Characteristics of Hospitalized Pediatric Patients in the First Five Waves of the COVID-19 Pandemic in a Single Center in Poland—1407 Cases
This is a single-center, prospective study that compared the clinical presentation and laboratory findings of hospitalized children during the first five waves of the COVID-19 pandemic. Data were collected, according to a standardized questionnaire, from 1407 children from 23 March 2020 to 30 April...
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MDPI AG
2022-11-01
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author | Lidia Stopyra Aleksandra Kowalik Justyna Stala Ida Majchrzak Justyna Szebla Mateusz Jakosz Karolina Grzywaczewska Przemko Kwinta |
author_facet | Lidia Stopyra Aleksandra Kowalik Justyna Stala Ida Majchrzak Justyna Szebla Mateusz Jakosz Karolina Grzywaczewska Przemko Kwinta |
author_sort | Lidia Stopyra |
collection | DOAJ |
description | This is a single-center, prospective study that compared the clinical presentation and laboratory findings of hospitalized children during the first five waves of the COVID-19 pandemic. Data were collected, according to a standardized questionnaire, from 1407 children from 23 March 2020 to 30 April 2022. Significant differences in clinical courses were found among the five waves probably due to different SARS-CoV-2 variants. The median age was 95.8 months in the first wave versus 14.6–23 months in the others. The number of patients with upper respiratory infection was the highest in the fifth wave (74.4% versus 43.8–56.9% in the others) and for lower respiratory infection in the first wave (50.0% versus 16.4–32.5%). Gastroenterocolitis was more common in the fifth wave (24.4% versus 8.9–16.5%); neurological diagnoses appeared more frequently in the fourth wave (16.6% versus 0.6–9.9%), while anosmia and ageusia were higher in the fifth wave (13% versus 1.5–4%). Life-threatening courses were relatively rare. However, children with pneumonia, dehydration from high fever, gastrointestinal symptoms, loss of smell and taste, and neurological symptoms required hospitalization. |
first_indexed | 2024-03-09T18:15:03Z |
format | Article |
id | doaj.art-c0e7930efb4c47ae97dfe19871acaf95 |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-09T18:15:03Z |
publishDate | 2022-11-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Clinical Medicine |
spelling | doaj.art-c0e7930efb4c47ae97dfe19871acaf952023-11-24T08:50:26ZengMDPI AGJournal of Clinical Medicine2077-03832022-11-011122680610.3390/jcm11226806Characteristics of Hospitalized Pediatric Patients in the First Five Waves of the COVID-19 Pandemic in a Single Center in Poland—1407 CasesLidia Stopyra0Aleksandra Kowalik1Justyna Stala2Ida Majchrzak3Justyna Szebla4Mateusz Jakosz5Karolina Grzywaczewska6Przemko Kwinta7Department of Infectious Diseases and Pediatrics, Zeromski Specialist Hospital in Krakow, 30-931 Kraków, PolandDepartment of Pediatrics, Jagiellonian University Medical College, 30-663 Kraków, PolandDepartment of Infectious Diseases and Pediatrics, Zeromski Specialist Hospital in Krakow, 30-931 Kraków, PolandDepartment of Infectious Diseases and Pediatrics, Zeromski Specialist Hospital in Krakow, 30-931 Kraków, PolandDepartment of Infectious Diseases and Pediatrics, Zeromski Specialist Hospital in Krakow, 30-931 Kraków, PolandDepartment of Infectious Diseases and Pediatrics, Zeromski Specialist Hospital in Krakow, 30-931 Kraków, PolandDepartment of Infectious Diseases and Pediatrics, Zeromski Specialist Hospital in Krakow, 30-931 Kraków, PolandDepartment of Pediatrics, Jagiellonian University Medical College, 30-663 Kraków, PolandThis is a single-center, prospective study that compared the clinical presentation and laboratory findings of hospitalized children during the first five waves of the COVID-19 pandemic. Data were collected, according to a standardized questionnaire, from 1407 children from 23 March 2020 to 30 April 2022. Significant differences in clinical courses were found among the five waves probably due to different SARS-CoV-2 variants. The median age was 95.8 months in the first wave versus 14.6–23 months in the others. The number of patients with upper respiratory infection was the highest in the fifth wave (74.4% versus 43.8–56.9% in the others) and for lower respiratory infection in the first wave (50.0% versus 16.4–32.5%). Gastroenterocolitis was more common in the fifth wave (24.4% versus 8.9–16.5%); neurological diagnoses appeared more frequently in the fourth wave (16.6% versus 0.6–9.9%), while anosmia and ageusia were higher in the fifth wave (13% versus 1.5–4%). Life-threatening courses were relatively rare. However, children with pneumonia, dehydration from high fever, gastrointestinal symptoms, loss of smell and taste, and neurological symptoms required hospitalization.https://www.mdpi.com/2077-0383/11/22/6806COVID-19SARS-CoV-2childrenpandemicwaveshospitalization |
spellingShingle | Lidia Stopyra Aleksandra Kowalik Justyna Stala Ida Majchrzak Justyna Szebla Mateusz Jakosz Karolina Grzywaczewska Przemko Kwinta Characteristics of Hospitalized Pediatric Patients in the First Five Waves of the COVID-19 Pandemic in a Single Center in Poland—1407 Cases Journal of Clinical Medicine COVID-19 SARS-CoV-2 children pandemic waves hospitalization |
title | Characteristics of Hospitalized Pediatric Patients in the First Five Waves of the COVID-19 Pandemic in a Single Center in Poland—1407 Cases |
title_full | Characteristics of Hospitalized Pediatric Patients in the First Five Waves of the COVID-19 Pandemic in a Single Center in Poland—1407 Cases |
title_fullStr | Characteristics of Hospitalized Pediatric Patients in the First Five Waves of the COVID-19 Pandemic in a Single Center in Poland—1407 Cases |
title_full_unstemmed | Characteristics of Hospitalized Pediatric Patients in the First Five Waves of the COVID-19 Pandemic in a Single Center in Poland—1407 Cases |
title_short | Characteristics of Hospitalized Pediatric Patients in the First Five Waves of the COVID-19 Pandemic in a Single Center in Poland—1407 Cases |
title_sort | characteristics of hospitalized pediatric patients in the first five waves of the covid 19 pandemic in a single center in poland 1407 cases |
topic | COVID-19 SARS-CoV-2 children pandemic waves hospitalization |
url | https://www.mdpi.com/2077-0383/11/22/6806 |
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