Burcu CURA YAYLA, Kübra AYKAÇ, Fatma ESEROĞLU, Ayşenur DEMİR, Ülkü SİYAH, Gunay TUNCER ERTEM, Salih CESUR, Jale KARAKAYA, Medine TAŞAR

Türkiye’de Aileleriyle Kıyasla Çocuklarda COVID-19'un Klinik Özellikleri: Bir Üçüncü Basamak Hastane Deneyimi

Giriş: Tüm dünyaya yayılan COVİD-19 salgını, insanlık için hala bir tehdittir. Hastalığın epidemiyolojik, klinik, laboratuvar ve radyolojik özellikleri gün geçtikçe gün yüzüne çıkmaktadır. Tanı ve tedaviye yardımcı olmak için COVİD-19'lu çocuk ve yetişkinlerin özelliklerini değerlendirmeyi amaçladık. Gereç ve Yöntem: 23 Nisan-28 Mayıs 2020 tarihleri arasında COVİD-19 olduğu doğrulanan pediatrik ve yetişkin hastaların tıbbi kayıtlarının retrospektif olarak incelendi. Bulgular: Bu çalışmada toplam 93 çocuk ve 81 yetişkin değerlendirildi. Asemptomatik ve hafif vakalar çocuklarda %63.5, ebeveynlerde ise %50 idi. Çocukların %3.2'si orta derecede hastalığa sahipken, ebeveynlerin %9.8'inde vardı. Çocuklar ve ebeveynler arasında hastalık şiddeti açısından istatistiksel olarak fark vardı (P=0.01). Çocuklarda daha hafif klinik duruma rağmen bir çocuk öldü. Çocukların %8.6'sında ve ebeveynlerin %48.1'inde C-reaktif protein (CRP) düzeylerinde artış görüldü, çocuklar ve ebeveynler arasında CRP artışı açısından istatistiksel olarak anlamlı fark vardı (P=0.001). Sonuç: COViD-19'un klinik, laboratuvar ve radyolojik özellikleri çocuklarda ve yetişkinlerde farklılıklar göstermektedir. COVİD-19'un hastalık seyri çocuklarda yetişkinlere göre daha hafif gibi görünse de, COVİD-19'un çocuklarda ölümcül olabileceği akılda tutulmalıdır.

Anahtar Kelimeler:

erişkin, çocuk, COVİD 19

Clinical Characteristics of COVID-19 in Children Compared with Their Families in Turkey: A Tertiary-Care Hospital Experience

Objective: The COVID-19 outbreak that has spread all around the world is still a threat for humankind. Epidemiological, clinical, laboratory, and radiological features of the disease are enlightened day by day. It was aimed to evaluate the characteristics of children and their parents with COVID-19 to aid in diagnosis and treatment. Material and Methods: A retrospective review of the medical records of pediatric patients and their parents who were confirmed as COVID-19 positive, between April 23, and May 28, 2020, was conducted. Results: A total of 93 children and 81 adults were evaluated in the present study. Asymptomatic and mild cases accounted for 63.5% of the children and 50% of the parents. Of the children, 3.2% had moderate illness, whereas this was 9.8% for the parents There was a statistically significant difference in terms of the severity of illness between the children and their parents (p =0.01). Although it had a milder clinical course in children, one child died. Increased levels of C-reactive protein (CRP) were observed in 8.6% of the children and 48.1% of the patients, and there was statistically significant difference in terms of CRP levels between the children and their parents (p =0.001). Conclusion: The clinical, laboratory, and radiological features of COVID-19 showed differences in the children and their parents. It should be kept in mind that COVID-19 can be fatal in children, although the course of the disease appears to be milder in children than in their parents

Keywords:

Adults, Children, COVID-19,

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