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Hiroshi Yasuda (保田浩志) @Yash25571056
From a study on pediatric Post-COVID-19 condition (PPCC) of 579 children, including 260 mild acute COVID (median age: 8 y/o), 60 severe COVID (1 y/o), and 256 tested negative (NT) children (8 y/o),
"At three months, 14.6% of the SARS-CoV-2 positive mild group (RR:6.31) and 29.2% of the severe group (RR:12.95) reported sequelae, versus 2.3% of the NT group..
Children with PPCC exhibited lower physical health-related quality of life scores and higher fatigue scores than the NT children.."Infants can also acquire long COVID.
'Post-COVID-19 condition in children: epidemiological evidence stratified by acute disease severity'
https://nature.com/articles/s41390-024-03597-39:34 AM · Sep 28, 2024
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https://nature.com/articles/s41390-024-03597-3[*/quote*]
nature pediatric research population study article
article
Population Study Article
Published: 27 September 2024
Post-COVID-19 condition in children: epidemiological evidence stratified by acute disease severity Coen R. Lap, Caroline L. H. Brackel, Angelique M. A. M. Winkel, Simone Hashimoto, Milly Haverkort, Lieke C. E. Noij, Mattijs W. Alsem, Erik G. J. von Asmuth, Michiel A. G. E. Bannier, Emmeline P. Buddingh, Johannes B. van Goudoever, Lotte Haverman, Anke H. Maitland – van der Zee, Miriam G. Mooij, Kim Oostrom, Mariëlle W. Pijnenburg, Sanne Kloosterman, Lorynn Teela, Michiel Luijten, Adam J. Tulling, Gertjan Lugthart, Debby Bogaert, Giske Biesbroek, Marlies A. van Houten & Suzanne W. J. Terheggen-Lagro
Pediatric Research (2024)Cite this article
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Abstract
Background
To determine the prevalence of pediatric Post-COVID-19 condition (PPCC), identify risk factors, and assess the quality of life in children with differing severities of acute COVID-19.
Methods
During a prospective longitudinal study with a 1-year follow-up, we compared non-hospitalized (mild) and hospitalized (severe) COVID-19 cases to a negatively tested control group.
Results
579 children were included in this study. Of these, 260 had mild acute disease (median age:8, IQR:6–10), 60 had severe acute disease (median age:1, IQR:0.1–4.0), and 259 tested negative for SARS-CoV-2 (NT) (median age:8, IQR:5-10).
At three months, 14.6% of the SARS-CoV-2 positive mild group (RR:6.31 (CI 95%: 2.71–14.67)) and 29.2% of the severe group (RR:12.95 (CI 95%: 5.37–31.23)) reported sequelae, versus 2.3% of the NT group. PPCC prevalence in the mild group decreased from 16.1% at one month to 4.4% at one year. Children with PPCC exhibited lower physical health-related quality of life scores and higher fatigue scores than the NT children.
Conclusions
Severe acute COVID-19 in children leads to a higher PPCC prevalence than in mild cases. PPCC prevalence decreases over time. Risk factors at three months include prior medical history, hospital admission, and persistent fatigue one month after a positive test.
Impact
We demonstrate children with severe COVID-19 are more likely to develop Post-COVID-19 condition than those with mild or no infections, and highlights the risk factors.
Here we have stratified by acute disease severity, prospectively included a negative control group, and have demonstrated the heterogeneity in prevalence when utilizing various recent definitions of post-COVID.
Identifying risk factors for pediatric post-COVID and highlighting the heterogeneity in prevalence based on various current definitions for post-COVID should aid in correctly identifying potential pediatric post-COVID cases, aiding in early intervention.
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Data availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
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Acknowledgements
For the collection of data for the PoCoCoChi study, we would like to acknowledge and thank the Public Health Service (GGD) Kennemerland. For the collection of the COPP Clinical data a large group of medical professionals and researchers (listed below) cooperated to make the data-collection possible. We Would like to acknowledge these as the ‘COPP study group’, the complete list of members can be found in the supplemental Digital Content Table E12. 1. Research grant for pediatric COVID research: ZonMw (10430072110007 and 10430102110009). 2. Research grant for pediatric COVID research: Bontius Stichting and the Leiden University Fund. 3. SAB (Stichting Steun Astma Bestrijding) Grant.
Author information
Author notes
These authors contributed equally: Coen R. Lap, Caroline L. H. Brackel.
These authors jointly supervised this work: Marlies A. van Houten, Suzanne W.J. Terheggen-Lagro.
Authors and Affiliations
Department of Pediatrics – Van Houten research group, Spaarne Gasthuis, Hoofddorp and Haarlem, Haarlem, The Netherlands
Coen R. Lap, Angelique M. A. M. Winkel & Marlies A. van Houten
Department of Pediatric Pulmonology and Allergy, Emma Children’s Hospital, Amsterdam University Medical Centre (Amsterdam UMC), University of Amsterdam (UvA), Amsterdam, The Netherlands
Coen R. Lap, Caroline L. H. Brackel, Angelique M. A. M. Winkel, Simone Hashimoto, Lieke C. E. Noij, Anke H. Maitland – van der Zee & Suzanne W. J. Terheggen-Lagro
Department of Pediatric Immunology and Infectious Diseases, Wilhelmina Children’s Hospital and University Medical Centre Utrecht, Utrecht, The Netherlands
Coen R. Lap & Debby Bogaert
Department of Pediatrics, Tergooi Medical Centrum, Hilversum, The Netherlands
Caroline L. H. Brackel
Department of Pulmonary Medicine, Amsterdam UMC University of Amsterdam, Amsterdam, The Netherlands
Simone Hashimoto & Anke H. Maitland – van der Zee
Department of Infection Prevention and Control, Public Health Service (GGD) Kennemerland, Haarlem, The Netherlands
Milly Haverkort
Willem Alexander Children’s Hospital, Leiden University Medical Centre, Leiden, The Netherlands
Erik G. J. von Asmuth, Emmeline P. Buddingh, Adam J. Tulling & Gertjan Lugthart
Department of Pediatric Nephrology, Sophia Children’s Hospital, Erasmus MC, Rotterdam, The Netherlands
Miriam G. Mooij
Division of Pediatric Respiratory Medicine and Allergology, Department of Pediatrics, Erasmus MC -Sophia Children’s Hospital, Rotterdam, The Netherlands
Mariëlle W. Pijnenburg & Sanne Kloosterman
Division of Pediatric Respiratory Medicine, Department of Pediatrics, MosaKids Children’s Hospital, Maastricht University Medical Centre, Maastricht, The Netherlands
Michiel A. G. E. Bannier
Department of Pediatrics, Emma Children’s Hospital, Amsterdam University Medical Centre (Amsterdam UMC), University of Amsterdam (UvA), Amsterdam, The Netherlands
Johannes B. van Goudoever
Child and Adolescent Psychiatry & Psychosocial Care, Emma Children’s Hospital, Amsterdam University Medical Centre (Amsterdam UMC), University of Amsterdam (UvA), Amsterdam, The Netherlands
Lotte Haverman, Kim Oostrom, Lorynn Teela & Michiel Luijten
Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam University Medical Centre (Amsterdam UMC), University of Amsterdam (UvA), Amsterdam, The Netherlands
Mattijs W. Alsem
Centre for Inflammation Research, Institute for Regeneration and Repair, University of Edinburgh, Edinburgh, UK
Debby Bogaert
Department of Pediatric Immunology, Rheumatology and Infectious Disease, Emma Children’s Hospital, Amsterdam University Medical Centre (Amsterdam UMC), University of Amsterdam (UvA), Amsterdam, The Netherlands
Giske Biesbroek
Amsterdam Public Health, Mental Health and Digital Health, Amsterdam, The Netherlands
Lotte Haverman, Lorynn Teela & Michiel Luijten
Amsterdam Reproduction and Development, Child Development, Amsterdam, The Netherlands
Lotte Haverman, Lorynn Teela & Michiel Luijten
Contributions
Coen R. Lap and Caroline L.H. Brackel are responsible for the conception and design of the study, designed the data collection instruments, coordinated and supervised data collection, analyzed and interpreted the data, drafted, and critically reviewed and revised the manuscript for important intellectual content. Angelique M.A.M. Winkel, dr. Simone Hashimoto, Lieke C.E. Noij, Milly Haverkort, dr. Mattijs W. Alsem, Erik G.J. von Asmuth, dr. Michiel A.G.E. Bannier, dr Emmeline P. Buddingh, Adam J. Tulling, and dr. Gertjan Lugthart are responsible for the conception and design of the study, designed the data collection instruments, coordinated and supervised data collection, and critically reviewed and revised the manuscript for important intellectual content. Dr. Johannes B. van Goudoever, dr Lotte Haverman, dr. Miriam G. Mooij, dr. Kim Oostrom, dr. Mariëlle W. Pijnenburg, and Sanne Kloosterman coordinated and supervised data collection, drafted, and critically reviewed and revised the manuscript for important intellectual content. Lorynn Teela and dr. Michiel Luijten designed the data collection instruments, coordinated and supervised data collection, and critically reviewed and revised the manuscript for important intellectual content. dr. Anke H. Maitland – van der Zee, Dr. Debby Bogaert, dr. Giske Biesbroek, dr. Marlies A. van Houten, and dr. Suzanne W.J. Terheggen-Lagro are responsible for the conception and design of the study, designed the data collection instruments, coordinated and supervised data collection, and critically reviewed and revised the manuscript for important intellectual content. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.
Corresponding author
Correspondence to Coen R. Lap.
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Patient consent was required and obtained prior to inclusion in both the PoCoCoChi and COPP studies.
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Lap, C.R., Brackel, C.L.H., Winkel, A.M.A.M. et al. Post-COVID-19 condition in children: epidemiological evidence stratified by acute disease severity. Pediatr Res (2024).
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Received22 February 2024
Revised18 July 2024
Accepted05 September 2024
Published27 September 2024
DOIhttps://doi.org/10.1038/s41390-024-03597-3
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