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Otolaryngology manifestations of COVID-19 in pediatric patients

BACKGROUND: The coronavirus disease 2019 pandemic has affected millions of people since its outbreak in December 2019. Limited data exist on otolaryngology manifestations of COVID-19 in pediatrics. This study aims to discuss the clinical features of COVID-19 in pediatrics, with an emphasis on otolar...

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Autores principales: Hijazi, Leen O., Alaraifi, Abdulaziz K., Alsaab, Fahad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8011029/
https://www.ncbi.nlm.nih.gov/pubmed/33845420
http://dx.doi.org/10.1016/j.ijporl.2021.110701
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author Hijazi, Leen O.
Alaraifi, Abdulaziz K.
Alsaab, Fahad
author_facet Hijazi, Leen O.
Alaraifi, Abdulaziz K.
Alsaab, Fahad
author_sort Hijazi, Leen O.
collection PubMed
description BACKGROUND: The coronavirus disease 2019 pandemic has affected millions of people since its outbreak in December 2019. Limited data exist on otolaryngology manifestations of COVID-19 in pediatrics. This study aims to discuss the clinical features of COVID-19 in pediatrics, with an emphasis on otolaryngology manifestations. METHODS: The study included 660 COVID-19 laboratory-confirmed positive pediatric patients (aged 3–15 years) diagnosed at King Abdullah Specialist Children Hospital, Riyadh, Saudi Arabia. Data were retrospectively retrieved from January to July 2020 from electronic medical records and included patients' epidemiological and clinical features. Patients were then followed-up via phone calls to document any symptoms encountered after the first visit. Patients were categorized into three main groups according to age (3–6 years, 7–10 years, 11–15 years). RESULTS: Nearly half of the patients (43.6%) had asymptomatic infections. Fever and cough were the most commonly reported manifestations accounting for 39.2% and 19.8%, respectively. The most frequently reported otolaryngology symptoms were sore throat (17.3%) and rhinorrhea (14.4%). Moreover, 10.4% and 13.1% of children aged 7–15 years old experienced smell and taste disturbances, respectively. Older children (11–15 years) were more likely to report taste disturbances when compared to the younger children (17.2% vs 9.8%, p-value 0.02). Children aged between 3 and 6 years had significantly higher rates of admission (13.7%) and mortality (0.9%) when compared to the older groups (p-value 0.00). CONCLUSION: COVID-19 in pediatrics has a milder disease course and a better prognosis than adults. Multiple otolaryngology symptoms were reported in pediatric patients with COVID-19, which can help identify the suspected cases before the test result.
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spelling pubmed-80110292021-03-31 Otolaryngology manifestations of COVID-19 in pediatric patients Hijazi, Leen O. Alaraifi, Abdulaziz K. Alsaab, Fahad Int J Pediatr Otorhinolaryngol Article BACKGROUND: The coronavirus disease 2019 pandemic has affected millions of people since its outbreak in December 2019. Limited data exist on otolaryngology manifestations of COVID-19 in pediatrics. This study aims to discuss the clinical features of COVID-19 in pediatrics, with an emphasis on otolaryngology manifestations. METHODS: The study included 660 COVID-19 laboratory-confirmed positive pediatric patients (aged 3–15 years) diagnosed at King Abdullah Specialist Children Hospital, Riyadh, Saudi Arabia. Data were retrospectively retrieved from January to July 2020 from electronic medical records and included patients' epidemiological and clinical features. Patients were then followed-up via phone calls to document any symptoms encountered after the first visit. Patients were categorized into three main groups according to age (3–6 years, 7–10 years, 11–15 years). RESULTS: Nearly half of the patients (43.6%) had asymptomatic infections. Fever and cough were the most commonly reported manifestations accounting for 39.2% and 19.8%, respectively. The most frequently reported otolaryngology symptoms were sore throat (17.3%) and rhinorrhea (14.4%). Moreover, 10.4% and 13.1% of children aged 7–15 years old experienced smell and taste disturbances, respectively. Older children (11–15 years) were more likely to report taste disturbances when compared to the younger children (17.2% vs 9.8%, p-value 0.02). Children aged between 3 and 6 years had significantly higher rates of admission (13.7%) and mortality (0.9%) when compared to the older groups (p-value 0.00). CONCLUSION: COVID-19 in pediatrics has a milder disease course and a better prognosis than adults. Multiple otolaryngology symptoms were reported in pediatric patients with COVID-19, which can help identify the suspected cases before the test result. Elsevier B.V. 2021-05 2021-03-31 /pmc/articles/PMC8011029/ /pubmed/33845420 http://dx.doi.org/10.1016/j.ijporl.2021.110701 Text en © 2021 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Hijazi, Leen O.
Alaraifi, Abdulaziz K.
Alsaab, Fahad
Otolaryngology manifestations of COVID-19 in pediatric patients
title Otolaryngology manifestations of COVID-19 in pediatric patients
title_full Otolaryngology manifestations of COVID-19 in pediatric patients
title_fullStr Otolaryngology manifestations of COVID-19 in pediatric patients
title_full_unstemmed Otolaryngology manifestations of COVID-19 in pediatric patients
title_short Otolaryngology manifestations of COVID-19 in pediatric patients
title_sort otolaryngology manifestations of covid-19 in pediatric patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8011029/
https://www.ncbi.nlm.nih.gov/pubmed/33845420
http://dx.doi.org/10.1016/j.ijporl.2021.110701
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