COVID 19 Patients Who Applied To Our Pediatric Emergency Department

Abstract

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.