Pediatric COVID-19 Infection: Do Clinical Features and Hematological Parameters Predict the Need for ICU Admission?
Abdelmaksoud, S., Khashaba, R., Eldesouky, R., Assar, E. (2021). Pediatric COVID-19 Infection: Do Clinical Features and Hematological Parameters Predict the Need for ICU Admission?. EKB Journal Management System, 82(3), 514-518. doi: 10.21608/ejhm.2021.148528
Shaimaa Reda Abdelmaksoud; Rana Atef Khashaba; Rasha Shaker Eldesouky; Effat Assar. "Pediatric COVID-19 Infection: Do Clinical Features and Hematological Parameters Predict the Need for ICU Admission?". EKB Journal Management System, 82, 3, 2021, 514-518. doi: 10.21608/ejhm.2021.148528
Abdelmaksoud, S., Khashaba, R., Eldesouky, R., Assar, E. (2021). 'Pediatric COVID-19 Infection: Do Clinical Features and Hematological Parameters Predict the Need for ICU Admission?', EKB Journal Management System, 82(3), pp. 514-518. doi: 10.21608/ejhm.2021.148528
Abdelmaksoud, S., Khashaba, R., Eldesouky, R., Assar, E. Pediatric COVID-19 Infection: Do Clinical Features and Hematological Parameters Predict the Need for ICU Admission?. EKB Journal Management System, 2021; 82(3): 514-518. doi: 10.21608/ejhm.2021.148528

Pediatric COVID-19 Infection: Do Clinical Features and Hematological Parameters Predict the Need for ICU Admission?

The Egyptian Journal of Hospital Medicine
Article 20, Volume 82, Issue 3, January 2021, Page 514-518  XML PDF (352.57 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2021.148528
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Authors
Shaimaa Reda Abdelmaksoud email ; Rana Atef Khashaba; Rasha Shaker Eldesouky; Effat Assar
Abstract
Background: The world is facing the new pandemic caused by SARS-COV2. The confrontation of this new pandemic necessitates study and analysis of the clinical and laboratory finding in such entity.
Objectives: To discuss the clinical and hematological findings in pediatric patients with SARS-CoV-2 infection and to correlate these characters with the need for ICU admission.
Patients and methods: This was a hospital record-based study, in which the clinical features and laboratory findings of 29 pediatric patients with confirmed COVID-19 infection were obtained from the medical records of admitted pediatric patients.
Results: This study included 29 pediatric patients with confirmed COVID-19 infection. Six cases (20.7%) were admitted to pediatric ICU. The most common presenting symptoms were cough in 23 cases (79.3%) and fever in 19 cases (65.5%). There was a significant association between tachypnea and ICU admission; as 5 out of 6 ICU cases (83.3%) had tachypnea compared to none 0/23 (0.0%) of the non ICU patients (P < 0.001). The frequencies of lymphopenia and thrombocytopenia were higher among ICU patients (100.0% and 50.0% respectively) than the non ICU ones (39.1% and 8.7% respectively) (P < 0.05 for both). The median values of lymphocytes and platelets counts were significantly lower in ICU patients than those of non ICU patients (P=0.002 and 0.007 respectively). CRP values were higher in ICU patients compared to non ICU patients (P=0.011).
Conclusion: Decreased lymphocyte count, thrombocytopenia and elevated CRP can be stood out as discriminative laboratory indices for early ICU admission.
 
Keywords
Clinical features; Hematological; Lymphopenia; Pediatric COVID-19
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