A Study of Clinical Description and Associated Factors of Severe Symptoms of Children with COVID-19 Infection King Narai Hospital Lopburi
Keywords:
Covid-19 in children infection, Severe symptoms, MIS-CAbstract
This retrospective descriptive study was aimed to describes the clinical of Covid-19 infection, associated factors of severe symptoms of children with COVID-19 infection to monitor the occurrences of MIS-C (Multisystem Inflammatory Syndrome in Children). The study used a purposive sampling method. A total of 169 children who had Covid-19 and treated at King Narai Hospital from April 1st to September 30th 2021 were the target population of this study. 1) Patient records of children with Covid-19 infection. 2) MIS-C form follow-up interview. Either Chi-square, Fisher’s exact with OR crude with 95% confidence interval and either Independent t-test, Mann-Whitney U test were used to process the data.
Most children got infected through families and relatives (76.30%). Others had only mild symptoms (65.10%). Age1-5 year (p=.023), age 6-12 year (p=.000), age 13-18 year (p=.001), fever (p=.041), myalgia (p=.040) and having rash (p=.010) were associated factors that related to the disease severity, were significantly. The results showed that body temperature (p=.000), duration of fever (p=.000), oxygen saturation (p=.000), duration of hospital stay (p=.006), serum albumin level (p=.020), and serum CRP level (p=.024) between patients with mild symptoms and patients with severe symptoms were significantly different. Therefore, health promotion in changing the behaviors for preventing the spread disease was an important action including promoting the standard of the monitoring of MIS-C.
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