Thread by @elisaperego78

Pediatric Covid-19 in Spain 🇪🇸
| analysis of the clinical spectrum of Covid in children seen at the emergency in 76 hospitals | cohort of n=1200 children under 18 | n=666 or 55% children hospitalized | n=123 or 18% required intensive care i.e. PICU 🧵

link.springer.com/article/10.100…

Median age: 4.7 years | 55% male | different levels of severity noted | from gastrointestinal symptoms to pulmonary involvement | MIS-C or multi-inflammatory syndrome diagnosed in 10% patients | over 20 pneumonia cases reported | most patients i.e. ~75% had no commorbities

8.5% had bacterial co-infection | 30% hospitalized patients ended up with severe complications | these included cardiac involvement in 11% ❗for example n=48 had myocardial involvement | and shock in 8% | 4 children needed ECMO i.e. mechanical blood oxygenation outside the body

Immune dysfunction and inflammation recorded in severe patients | parameters of interest included raised IL-6, ddmer, ALT, ferritin and creatinine (complete list in the paper!)

My overall takeaway: as the authors report, severe Covid-19 in the acute phase is rarer in children than in adults | the risk, however, is my opinion, not insignificant, on the contrary❗| #LongCovidKids is not assessed in the study

#LongCovid

@LongCovidKids @TigressEllie

also @Antonio_Caramia @FranceskoNew @docdrugztore