Characteristics and predictors of persistent symptoms post-COVID-19 in children and young people: a large community cross-sectional study in England.

Characteristics and predictors of persistent symptoms post-COVID-19 in children and young people: a large community cross-sectional study in England.
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DOI:
10.1136/archdischild-2022-325152
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发表时间:
2023-07
影响因子:
5.2
通讯作者:
Ward, Helen
Ward, Helen
中科院分区:
医学2区
文献类型:
--
作者:
Atchison, Christina J.;Whitaker, Matthew;Donnelly, Christl A.;Chadeau-Hyam, Marc;Riley, Steven;Darzi, Ara;Ashby, Deborah;Barclay, Wendy;Cooke, Graham S.;Elliott, Paul;Ward, Helen

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估计英格兰5-17岁儿童COVID-19后持续症状的患病率及其相关风险因素。系列横断面研究。第10-19轮(2021年3月至2022年3月)社区传播实时评估-1研究(英格兰人口随机样本的月度横断面调查)。社区中5-17岁的儿童。年龄、性别、种族、存在既存健康状况、多重剥夺指数、COVID-19疫苗接种状况和症状发作时英国流行的SARS-CoV-2主要变体。持续症状的患病率,报告为COVID-19后持续≥3个月。总体而言,4.4%(95% CI 3.7至5.1),3173名5-11岁儿童和13.3%(95% CI 12.5 - 14.1)在6886名既往有症状感染的12-17岁儿童中,报告了COVID-19后至少一种持续≥3个月的症状,其中分别有13.5%(95% CI 8.4 - 20.9)和10.9%(95% CI 9.0 - 13.2)的患者报告称,由于症状,他们进行日常活动的能力"大大“降低。持续症状的参与者中最常见的症状是5-11岁儿童的持续咳嗽(27.4%)和头痛(25.4%),以及12-17岁参与者的嗅觉(52.2%)和味觉(40.7%)丧失或改变。较高的年龄和预先存在的健康状况与报告持续症状的几率较高相关。23名5-11岁儿童中有1人和8名12-17岁儿童中有1人报告了持续≥3个月的持续症状,其中9人中有1人报告对日常活动产生了很大影响。
To estimate the prevalence of, and associated risk factors for, persistent symptoms post-COVID-19 among children aged 5–17 years in England. Serial cross-sectional study. Rounds 10–19 (March 2021 to March 2022) of the REal-time Assessment of Community Transmission-1 study (monthly cross-sectional surveys of random samples of the population in England). Children aged 5–17 years in the community. Age, sex, ethnicity, presence of a pre-existing health condition, index of multiple deprivation, COVID-19 vaccination status and dominant UK circulating SARS-CoV-2 variant at time of symptom onset. Prevalence of persistent symptoms, reported as those lasting ≥3 months post-COVID-19. Overall, 4.4% (95% CI 3.7 to 5.1) of 3173 5–11 year-olds and 13.3% (95% CI 12.5 to 14.1) of 6886 12–17 year-olds with prior symptomatic infection reported at least one symptom lasting ≥3 months post-COVID-19, of whom 13.5% (95% CI 8.4 to 20.9) and 10.9% (95% CI 9.0 to 13.2), respectively, reported their ability to carry out day-to-day activities was reduced ‘a lot’ due to their symptoms. The most common symptoms among participants with persistent symptoms were persistent coughing (27.4%) and headaches (25.4%) in children aged 5–11 years and loss or change of sense of smell (52.2%) and taste (40.7%) in participants aged 12–17 years. Higher age and having a pre-existing health condition were associated with higher odds of reporting persistent symptoms. One in 23 5–11 year-olds and one in eight 12–17 year-olds post-COVID-19 report persistent symptoms lasting ≥3 months, of which one in nine report a large impact on performing day-to-day activities.
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