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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Main Authors: Lidia Stopyra, Aleksandra Kowalik, Justyna Stala, Ida Majchrzak, Justyna Szebla, Mateusz Jakosz, Karolina Grzywaczewska, Przemko Kwinta
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/22/6806
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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.
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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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