COVID 19 Patients Who Applied To Our Pediatric Emergency Department

Yıl 2023, Cilt: 17 Sayı: 6, 476 - 482, 27.11.2023

İlknur Fidancı , Medine Taşar , Burcu Cura Yayla , Kübra Aykaç , Bahar Akıntuğ , Mustafa Berkay Kılıç , Gökçe İşcan

https://doi.org/10.12956/tchd.1251721

Öz

Objective: We aimed to evaluate COVID 19 PCR test positive patients who admitted to our Pediatric Emergency Department, together with their admission symptoms, clinical, laboratory and radiological findings.
Method: The study was conducted in patients admitted to Pediatric Emergency Department between March 2020 and January 2021. SPSS 26 V was used in the analysis of the data.
Results: 1007 COVID 19 PCR + patients were included in the study. Of these, 512 (50.8%) were female, 495 (49.2%) were male, and the median age was 171 months (min-max: 2-226). In the disease classification of patients, 818 (81%) patients were asymptomatic. The most common symptoms were fever (45.6%), cough (38.3%) and sore throat (26.7%). According to age groups, fever (p<0.01), vomiting and diarrhea (p=0.010) were significantly higher in the group over 120 months of age.Chest X-ray was taken in 74.3% of the patients, 1.06% of them were evaluated as abnormal. This situation was seen more in the moderate group (p<0.01). CRP elevation was the most common laboratory finding in 28.9% of patients, leukopenia in 38.5%, and lymphopenia in 25.2% of patients. CRP, procalcitonin and troponin values were higher in the severe group (p<0.019; p<0.003, p<0.013). 10.3% of the patients received inpatient treatment.
Conclusion: Although COVID 19 progresses with asymptomatic and mild symptoms in children, it should be borne in mind that in rare cases, there may be severe course and death. It is important to detect asymptomatic cases in terms of transmission, especially to protect the elderly and adults with underlying disease.

Anahtar Kelimeler

covid 19, pediatric emergency, child

Çocuk Acil Servisimize Başvuran COVİD 19 hastalar

Öz

Amaç: Çocuk Acil Servisimize başvuran COVİD 19 PCR testi + olan hastaları başvuru semptomları, klinik, labaratuar ve radyolojik bulgularıyla birlikte değerlendirmeyi amaçladık.

Gereç ve yöntem: Çalışma üçüncü basamak Çocuk Acil Servise Mart 2020- Ocak 2021 tarihleri arasında başvuran hastalarda yapıldı. Verilerin analizinde SPSS 26 V kullanıldı.

Bulgular: Çalışmaya 1007 COVİD 19 PCR + hasta dahil edildi. Bunlardan 512(%50.8) si kız, 495(%49.2) i erkek cinsiyetteydi, yaş ortancası 171 ay(min-max:2-226) idi. Hastaların sınıflamasında 818(%81) hasta asemptomatik, 106(%10.5) hasta hafif, 77(%7.6) hasta orta, 6(%0,5) hasta ağır klinikteydi. En sık görülen semptom ateş(%45.6), öksürük(%38.3) ve boğaz ağrısıydı(%26.7). Yaş gruplarına göre bakıldığında 120 ay üstü grupta ateş (p<0,01), kusma ve ishal(p=0.010) anlamlı derecede yüksekti. Hastaların %74,3 üne akciğer grafisi çekildi, %1,06 sı anormal olarak değerlendirildi. Bu durum orta ağırlıktaki grupta daha çok görüldü.(p<0.01). Sadece 20(1.9)hastaya bilgisayarlı tomografi çekildi, bununda 8(0.8) tanesi anormal olarak raporlandı. CRP yüksekliği hastaların %28.9 unda, lökopeni %38.5 unda, lenfopeni %25.2 sinde görülen en yaygın görülen laboratuar bulgularıydı. CRP, Prokalsitonin ve Troponin değerleri ağır grupta yüksekti.(p<0.019; p<0.003, p<0.013). Hastaların %10.3 hastanede yatarak tedavi aldı.

Sonuç: COVİD 19 çocuklarda her ne kadar asemptomatik ve hafif semptomlarla seyretse de komorbid hastalığı olan grupta ağır seyredebileceği ve ölümlerin görülebileceği unutulmamalı, asemptomatiklerin bulaş açısından tespiti özellikle yaşlı ve altta yatan hastalığı olan erişkinleri korumak için önemlidir.

Anahtar Kelimeler

covid 19, çocuk acil, çocuk

Kaynakça

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