Merve İŞERİ NEPESOV, Ozge AVSAR, Erdal SARI, Rabia Gönül SEZER YAMANEL

COVID-19'un Adölesanlar Üzerindeki Uzun Dönem Etkileri

Yeni koronavirüs hastalığı-2019 (COVID-19) geçiren yetişkin hastalarda uzun dönem etkiler, giderek daha fazla bildirilmekte ancak adölesanlarda konuyla ilgili yeterli çalışma bulunmamaktadır. Bu çalışma, COVID-19'un adölesan hasta grubunda uzun vadeli etkilerini değerlendirmeyi amaçlamıştır. Merkezimizde Ekim 2020-Ocak 2021 tarihleri arasında ağır olmayan COVID-19 tanısı alan adölesan hastalar telefonla aranarak uzun dönem etkiler açısından sorgulandı. Ağır olmayan COVID-19 tanısı alan 109 adölesan hasta çalışmaya dahil edildi. Bu hastaların beşinde miyalji/yorgunluk, öksürük, göğüs ağrısı, çarpıntı, uyku bozukluğu ve psikiyatrik sorunların en az biri COVID-19'un uzun dönem etkileri olarak görüldü. Bu beş hastanın medyan yaşı 197 ay (138-204) olup üçü erkekti. Tanı konulduktan sonra hastaların değerlendirildiği ortalama süre 121,6±13,1 gündü. Tümü 'hafif' COVID-19 enfeksiyonu tanısı almış olup hiçbirinin hastane yatış öyküsü yoktu. Sadece bir hastada altta yatan hastalık 'astım' vardı. Uzun dönem COVID-19 semptomları, öncesinde sağlıklı olan adölesanlarda hafif hastalık kliniğinden sonra görülebilir. Özellikle psikiyatrik şikayetler göz ardı edilmemeli ve çocuk doktorları bu etkiler konusunda daha dikkatli olmalıdır.

Anahtar Kelimeler:

koronavirüs, uzun COVID-19, adölesan, pandemi

Long-Term Effects of COVID-19 on Adolescents

Long-term effects are increasingly reported in adult patients with coronavirus disease-2019 (COVID-19) but there are not enough studies in adolescents. This study aimed to evaluate the long-term effects of COVID-19 in the adolescent population. Adolescent patients diagnosed with non-severe COVID-19 between October 2020 and January 2021 in our center were questioned in terms of long-term effects by telephone call. A total of 109 adolescent patients with non-severe COVID-19 were evaluated. In five of them at least of one myalgia/fatigue, cough, chest pain, palpitation, sleep disorderand psychiatric problems are seen as long‐term effects of COVID-19. These five patients had a median age of 16.4 years (range 11.5-17) and three of them are boys. The mean time that we evaluate these patients after diagnosis is 121.6±13.1 days. All of them categorized as ‘mild’ COVID-19 infection and none of them were hospitalized. Only one patient has the underlying disease ‘asthma’. Long-term COVID-19 symptoms can also be seen in otherwise healthy children after mild disease. Especially psychiatric complaints should not be ignored and pediatricians should be more careful in terms of these effects.

Keywords:

adolescent coronavirus, long COVID-19, pandemic, Turkey,

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