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Objectives: Coronavirus disease 2019 (COVID-19) have different clinical presentations in children. Most symptomatic children with suspicion of COVID-19 have fever and respiratory symptoms. In this retrospective study, we aimed to describe demographic features, clinical characteristics, and outcomes of confirmed and probable COVID-19 patients admitted to our pediatric emergency department (ED). Methods: We identified 135 children (aged 1 month-18 years) with suspicion of the COVID-19 who were admitted to our ED between March 11 and May 12, 2020. The urgency of patients was evaluated according to their Pediatric Assessment Triangle (PAT) and Emergency Severity Index (ESI) scores. Patients were divided into two groups as confirmed cases (Group 1) and probable cases (Group 2). Clinical, laboratory, radiologic features, and the disease severity of patients were analyzed. Results: According to PAT evaluation, 82 patients (65.6%) were non-urgent. The most frequent ESI triage category level was 3 (n=102, 76.1%). Forty-one (30.4%) patients were identified as laboratory-confirmed cases. Fifty-five (40.7%) patients were between 28 days and 4 years of age. Fever with cough was the most frequent symptoms at the onset of illness in COVID-19 positive patients (n=16, 39%). Sixty-four (47.4%) patients had mild disease and 40 (29.6%) patients had comorbidities. In Group 1, neutropenia was significantly higher than Group 2 (p=0.024). Mean procalcitonin and erythrocyte sedimentation rate levels of Group 2 were significantly higher than Group 1 (p=0.012 and p=0.028, respectively). Twenty-eight of 51 patients had chest computed tomography findings which were compatible with COVID-19. Fifty-one (37.8%) patients were discharged from ED, 81 (60%) were admitted to the ward, and 3 (2.2%) were admitted to the pediatric intensive care unit. Conclusion: During our study, we confirmed the diagnosis of 45 of 135 probable cases with the SARS-CoV-2 polymerase chain reaction test. Among confirmed COVID-19 cases, most of our patients had mild or moderate disease. The clinic of only confirmed three patients was classified as severe disease, and we had no critically ill patient.
Target: Coronavirus disease 2019 (COVID-19) may occur in children with different clinical tables. Most of the symptomatic children who suspect COVID-19 are complaints about the fever and respiratory system. In this retrospective study, we aimed at identifying the demographic characteristics, clinical characteristics and results of the verified and potential COVID-19 patients who apply to our child emergency service. Method: We assessed 135 children (1 month-18 years old) who applied for suspicious COVID-19 from 11 March to 12 May 2020. The patient’s emergency rates were assessed according to the Pediatric Assessment Triangle (PDU) and the Emergency Severity Index (ESI). Patients were divided into confirmed cases (Group 1) and possible cases (Group 2). The clinical, laboratory, radiological characteristics of patients and the severity of the disease were compared. Results: According to the PDU assessment, 82 patients (65.6%) were not emergency. The most common ESI trial category was level 3 (n=102, 76.1%). Thirty one (30.4 percent) of patients were identified as laboratory-confirmed cases. Fifty-five (40.7) patients were between 28 days and 4 years of age. The most common complaint at the start of the disease in COVID-19 positive patients was coughing with fever (n = 16, 39%). Sixteen-four (47.4%) patients had mild illness and 40 (29.6%) patients had additional illness. In Group 1, the neutropene was significantly higher than in Group 2 (p=0,024). The average procalcitonin and erythrosite sedimentation levels in Group 2 were significantly higher than in Group 1 (respectively p=0,012, p=0,028). The thorax computer tomography of 28 of a fifty patients was compatible with COVID-19. 51 of the patients (37.8 percent) were expelled from emergency service, 81 (60 percent) were placed in service and three (2.2 percent) were placed in children’s intensive care units. Result: During our study, we confirmed the diagnosis of 45 of the possible 135 cases with the SARS-CoV-2 polymerase chain reaction test. Among the verified COVID-19 cases, most of our patients had a mild or medium-degree disease. Of the verified cases, the clinic of only three patients was seriously classified and we had no critical patients. (SETB 2020-12-237)
Field : Sağlık Bilimleri
Journal Type : Ulusal
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