Long-Term Effects of COVID-19 on Respiratory Symptoms and Asthma Control in Pediatric Patients with Asthma

Yıl 2024, , 117 - 123, 18.03.2024

Azize Pınar Metbulut , Deniz Yılmaz , İlknur Külhaş Çelik , Ersoy Civelek , Emine Dibek Mısırlıoğlu , Muge Toyran

https://doi.org/10.12956/tchd.1354529

Öz

Objective: After Covid-19 infection, many patients complain of persistent symptoms. There are limited studies evaluating the long-term consequences of COVID-19, in pediatric patients with asthma. The aim of this study is to evaluate the persistence of symptoms and asthma control in asthmatic children during follow-up after COVID-19 infection.
Material and Methods: Children with asthma who were admitted to our hospital between March 11, 2020, and August 31, 2021, for COVID-19 infection were included. Patients were evaluated for long- term symptoms and asthma control through phone interviews at least 6 months after infection.
Results: Eighty-five children with asthma were evaluated. The median duration of follow-up was 20 months. Patients experiencing symptoms after 1 month, 3 month and 6 month of COVID were 45.8% (n:39), 30.6% (n:26), and 23.5% (n:20) respectively. The most common symptom was cough. No significant relationship was found between time period from the date of COVID-19 to phone call and symptom persistence. Patients adopting a new pet and having stress were significantly higher in group of patients having symptoms at first month. Frequency of being well controlled was not different before and at 1 and 6 month of infection.
Conclusion: This study suggests that respiratory symptoms may persist in pediatric asthma patients for an extended period after COVID-19 infection.

Anahtar Kelimeler

Asthma, Child, COVID-19

Coronavirüs enfeksiyonu olan pediatrik astımlı hastaların uzun vadede değerlendirilmesi

Öz

Amaç: Çalışmanın amacı, COVİD-19 enfeksiyonu sonrası astımlı çocukların persistan semptomlarını ve astım control durumlarını değerlendirmektir.
Gereç ve Yöntemler: Çalışmaya 11 Mart 2020 ve 31 Ağustos 2021 arasında astım tanısı olan ve COVİD-19 enfeksiyonu olan çocuklar alınmıştır. Hastalara telefon görüşmesi aracılığıyla, COVİD-19 enfeksiyonundan en az 6 ay sonra, uzun dönem semptom ve astım kontrolü için değerlendirildi.
Bulgular: Astımlı 58 çocuk değerlendirildi. Ortanca izlem süresi 20 aydı. COVİD-19 enfeksiyonundan 1, 3 ve 6 ay sonra halen semptomu olan hastalar sırasıyla %45.8 (n:39), %30.6 (n:26), ve %23.5 (n:20) olarak saptandı. En sık saptanan semptom öksürüktü. COVİD-19 enfeksiyonu geçirdikleri tarihten telefon görüşmesine kadar olan süre ile semptom persistansı arasında anlamlı ilişki saptanmadı. COVİD-19 enfeksiyonu sonrası 1.ayında semptomu sebat edenlerde anlamlı olarak yeni evcil hayvan sahiplenme ve stresli olma daha fazla saptandı.
Astımda iyi kontrollü olma durumu enfeksiyon öncesi dönem, enfeksiyon sonrası 1. ve 6.ayda anlamlı olarak farklı olmadığı saptandı.
Sonuç: Bu çalışma, pediatrik astım tanısı olan çocuklarda semptomların uzun süre devam edebileceğini göstermektedir.

Anahtar Kelimeler

Asthma, Çocuk, COVİD-19

Kaynakça

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