Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra
Background: COVID-19 clinical signs can be different for each pediatric patient. This study aims to systematically evaluate the clinical, laboratory examination, severity of COVID-19 infection of pediatric patients in RSUP Dr. M. Djamil General Hospital. Methods: This is a cohort retrospective stud...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
RSUP Dr. M. Djamil Padang
2024-07-01
|
| Series: | Frontiers on Healthcare Research |
| Subjects: | |
| Online Access: | https://frontiersonhealthcare.org/index.php/id/article/view/21 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849344684321669120 |
|---|---|
| author | Finny Fitry Yani Amirah Zatil Izzah Riki Alkamdani Ratno Widoyo |
| author_facet | Finny Fitry Yani Amirah Zatil Izzah Riki Alkamdani Ratno Widoyo |
| author_sort | Finny Fitry Yani |
| collection | DOAJ |
| description | Background: COVID-19 clinical signs can be different for each pediatric patient. This study aims to systematically evaluate the clinical, laboratory examination, severity of COVID-19 infection of pediatric patients in RSUP Dr. M. Djamil General Hospital.
Methods: This is a cohort retrospective study. Data were extracted from the medical records of pediatric patient who received COVID-19 medical treatment between September 2020 to June 2021. The data were presented as frequency, percentage and adjusted odd ratio (aOR). Bivariate and multivariate analysis was done to identify the association.
Results: The results showed that from a total sample of 93 patients, the majority of these patients were male (60,2%) and fell within the age groups of 1-5 years (30,1%) and 11-15 years (31,2%). Most pediatric patients presented with a mild severity level of COVID-19. Clinical characteristics, such as consciousness (p=0.014), neurologic deficits (p=0.035), and thoracic abnormalities (p=0.040), showed a significant association with the severity level of COVID-19. There are no significant association between laboratory results and the severity level of COVID-19. Admission to PICU was identified as a protective factor against the mortality of COVID-19 (aOR=0.02) and abdominal abnormalities were identified as a contributing factor to mortality among pediatric COVID-19 cases (aOR=14.44).
Conclusions: Clinical characteristics including consciousness, neurologic deficits, and thoracic abnormalities were associated with the severity level of COVID-19. PICU admission and abdominal abnormalities were associated with mortality among pediatric COVID-19 patients. |
| format | Article |
| id | doaj-art-bdf0bf336f5543dfbb372b0cdc1b2d45 |
| institution | Kabale University |
| issn | 3032-7725 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | RSUP Dr. M. Djamil Padang |
| record_format | Article |
| series | Frontiers on Healthcare Research |
| spelling | doaj-art-bdf0bf336f5543dfbb372b0cdc1b2d452025-08-20T03:42:37ZengRSUP Dr. M. Djamil PadangFrontiers on Healthcare Research3032-77252024-07-011281621Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West SumatraFinny Fitry Yani0Amirah Zatil Izzah1Riki Alkamdani2Ratno Widoyo3Department of Pediatric, Dr. M. Djamil General Hospital, West Sumatera, Padang, IndonesiaDepartment of Pediatric, Dr. M. Djamil General Hospital, West Sumatera, Padang, IndonesiaDepartment of Pediatric, Dr. M. Djamil General Hospital, West Sumatera, Padang, IndonesiaDepartment of Epidemiology and Biostatistics, Faculty of Public Health, Universitas Andalas, Padang, IndonesiaBackground: COVID-19 clinical signs can be different for each pediatric patient. This study aims to systematically evaluate the clinical, laboratory examination, severity of COVID-19 infection of pediatric patients in RSUP Dr. M. Djamil General Hospital. Methods: This is a cohort retrospective study. Data were extracted from the medical records of pediatric patient who received COVID-19 medical treatment between September 2020 to June 2021. The data were presented as frequency, percentage and adjusted odd ratio (aOR). Bivariate and multivariate analysis was done to identify the association. Results: The results showed that from a total sample of 93 patients, the majority of these patients were male (60,2%) and fell within the age groups of 1-5 years (30,1%) and 11-15 years (31,2%). Most pediatric patients presented with a mild severity level of COVID-19. Clinical characteristics, such as consciousness (p=0.014), neurologic deficits (p=0.035), and thoracic abnormalities (p=0.040), showed a significant association with the severity level of COVID-19. There are no significant association between laboratory results and the severity level of COVID-19. Admission to PICU was identified as a protective factor against the mortality of COVID-19 (aOR=0.02) and abdominal abnormalities were identified as a contributing factor to mortality among pediatric COVID-19 cases (aOR=14.44). Conclusions: Clinical characteristics including consciousness, neurologic deficits, and thoracic abnormalities were associated with the severity level of COVID-19. PICU admission and abdominal abnormalities were associated with mortality among pediatric COVID-19 patients.https://frontiersonhealthcare.org/index.php/id/article/view/21covid-19pediatricclinical symptomslaboratory testseverity |
| spellingShingle | Finny Fitry Yani Amirah Zatil Izzah Riki Alkamdani Ratno Widoyo Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra Frontiers on Healthcare Research covid-19 pediatric clinical symptoms laboratory test severity |
| title | Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra |
| title_full | Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra |
| title_fullStr | Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra |
| title_full_unstemmed | Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra |
| title_short | Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra |
| title_sort | clinical severity of covid 19 among pediatric in tertiary level hospital west sumatra |
| topic | covid-19 pediatric clinical symptoms laboratory test severity |
| url | https://frontiersonhealthcare.org/index.php/id/article/view/21 |
| work_keys_str_mv | AT finnyfitryyani clinicalseverityofcovid19amongpediatricintertiarylevelhospitalwestsumatra AT amirahzatilizzah clinicalseverityofcovid19amongpediatricintertiarylevelhospitalwestsumatra AT rikialkamdani clinicalseverityofcovid19amongpediatricintertiarylevelhospitalwestsumatra AT ratnowidoyo clinicalseverityofcovid19amongpediatricintertiarylevelhospitalwestsumatra |