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新冠病毒阳性儿童的长新冠症状和持续时间-一项全国性队列研究。

Long COVID symptoms and duration in SARS-CoV-2 positive children - a nationwide cohort study.

机构信息

Department of Pediatric and Adolescent Medicine, NIDO Denmark, Hospitalsenheden Vest, Gl. Landevej 61, 7400, Herning, Denmark.

Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark.

出版信息

Eur J Pediatr. 2022 Apr;181(4):1597-1607. doi: 10.1007/s00431-021-04345-z. Epub 2022 Jan 9.


DOI:10.1007/s00431-021-04345-z
PMID:35000003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8742700/
Abstract

UNLABELLED: Most children have a mild course of acute COVID-19. Only few mainly non-controlled studies with small sample size have evaluated long-term recovery from SARS-CoV-2 infection in children. The aim of this study was to evaluate symptoms and duration of 'long COVID' in children. A nationwide cohort study of 37,522 children aged 0-17 years with RT-PCR verified SARS-CoV-2 infection (response rate 44.9%) and a control group of 78,037 children (response rate 21.3%). An electronic questionnaire was sent to all children from March 24th until May 9th, 2021. Symptoms lasting > 4 weeks were common among both SARS-CoV-2 children and controls. However, SARS-CoV-2 children aged 6-17 years reported symptoms more frequently than the control group (percent difference 0.8%). The most reported symptoms among pre-school children were fatigue Risk Difference (RD) 0.05 (CI 0.04-0.06), loss of smell RD 0.01 (CI 0.01-0.01), loss of taste RD 0.01 (CI 0.01-0.02) and muscle weakness RD 0.01 (CI 0.00-0.01). Among school children the most significant symptoms were loss of smell RD 0.12 (CI 0.12-0.13), loss of taste RD 0.10 (CI 0.09-0.10), fatigue RD 0.05 (CI 0.05-0.06), respiratory problems RD 0.03 (CI 0.03-0.04), dizziness RD 0.02 (CI 0.02-0.03), muscle weakness RD 0.02 (CI 0.01-0.02) and chest pain RD 0.01 (CI 0.01-0.01). Children in the control group experienced significantly more concentration difficulties, headache, muscle and joint pain, cough, nausea, diarrhea and fever than SARS-CoV-2 infected. In most children 'long COVID' symptoms resolved within 1-5 months. CONCLUSIONS: Long COVID in children is rare and mainly of short duration. WHAT IS KNOWN: • There are increasing reports on 'long COVID' in adults. • Only few studies have evaluated the long-term recovery from COVID-19 in children, and common for all studies is a small sample size (median number of children included 330), and most lack a control group. WHAT IS NEW: • 0.8% of SARS-CoV-2 positive children reported symptoms lasting >4 weeks ('long COVID'), when compared to a control group. • The most common 'long COVID' symptoms were fatigue, loss of smell and loss of taste, dizziness, muscle weakness, chest pain and respiratory problems. • These 'long COVID' symptoms cannot be assigned to psychological sequelae of social restrictions. • Symptoms such as concentration difficulties, headache, muscle- and joint pain as well as nausea are not 'long COVID' symptoms. • In most cases 'long COVID' symptoms resolve within 1-5 months.

摘要

背景:大多数儿童的急性 COVID-19 呈轻症。仅有少数样本量较小的非对照研究评估了儿童 SARS-CoV-2 感染后的长期康复情况。本研究旨在评估儿童的“长新冠”症状和持续时间。

方法:这是一项全国性的队列研究,纳入了 37522 名年龄 0-17 岁、经 RT-PCR 证实的 SARS-CoV-2 感染儿童(应答率 44.9%)和 78037 名对照儿童(应答率 21.3%)。我们于 2021 年 3 月 24 日至 5 月 9 日向所有儿童发送了电子问卷。SARS-CoV-2 儿童和对照组中,持续超过 4 周的症状均较常见。然而,6-17 岁 SARS-CoV-2 儿童报告的症状比对照组更频繁(差异百分比 0.8%)。学龄前儿童中最常见的症状是疲劳(风险差异 0.05,95%CI 0.04-0.06)、嗅觉丧失(0.01,0.01-0.01)、味觉丧失(0.01,0.01-0.02)和肌肉无力(0.01,0.00-0.01)。学龄儿童中最显著的症状是嗅觉丧失(0.12,0.12-0.13)、味觉丧失(0.10,0.09-0.10)、疲劳(0.05,0.05-0.06)、呼吸问题(0.03,0.03-0.04)、头晕(0.02,0.02-0.03)、肌肉无力(0.02,0.01-0.02)和胸痛(0.01,0.01-0.01)。对照组儿童经历的注意力困难、头痛、肌肉和关节疼痛、咳嗽、恶心、腹泻和发热症状显著多于 SARS-CoV-2 感染者。大多数儿童的“长新冠”症状在 1-5 个月内缓解。

结论:儿童“长新冠”少见且多为短期病程。

已知情况:成人“长新冠”的报告日益增多。只有少数研究评估了儿童 COVID-19 的长期康复情况,所有研究的共同特点是样本量小(纳入的儿童中位数为 330 例),且多数缺乏对照组。

新发现:SARS-CoV-2 阳性儿童中,有 0.8%报告持续超过 4 周的症状(“长新冠”),而对照组为 0.8%。最常见的“长新冠”症状是疲劳、嗅觉和味觉丧失、头晕、肌肉无力、胸痛和呼吸问题。这些“长新冠”症状不能归因于社交限制带来的心理后遗症。注意力困难、头痛、肌肉和关节疼痛以及恶心等症状不属于“长新冠”症状。大多数情况下,“长新冠”症状在 1-5 个月内缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cf/8964603/92c4ccf1f07a/431_2021_4345_Fig5_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cf/8964603/92c4ccf1f07a/431_2021_4345_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cf/8964603/ac8dafe90a79/431_2021_4345_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cf/8964603/8e39fb4f498f/431_2021_4345_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cf/8964603/72ef502e0125/431_2021_4345_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cf/8964603/98817c808500/431_2021_4345_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1cf/8964603/92c4ccf1f07a/431_2021_4345_Fig5_HTML.jpg

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本文引用的文献

[1]
Prevalence and Characteristics of Persistent Symptoms in Children During the COVID-19 Pandemic: Evidence From a Household Cohort Study in England and Wales.

Pediatr Infect Dis J. 2022-12-1

[2]
Clinical characteristics, activity levels and mental health problems in children with long coronavirus disease: a survey of 510 children.

Future Microbiol. 2022-5

[3]
How Common is Long COVID in Children and Adolescents?

Pediatr Infect Dis J. 2021-12-1

[4]
Long COVID in children and adolescents.

World J Pediatr. 2021-10

[5]
Long COVID and the mental and physical health of children and young people: national matched cohort study protocol (the CLoCk study).

BMJ Open. 2021-8-26

[6]
Clinical features of pediatric post-acute COVID-19: a descriptive retrospective follow-up study.

Ital J Pediatr. 2021-8-26

[7]
Long COVID in Children: Observations From a Designated Pediatric Clinic.

Pediatr Infect Dis J. 2021-12-1

[8]
Illness duration and symptom profile in symptomatic UK school-aged children tested for SARS-CoV-2.

Lancet Child Adolesc Health. 2021-10

[9]
Long-term Symptoms After SARS-CoV-2 Infection in Children and Adolescents.

JAMA. 2021-7-15

[10]
Risk factors for post-COVID-19 condition in previously hospitalised children using the ISARIC Global follow-up protocol: a prospective cohort study.

Eur Respir J. 2022-2

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