Potential Predictors of Long COVID in Italian Children: A Cross-Sectional Survey

Background: Identifying predictive factors of long COVID syndrome (LCS) is essential to preventing and managing this condition. We investigated the prevalence, symptoms, and risk factors of LCS in a cohort of Italian children and adolescents. Methods: We carried out a cross-sectional survey on demog...

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Main Authors: Marco Schiavo, Paola Di Filippo, Annamaria Porreca, Giovanni Prezioso, Greta Orlandi, Nadia Rossi, Francesco Chiarelli, Marina Attanasi
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/11/2/221
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author Marco Schiavo
Paola Di Filippo
Annamaria Porreca
Giovanni Prezioso
Greta Orlandi
Nadia Rossi
Francesco Chiarelli
Marina Attanasi
author_facet Marco Schiavo
Paola Di Filippo
Annamaria Porreca
Giovanni Prezioso
Greta Orlandi
Nadia Rossi
Francesco Chiarelli
Marina Attanasi
author_sort Marco Schiavo
collection DOAJ
description Background: Identifying predictive factors of long COVID syndrome (LCS) is essential to preventing and managing this condition. We investigated the prevalence, symptoms, and risk factors of LCS in a cohort of Italian children and adolescents. Methods: We carried out a cross-sectional survey on demographic characteristics and clinical data related to COVID-19 phase and LCS in a cohort of children and adolescents, sending a questionnaire by using the PEDIATOTEM platform. Results: The prevalence of LCS was 25% (99/396). The most frequent symptoms of LCS included nasal congestion, diarrhea, headache, and fatigue. We found no association between demographic data (gender, age, and ethnicity) and LCS. Additionally, we showed that patients with concurrent allergic rhinitis, atopic dermatitis, respiratory disease, gastrointestinal disease, and rheumatologic disease had a higher risk of LCS than patients without those comorbidities. Patients experiencing fatigue, muscle, and abdominal pain in COVID-19 showed a higher risk of LCS than patients complaining of other symptoms. We found no association between vaccination and LCS. Conclusions: Specific comorbidities or symptoms during acute illness were identified as being risk factors for LCS. Understanding which are the risk factors for LCS could yield a clearer picture of its pathogenesis.
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spelling doaj.art-2e65daa0d3644508a48145a6ce928fb92024-02-23T15:12:25ZengMDPI AGChildren2227-90672024-02-0111222110.3390/children11020221Potential Predictors of Long COVID in Italian Children: A Cross-Sectional SurveyMarco Schiavo0Paola Di Filippo1Annamaria Porreca2Giovanni Prezioso3Greta Orlandi4Nadia Rossi5Francesco Chiarelli6Marina Attanasi7Pediatric Allergy and Pulmonology Unit, Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, ItalyPediatric Allergy and Pulmonology Unit, Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Economic Studies, University of Chieti, 66100 Chieti, ItalyPediatric Allergy and Pulmonology Unit, Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, ItalyPediatric Allergy and Pulmonology Unit, Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, ItalyPediatric Allergy and Pulmonology Unit, Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, ItalyPediatric Allergy and Pulmonology Unit, Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, ItalyPediatric Allergy and Pulmonology Unit, Department of Pediatrics, University of Chieti-Pescara, 66100 Chieti, ItalyBackground: Identifying predictive factors of long COVID syndrome (LCS) is essential to preventing and managing this condition. We investigated the prevalence, symptoms, and risk factors of LCS in a cohort of Italian children and adolescents. Methods: We carried out a cross-sectional survey on demographic characteristics and clinical data related to COVID-19 phase and LCS in a cohort of children and adolescents, sending a questionnaire by using the PEDIATOTEM platform. Results: The prevalence of LCS was 25% (99/396). The most frequent symptoms of LCS included nasal congestion, diarrhea, headache, and fatigue. We found no association between demographic data (gender, age, and ethnicity) and LCS. Additionally, we showed that patients with concurrent allergic rhinitis, atopic dermatitis, respiratory disease, gastrointestinal disease, and rheumatologic disease had a higher risk of LCS than patients without those comorbidities. Patients experiencing fatigue, muscle, and abdominal pain in COVID-19 showed a higher risk of LCS than patients complaining of other symptoms. We found no association between vaccination and LCS. Conclusions: Specific comorbidities or symptoms during acute illness were identified as being risk factors for LCS. Understanding which are the risk factors for LCS could yield a clearer picture of its pathogenesis.https://www.mdpi.com/2227-9067/11/2/221long COVID syndromerisk factorscomorbidities
spellingShingle Marco Schiavo
Paola Di Filippo
Annamaria Porreca
Giovanni Prezioso
Greta Orlandi
Nadia Rossi
Francesco Chiarelli
Marina Attanasi
Potential Predictors of Long COVID in Italian Children: A Cross-Sectional Survey
Children
long COVID syndrome
risk factors
comorbidities
title Potential Predictors of Long COVID in Italian Children: A Cross-Sectional Survey
title_full Potential Predictors of Long COVID in Italian Children: A Cross-Sectional Survey
title_fullStr Potential Predictors of Long COVID in Italian Children: A Cross-Sectional Survey
title_full_unstemmed Potential Predictors of Long COVID in Italian Children: A Cross-Sectional Survey
title_short Potential Predictors of Long COVID in Italian Children: A Cross-Sectional Survey
title_sort potential predictors of long covid in italian children a cross sectional survey
topic long COVID syndrome
risk factors
comorbidities
url https://www.mdpi.com/2227-9067/11/2/221
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