ĐẶC ĐIỂM LÂM SÀNG, XÉT NGHIỆM VÀ X-QUANG CỦA TRẺ EM MẮC COVID-19 TẠI BỆNH VIỆN DÃ CHIẾN SỐ 8, TỈNH NGHỆ AN

Abstract

Objectives: To describe the clinical, laboratory and radiologic characteristics of children with COVID-19. Methods: An observational, prospective study was conducted in 663 children ≤ 16 years old with positive RT-PCR results for SARS-CoV-2, who were monitored and treated at Field Hospital No. 8 in Nghe An province, from October 25, 2021 - December 25, 2021. Results: 15.5% of children with COVID-19 were asymptomatic, 80.2% were mild and 4.2% were moderate. Among 560 children with clinical symptoms, the most common was fever (60.7%), followed by cough (40.5%), nasal symptoms (8.4%), vomiting (6.8%) and diarrhea (8%). Shortness of breath and SpO2 ≤ 95% and rales sound in lungs have a low rate (≤ 5%). A decrease in white blood cell count was reported in 67.1% of cases and one-third of the children had an increased lymphocytes count. 74.5% had an increase in D-Dimer with the median value of 370.5mmol/l, the highest being 123,690 mmol/l. Among 278 children (41.9%) who had chest X-ray and lung ultrasound, 22.3% had bilateral ground-glass opacities, 10.9% had B-line form and 2.9% had pulmonary consolidation. Conclusion: The majority of clinical and subclinical symptoms found in children with COVID-19 were mild and moderate. However, the study suggests that close monitoring, evaluation and better control of these symptoms are needed to prevent the risk of progression to severe conditions.