tetano
Editor, Senior Moderator
Balkan Med J
. 2020 Aug 31.
doi: 10.4274/balkanmedj.galenos.2020.2020.7.52. Online ahead of print.
Characteristics and Management of Children With COVID-19 in Turkey
Burcu Ceylan Cura Yayla[SUP] 1 [/SUP], Yasemin Ozsurekci[SUP] 2 [/SUP], Kubra Aykac[SUP] 2 [/SUP], Pembe Derin[SUP] 2 [/SUP], Sibel Lacinel G?rlevik[SUP] 2 [/SUP], Sare G Ilbay[SUP] 2 [/SUP], Musa Gurel Kukul[SUP] 2 [/SUP], Sevilay Karahan[SUP] 3 [/SUP], Ali B?lent Cengiz[SUP] 3 [/SUP], Mehmet Ceyhan[SUP] 3 [/SUP]
Affiliations
Abstract
Background: Limited data with regard to disease management strategies is available for paediatric patients with coronavirus disease 2019 (COVID-19), particularly in Turkey.
Aims: We aimed to share the data on patients aged under 18 years in our country to be beneficial for understanding the disease course in children.
Study design: Retrospective cohort study.
Methods: We conducted a retrospective review of the medical records of paediatric patients aged under 18 years, who were confirmed as COVID-19 between March 11, and June 23, 2020, and were admitted to our hospitals.
Results: We evaluated 220 paediatric patients with COVID-19, of which 48.2% were male, with a median age of 10 years, and 9.5% had underlying diseases. Patients were classified according to severity, with the percentages of asymptomatic, mild, moderate, and critical/severe cases determined to be 25.5%, 45%, 26.8%, and 2.7%, respectively. Extracorporeal membrane oxygenation was required for 2 patients (0.9%) and mechanic ventilation was required for 3 patients (1.4%). Targeted therapies were used in 6 patients (2.7%), with hydroxychloroquine being the most commonly used agent either alone (1 patient) or in combination with favipiravir (5 patients). Two patients (0.9%) had died and 9 (4.1%) were still hospitalized during the study period.
Conclusion: Although the disease course of COVID-19 seems to be mild in children, critical illness is significant, and the treatment strategy primarily should consist of supportive care according to our preliminary observations.
Keywords: COVID-19; Turkey; children; favipiravir; immigrant.
. 2020 Aug 31.
doi: 10.4274/balkanmedj.galenos.2020.2020.7.52. Online ahead of print.
Characteristics and Management of Children With COVID-19 in Turkey
Burcu Ceylan Cura Yayla[SUP] 1 [/SUP], Yasemin Ozsurekci[SUP] 2 [/SUP], Kubra Aykac[SUP] 2 [/SUP], Pembe Derin[SUP] 2 [/SUP], Sibel Lacinel G?rlevik[SUP] 2 [/SUP], Sare G Ilbay[SUP] 2 [/SUP], Musa Gurel Kukul[SUP] 2 [/SUP], Sevilay Karahan[SUP] 3 [/SUP], Ali B?lent Cengiz[SUP] 3 [/SUP], Mehmet Ceyhan[SUP] 3 [/SUP]
Affiliations
- PMID: 32865382
- DOI: 10.4274/balkanmedj.galenos.2020.2020.7.52
Abstract
Background: Limited data with regard to disease management strategies is available for paediatric patients with coronavirus disease 2019 (COVID-19), particularly in Turkey.
Aims: We aimed to share the data on patients aged under 18 years in our country to be beneficial for understanding the disease course in children.
Study design: Retrospective cohort study.
Methods: We conducted a retrospective review of the medical records of paediatric patients aged under 18 years, who were confirmed as COVID-19 between March 11, and June 23, 2020, and were admitted to our hospitals.
Results: We evaluated 220 paediatric patients with COVID-19, of which 48.2% were male, with a median age of 10 years, and 9.5% had underlying diseases. Patients were classified according to severity, with the percentages of asymptomatic, mild, moderate, and critical/severe cases determined to be 25.5%, 45%, 26.8%, and 2.7%, respectively. Extracorporeal membrane oxygenation was required for 2 patients (0.9%) and mechanic ventilation was required for 3 patients (1.4%). Targeted therapies were used in 6 patients (2.7%), with hydroxychloroquine being the most commonly used agent either alone (1 patient) or in combination with favipiravir (5 patients). Two patients (0.9%) had died and 9 (4.1%) were still hospitalized during the study period.
Conclusion: Although the disease course of COVID-19 seems to be mild in children, critical illness is significant, and the treatment strategy primarily should consist of supportive care according to our preliminary observations.
Keywords: COVID-19; Turkey; children; favipiravir; immigrant.