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Article Type

Original Study

Abstract

Objective The aim was to study the epidemiology, clinical profile, and outcomes of children with coronavirus disease-2019 (COVID-19) admitted in our hospital. Methods This prospective study was conducted at the tertiary care dedicated hospital of COVID-19 in North India between April 1, 2021 and June 30, 2021. A total of 36 children less than or equal to 18 years of age who tested positive for SARS-CoV-2 by RT-PCR from nasopharyngeal swab were enrolled. The details pertaining to age, sex, clinical symptoms, severity of the disease, radiography abnormalities, and laboratory investigations were recorded. The outcomes were mortality, discharged patients, and complications. Results The mean age was 8.5 years, with 72.22% males. Majority (47.22%) had a history of household contacts. The mean duration of symptoms after admission was 3.03 ± 5.34 days. The chief clinical symptoms were fever (91.67%), cough (38.89%), and upper respiratory infection (33.33%). Radiographic findings were abnormal in 12 (33.33%) patients. D-dimer was deranged in 17 (89.47%) patients. C-reactive protein was positive in all patients. The mean duration for RT-PCR to become positive was 3 ± 5.53 days from the day of admission. Severity wise, 72.22% had mild infection, 8.33% had moderate, and 19.44% had severe disease. The most common complications seen were pneumonia (19.44%), shock (13.89%), and disseminated intravascular coagulation (5.56%). The mean duration taken to being asymptomatic after symptoms was 5.12 ± 3.5 days. A total of three deaths were reported, and rest of them were discharged. The mean days of discharge were 8.76 ± 8.4 days. Conclusion In COVID-19, respiratory involvement is primary with mild presentation commonly. Children portray good recovery with low mortality.

Keywords

Children, COVID-19, outcomes, severity

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