Post–COVID-19 Condition in Children

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Abstract

This cohort study assesses the parent-reported incidence and resolution of post–COVID-19 symptoms among children aged 8 to 13 years.

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Long-term Symptoms After SARS-CoV-2 Infection in Children and Adolescents

Thomas Radtke, Agne Ulyte, Milo A. Puhan … (2021)

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Long COVID (post-COVID-19 condition) in children: a modified Delphi process

Terence Stephenson, Benjamin S. R. Allin, Manjula D Nugawela … (2022)

Objective The aim of this study was to derive a research definition for ‘Long COVID (post-COVID-19 condition)’ in children and young people (CYP) to allow comparisons between research studies. Design A three-phase online Delphi process was used, followed by a consensus meeting. Participants were presented with 49 statements in each phase and scored them from 1 to 9 based on how important they were for inclusion in the research definition of Long COVID in CYP. The consensus meeting was held to achieve representation across the stakeholder groups. Statements agreed at the consensus meeting were reviewed by participants in the Patient and Public Involvement (PPI) Research Advisory Group. Setting The study was conducted remotely using online surveys and a virtual consensus meeting. Participants 120 people with relevant expertise were divided into three panels according to their area of expertise: Service Delivery, Research (or combination of research and service delivery) and Lived Experience. The PPI Research Advisory group consisted of CYP aged 11–17 years. Main outcome measures Consensus was defined using existing guidelines. If consensus was achieved in two or more panels or was on the border between one and two panels, those statements were discussed and voted on at the consensus meeting. Results Ten statements were taken forward for discussion in the consensus meeting and five statements met threshold to be included in the research definition of Long COVID among CYP. The research definition, aligned to the clinical case definition of the WHO, is proposed as follows: Post-COVID-19 condition occurs in young people with a history of confirmed SARS-CoV-2 infection, with at least one persisting physical symptom for a minimum duration of 12 weeks after initial testing that cannot be explained by an alternative diagnosis. The symptoms have an impact on everyday functioning, may continue or develop after COVID infection, and may fluctuate or relapse over time. The positive COVID-19 test referred to in this definition can be a lateral flow antigen test, a PCR test or an antibody test. Conclusions This is the first research definition of Long COVID (post-COVID-19 condition) in CYP and complements the clinical case definition in adults proposed by the WHO.

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Long COVID in children and adolescents

Ali Asadi-Pooya, Hamid NEMATI, Mina Shahisavandi … (2021)

Background To identify the prevalence and also the full spectrum of symptoms/complaints of children and adolescents who are suffering from long COVID. Furthermore, we investigated the risk factors of long COVID in children and adolescents. Methods All consecutive children and adolescents who were referred to the hospitals anywhere in Fars province, Iran, from 19 February 2020 until 20 November 2020 were included. All patients had a confirmed diagnosis of COVID-19. In a phone call to patients/parents, at least 3 months after their discharge from the hospital, we obtained their current status and information if their parents agreed to participate. Results In total, 58 children and adolescents fulfilled the inclusion criteria. Twenty-six (44·8%) children/adolescents reported symptoms/complaints of long COVID. These symptoms included fatigue in 12 (21%), shortness of breath in 7 (12%), exercise intolerance in 7 (12%), weakness in 6 (10%), and walking intolerance in 5 (9%) individuals. Older age, muscle pain on admission, and intensive care unit admission were significantly associated with long COVID. Conclusions Long COVID is a frequent condition in children and adolescents. The scientific community should investigate and explore the pathophysiology of long COVID to ensure that these patients receive appropriate treatments for their condition. Supplementary Information The online version contains supplementary material available at 10.1007/s12519-021-00457-6.

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Author and article information

Journal

Title: JAMA Pediatrics

Abbreviated Title: JAMA Pediatr

Publisher: American Medical Association (AMA)

ISSN (Print): 2168-6203

Publication date (Electronic): September 18 2023

Affiliations

[1 ]Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada

[2 ]Women and Children’s Health Research Institute, Edmonton, Alberta, Canada

Article

DOI: 10.1001/jamapediatrics.2023.3239

PubMed ID: 37721744

SO-VID: 43bd5669-235a-4047-a7cb-868133223b7a

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Post–COVID-19 Condition in Children

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Novel Coronavirus Disease COVID-19

Most cited references 5

Long-term Symptoms After SARS-CoV-2 Infection in Children and Adolescents

Long COVID (post-COVID-19 condition) in children: a modified Delphi process

Long COVID in children and adolescents

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