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Narrative review on Long Covid in boys

February 14, 2022. Life (Basel). Long COVID in Children and Adolescents.

Although acute SARS-CoV-2 infection in children is often asymptomatic or paucisymptomatic and life-threatening complications are rare, there are two long-term consequences of SARS-CoV-2 infection in children of concern: multisystem inflammatory syndrome in children (MIS-C) and Long COVID. This narrative review explored the latest literature regarding long COVID-19 in the pediatric population.What Are Children and Youth at Risk of Hospitalization for Serious Illness or Death: A Review and Meta-analysis

  • 10 February 2022. EClinicalMedicine. Which children and young people are at higher risk of severe disease and death after hospitalization with SARS-CoV-2 infection in children and young people: A systematic review and individual patient meta-analysis
  • The aim of the study was to analyze pre-existing factors associated with serious illness, ICU admission, and death from SARS-CoV-2 infection in hospitalized children and young people, as part of a systematic review and meta-analysis of individual patients.

Children and adolescents at risk of hospitalization for severe illness or death from SARS-CoV-2 infection were those with cardiac or neurological conditions, or 2 or more comorbid conditions, and the obese. These groups should be prioritized for vaccination when appropriate, the researchers point out. Although the odds ratios were high, the absolute increase in risk for most comorbidities was small compared to healthy children.

Long COVID in Danish adolescents: a cross-sectional national study

February 7. Lancet Child Adolesc Health. Long COVID symptoms in SARS-CoV-2-positive adolescents and matched controls (LongCOVIDKidsDK): a national, cross-sectional studyLongCOVIDKidsDK is a national cross-sectional study conducted in Denmark, which included SARS-CoV-2 positive adolescents and matched controls.

  1. All Danish adolescents aged 15-18 with a positive SARS-CoV-2 test in the period January 1, 2020 to July 12, 2021 and a matched (1: 4) age and gender control group were sent a survey.
  2. Symptoms associated with COVID-19, school attendance and health-related quality of life were studied using validated questionnaires (Pediatric Quality of Life Inventory [PedsQL] and Children’s Somatic Symptoms Inventory-24 [CSSI-24]).

Long COVID in Danish adolescents: a cross-sectional national study24,315 adolescents with a positive SARS-CoV-2 test (case group) and 97,257 matched controls were invited to participate. 3013 matched controls were excluded due to suspected SARS-CoV-2 infection. 6,630 (27.3%) responded for the case group and 21,640 (22.3%) responded and were eligible to participate in the control group. In both groups, the median age was 17.6 years (IQR 16.4-18.5), 16,277 (57.6%) of 28,270 respondents were female and 11,993 (42.4%) were male.

Participants with positive SARS-CoV-2 tests had longer-lasting symptoms and sick leave, while participants in the control group had shorter-lasting symptoms and a worse quality of life. Learning about long COVID in adolescents is important to guide the clinical recognition and management of this condition.

February 7, 2022. Long Covid in children: the recommendations of the SIP and other scientific societies

Visit all children and adolescents with a suspected or proven diagnosis of Covid after 4 weeks of the acute phase of the infection to check for possible symptoms of long Covid. And schedule, in any case, even in the absence of these symptoms, a further check after 3 months from the diagnosis of SARS-CoV-2 infection to confirm that everything is normal or to address the emerging problems.

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