What are the risk factors for admission to the pediatric intensive unit among pediatric patients with COVID-19?

Autor: Susanna Esposito, Fabio Caramelli, Nicola Principi
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Italian Journal of Pediatrics, Vol 47, Iss 1, Pp 1-4 (2021)
Druh dokumentu: article
ISSN: 1824-7288
DOI: 10.1186/s13052-021-01057-w
Popis: Abstract Background Although with exceptions, evidence seems to indicate that children have lower susceptibility than adults to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. When infected, children generally remain asymptomatic or develop mild disease. A small number of pediatric cases required admission to the pediatric intensive care unit (PICU), respiratory support with a mechanical ventilation and additional life-saving interventions. Even if rarely, death can occur. Aim of this manuscript is to highlight the risk factors associated with severe outcome among pediatric patients with COVID-19. Main findings Early identification of SARS-CoV-2-infected children at risk of developing severe COVID-19 is vital for service planning, as severely affected pediatric patients require high-quality care and should be followed only where an adequately structured PICU is available. However, early identification of children who must be carefully monitored for substantial risk of severe COVID-19 remains difficult. An underlying comorbidity and heart involvement are frequently observed in severe paediatric cases. Reduced left ventricular systolic function with an ejection fraction
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