دورية أكاديمية

Gastrointestinal manifestations of COVID-19 in pediatric age ; Manifestações gastrointestinais de COVID-19 em idade pediátrica

التفاصيل البيبلوغرافية
العنوان: Gastrointestinal manifestations of COVID-19 in pediatric age ; Manifestações gastrointestinais de COVID-19 em idade pediátrica
المؤلفون: Queirós, Joana, Salazar, Luís, Sousa, Dora, Mosca, Sara, Fernandes, Alexandre, Teixeira, Carla, Tavares, Marta, Marques, Laura, Lima, Rosa
المصدر: NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL; Vol. 31 No. 3 (2022): COVID-19: impact on Maternal and Child Health; 226-233 ; NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL; Vol. 31 N.º 3 (2022): COVID-19: impacto na Saúde Materna e Infantil; 226-233 ; 2183-9417
بيانات النشر: Centro Hospitalar Universitário do Porto
سنة النشر: 2022
المجموعة: SARC - Serviço de Alojamento de Revistas Científicas (RCAAP - Repositório Científico de Acesso Aberto de Portugal)
مصطلحات موضوعية: abdominal pain, COVID-19, diarrhea, gastrointestinal symptoms, nausea, pediatric age, vomiting, diarreia, dor abdominal, idade pediátrica, náuseas, sintomas gastrointestinais, vómitos
الوصف: Introduction: Gastrointestinal (GI) symptoms associated with COVID-19 have become increasingly relevant, particularly in pediatric age. The expression of angiotensin II receptors in the GI tract may explain, not only the predominance of GI symptoms, but also the presence of isolated GI manifestations of the disease in some cases. The aim of this study was to characterize a population of pediatric patients with COVID-19 and investigate the association of this disease presentation with GI involvement and disease severity. Methods: Retrospective, observational study of pediatric patients with positive SARS-CoV-2 polymerase chain reaction (PCR) testing between March 2020 and September 2021. Data was retrieved from patients’ clinical records. Results: A total of 241 patients were included, 132 (54.7%) of whom male, with a median age of 48 months (interquartile range [IQR] 10-144 months). The disease had multiple presentations, including at least one GI complaint in 39.4% of patients and exclusive GI symptoms in 3.3%. GI involvement significantly correlated with patients’ age, being more frequent in younger children (p=0.001), and with fever (p=0.001). In the group with GI involvement, 86 patients (90.5%) had mild, 7 (7.4%) moderate, and 2 (2.1%) severe disease. Conclusion: COVID-19 GI manifestations occur more frequently in pediatric patients (39.4% in the present study) than in adult counterparts (12% according to the literature). Telephone follow-up made it possible to detect symptoms that could otherwise go unnoticed. Given the wide variety of clinical symptoms, clinicians should keep a high index of suspicion for this infection in young infants presenting with GI symptoms, even in absence of fever. ; Introdução: Os sintomas gastrointestinais (GI) associados à COVID-19 têm assumido uma importância crescente, particularmente em idade pediátrica. A expressão de recetores de angiotensina II no trato GI pode estar relacionada, não só com a predominância de sintomas GI, como com a sua apresentação GI isolada em alguns ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
العلاقة: https://revistas.rcaap.pt/nascercrescer/article/view/27755/20301Test; https://revistas.rcaap.pt/nascercrescer/article/view/27755Test
الإتاحة: https://revistas.rcaap.pt/nascercrescer/article/view/27755Test
حقوق: Direitos de Autor (c) 2022 Joana Queirós, Luís Salazar, Dora Sousa, Sara Mosca, Alexandre Fernandes, Carla Teixeira, Marta Tavares, Laura Marques, Rosa Lima ; http://creativecommons.org/licenses/by-nc/4.0Test
رقم الانضمام: edsbas.4F4A2C8B
قاعدة البيانات: BASE