COVID-19 international experience in paediatric patients with congenital heart disease

Autor: Mary J Yeh, Lisa Bergersen, Kimberlee Gauvreau, Oliver M Barry, Sarosh P Batlivala, Elsa Bjornlund, Brian Boe, Luiz Fernando Caneo, Ulisses A Croti, Thomas Doyle, Shumaila Furnaz, Rodrigo Cesar Moraes, Michael L O'Byrne, Erica de Oliveira Paes, Alexis Palacios-Macedo, Dimitar Pechilkov, Nestor Fernando Sandoval, Supratim Sen, Mila Stajevic, Marco Antonio Ferreira Travessa, Kathy J Jenkins
Rok vydání: 2022
Předmět:
Zdroj: Heart. 109:710-718
ISSN: 1468-201X
1355-6037
Popis: ObjectiveAs COVID-19 continues to affect the global population, it is crucial to study the impact of the disease in vulnerable populations. This study of a diverse, international cohort aims to provide timely, experiential data on the course of disease in paediatric patients with congenital heart disease (CHD).MethodsData were collected by capitalising on two pre-existing CHD registries, the International Quality Improvement Collaborative for Congenital Heart Disease:Improving Care in Low- and Middle-Income Countriesand the Congenital Cardiac Catheterization Project on Outcomes. 35 participating sites reported data for all patients under 18 years of age with diagnosed CHD and known COVID-19 illness during 2020 identified at their institution. Patients were classified as low, moderate or high risk for moderate or severe COVID-19 illness based on patient anatomy, physiology and genetic syndrome using current published guidelines. Association of risk factors with hospitalisation and intensive care unit (ICU) level care were assessed.ResultsThe study included 339 COVID-19 cases in paediatric patients with CHD from 35 sites worldwide. Of these cases, 84 patients (25%) required hospitalisation, and 40 (12%) required ICU care. Age ConclusionsThese observational data suggest risk factors for hospitalisation related to COVID-19 in paediatric CHD include age, lower functional cardiac status and recent cardiac interventions. There is a need for further data to identify factors relevant to the care of patients with CHD who contract COVID-19 illness.
Databáze: OpenAIRE