infectious Disease Journal,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 23, 2024
Background:
Pediatric
post-COVID
syndrome
(pPCS)
affects
a
notable
number
of
children.
This
study
aims
to
describe
its
clinical
manifestations,
biopsychosocial
impact
and
management
strategies.
Methods:
A
prospective,
single-center
was
conducted
analyze
data
pPCS
patients
presenting
our
institution
between
May
2021
November
2022.
Functional
evaluated
by
assessing
school
absenteeism
using
the
Adolescent
Depression
Rating
Scale
(ADRS),
Quality
Life
Inventory
(PedsQL)
Fatigue
Severity
Scale.
Results:
Among
50
included
[median
age
(interquartile
range):
14.0
(12.9–15.8)
years;
females:
70%],
most
common
symptoms
were
extreme
fatigue
(84%),
exertion
intolerance
(82%),
orthostatism
(66%),
dyspnea
(66%)
headache
(66%);
25%
had
an
abnormal
Schellong
test.
Median
range)
ADRS,
PedsQL
scores
3.0
(1.0–5.0),
56%
(49%–71%)
45.0
(32.0–53.0),
respectively.
Sixty
percent
experienced
partial
(34%)
or
complete
(26%)
absenteeism.
The
referrals
specialized
consultations
child
psychiatry
(48%),
pulmonology
(46%),
physiotherapy
(36%)
ear-nose-throat
specialist
(24%).
Eighty
typical
form
pPCS,
whereas
20%
presentation
suggestive
functional
disorder
triggered
COVID-19.
latter
more
frequent
thoracic
pain
(
P
=
0.012)
pediatric
neurology
0.01),
gastroenterology
0.011),
ophthalmology
0.037)
0.035),
but
less
0.014).
School
social
withdrawal
also
in
this
group,
with
severe
ADRS
scores.
Conclusion:
is
associated
significant
socio-educational
burden
that
should
be
taken
into
account
medical,
educational
care.
Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 1, 2024
Against
the
background
of
inadequate
healthcare
provision
for
children
and
adolescents
with
post-COVID-19
syndrome
(PCS),
a
model
project
was
initiated
in
Bavaria
(PoCoKiBa:
Post-COVID
Kids
Bavaria),
offering
specialized
diagnostics
care.
The
aim
this
study
to
explore
describe
experiences
satisfaction
PCS,
as
well
their
parents,
provided
project.
IntechOpen eBooks,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 25, 2024
During
the
pandemic
and
in
subsequent
years,
we
observed
that
COVID-19
caused
by
SARS-CoV-2
virus
affected
paediatric
population
different
ways.
In
certain
groups
of
children
adolescents,
social
isolation,
changes
family
dynamics,
increased
exposure
to
technological
screens
diet,
among
others,
have
their
development,
education,
emotional,
physical
aspects,
including
access
immunizations,
medical
surveillance
control.
is
considered
a
generally
benign
pathology
children;
however,
some
patients
develop
well-defined
post-COVID-19
entities:
multisystem
inflammatory
syndrome
(MIS-C)
long
COVID.
this
chapter,
review,
relation
population,
effects
confinement
during
its
development
consequences,
forms
clinical
presentation
entities
MIS-C
COVID,
prevalence,
pathophysiology,
presentation,
evolution,
detection
management
recommendations.
Children,
Год журнала:
2024,
Номер
12(1), С. 28 - 28
Опубликована: Дек. 27, 2024
Background:
Few
studies
have
evaluated
long-COVID
in
adolescents.
Methods:
Cohort
study.
Demographics,
clinical
data,
and
the
presence
of
30
symptoms
were
collected
with
a
modified
WHO
form.
Mean
values
compared
by
Student’s
t
test
proportions
chi-square
or
Fisher
test,
trends
over
time
analysed
using
for
trend.
Potential
risk
factors
independently
associated
persisting
multivariable
logistic
regression
model.
Clustering
cases
was
two-step
automatic
clustering.
Results:
A
total
97
adolescents
aged
12–17
(54.6%
females,
45.4%
males)
evaluated.
After
mean
interval
96
days
(SD
52)
from
acute
infection,
number
(2.8
overall)
higher
pre-Omicron
(3.2
vs.
2.5
Omicron,
p
=
0.046)
moderate/severe
infections
(4.2
2.7
mild,
0.023).
Fatigue
(62.9%)
dyspnea
(43.3%)
most
common
symptoms,
followed
headache
(28.9%),
thoracic
pain
(22.7%),
diarrhea
(20.6%),
palpitations/tachycardia
(17.5%),
articular
(15.5%),
difficult
concentration
(14.4%),
muscle
(12.4%),
taste
reduction
(8.2%),
smell
fever
(6.2%),
skin
disorders
(5.2%).
The
symptom
profile
similar
males
females
but
showed
significant
differences
that
observed
concurrently
adults.
340
45.3%
still
presented
persistence
initial
symptoms.
Two
clusters
defined
differed
phase
infection
Conclusions:
Long-COVID
manifestations
may
differ
those
Polisymptomaticity
predict
long-term
persistence.
