Clinical Features of Children
| Symptoms | Symptom presence | Moderate (n=133) | Severe (n=38) | Total (n=171) | χ2 test | p-value | |||
|---|---|---|---|---|---|---|---|---|---|
| n | % | n | % | n | % | ||||
| Fever | <38°c | 114 | 85.71 | 35 | 92.11 | 149 | 87.13 | 0.58 | 0.44 |
| 19 | 14.29 | 3 | 7.89 | 22 | 12.87 | ||||
| Sore throat | + | 90 | 67.67 | 29 | 76.32 | 119 | 69.59 | 0.67 | 0.41 |
| − | 43 | 32.33 | 9 | 23.68 | 52 | 30.41 | |||
| Cough | + | 77 | 57.89 | 28 | 73.68 | 105 | 61.40 | 2.47 | 0.11 |
| − | 56 | 42.11 | 10 | 26.32 | 66 | 38.60 | |||
| Rhinitis | + | 73 | 54.89 | 27 | 71.05 | 100 | 58.48 | 2.54 | 0.11 |
| − | 60 | 45.11 | 11 | 28.95 | 71 | 41.52 | |||
| Myalgia | + | 42 | 31.58 | 26 | 68.42 | 68 | 39.77 | 15.24 | 0.0001* |
| − | 91 | 68.42 | 12 | 31.58 | 103 | 60.23 | |||
| Lymphadenopathy | + | 37 | 27.82 | 16 | 42.11 | 53 | 30.99 | 2.19 | 0.13 |
| − | 96 | 72.18 | 22 | 57.89 | 118 | 69.01 | |||
| Wheezing | + | 41 | 30.83 | 10 | 26.32 | 51 | 29.82 | 0.11 | 0.73 |
| − | 92 | 69.17 | 28 | 73.68 | 120 | 70.18 | |||
| Headache | + | 24 | 18.05 | 15 | 39.47 | 39 | 22.81 | 6.5 | 0.01* |
| − | 109 | 81.95 | 23 | 60.53 | 132 | 77.19 | |||
| Diarrhea | + | 21 | 15.79 | 16 | 42.10 | 37 | 21.63 | 10.56 | 0.001* |
| − | 112 | 84.82 | 22 | 57.90 | 134 | 78.36 | |||
| Anosmia | + | 17 | 12.78 | 1 | 2.63 | 18 | 10.53 | 2.24 | 0.13 |
| − | 116 | 87.22 | 37 | 97.37 | 153 | 89.47 | |||
| Dermatological changes | + | 17 | 12.78 | 0 | 0.00 | 17 | 9.94 | 2.24 | 0.13 |
| − | 116 | 87.22 | 38 | 100.00 | 154 | 90.06 | |||
| Dyspnea | + | 2 | 1.50 | 12 | 31.58 | 14 | 8.19 | 31.67 | 0.00001* |
| − | 131 | 98.50 | 26 | 68.42 | 157 | 91.81 | |||
| Ageusia | + | 9 | 6.77 | 1 | 2.63 | 10 | 5.85 | 0.32 | 0.57 |
| − | 124 | 93.23 | 37 | 97.37 | 161 | 94.15 | |||
| Cyanosis | + | 0 | 0.00 | 5 | 13.16 | 5 | 2.92 | 10.02 | 0.001* |
| − | 133 | 100.00 | 33 | 86.84 | 166 | 97.08 | |||
Comorbidities
| Comorbidities | Moderate course (n=133) | Severe course (n=38) | Total (n=171) | p-value | |||
|---|---|---|---|---|---|---|---|
| n | % | n | % | n | % | ||
| RRI | 60 | 45.11 | 29 | 76.31 | 89 | 52.04 | 0.7 |
| Chronic tonsillitis | 15 | 11.28 | 5 | 13.16 | 20 | 11.7 | 0.7 |
| CMV | 5 | 3.76 | 6 | 15.79 | 11 | 6.43 | 0.9 |
| Anemia | 6 | 4.51 | 5 | 13.16 | 11 | 6.43 | 0.5 |
| Atopic dermatitis | 7 | 5.26 | 4 | 10.52 | 9 | 5.23 | 0.6 |
| Neurological disorder | 3 | 2.25 | 5 | 13.16 | 8 | 4.68 | 0.5 |
| Urinary tract diseases | 6 | 4.51 | 2 | 5.26 | 8 | 4.68 | 0.6 |
| Allergy | 6 | 4.51 | 1 | 2.63 | 7 | 4.09 | 0.9 |
| Congenital heart disease | 5 | 3.76 | 1 | 2.63 | 6 | 3.51 | 0.9 |
| Gastrointestinal diseases | 3 | 2.25 | 2 | 5.26 | 5 | 2.92 | 0.5 |
| Obesity | 3 | 2.25 | 2 | 5.26 | 5 | 2.92 | 0.5 |
| Epilepsy | 2 | 1.5 | 3 | 7.89 | 5 | 2.92 | 0.8 |
| Asthma | 3 | 2.25 | 1 | 2.63 | 4 | 2.34 | 0.9 |
| Congenital bone disorders | 0 | 0 | 2 | 5.26 | 2 | 1.17 | 0.3 |
| Oncological disease | 2 | 1.5 | 0 | 0 | 2 | 1.17 | 0.3 |
| Diabetes | 1 | 0.75 | 0 | 0 | 1 | 0.58 | 0.3 |
| HIV | 1 | 0.75 | 0 | 0 | 1 | 0.58 | 0.3 |
| UCTD | 1 | 0.75 | 0 | 0 | 1 | 0.58 | 0.3 |
Demographic Characteristics of Pediatric Patients
| Moderate (n=133) | Severe (n=38) | Total cases (n=171) | |||||
|---|---|---|---|---|---|---|---|
| n% | % | n | % | n | % | ||
| Sex | Boys | 64 | 48.12 | 22 | 57.89 | 86 | 50.3 |
| Girls | 69 | 51.88 | 16 | 42.11 | 85 | 49.7 | |
| Age distribution, years | Infants (2 months – 1 year) | 13 | 9.77 | 7 | 18.42 | 20 | 11.69 |
| Toddlers (1 – 3 years) | 10 | 7.52 | 15 | 39.47 | 25 | 14.62 | |
| Preschool (3 – 5 years) | 6 | 4.51 | 5 | 13.16 | 11 | 6.43 | |
| Middle Childhood (6 – 12 years) | 57 | 42.86 | 4 | 10.53 | 61 | 35.67 | |
| Adolescence (13 – 18 years) | 47 | 35.34 | 7 | 18.42 | 54 | 31.58 | |
Laboratory Test Changes in Pediatric Patients with COVID-19
| Parameter | Reference values | Moderate (n=133) | Severe (n =38) | Total (n=171) | p-value | |||
|---|---|---|---|---|---|---|---|---|
| n | % | n | % | n | % | |||
| RBC (*1012 cells/L) | <3.5 | 2 | 1.50 | 3 | 7.90 | 5 | 2.92 | 0.001* |
| 3.5–5.0 | 71 | 53.38 | 22 | 57.90 | 93 | 54.38 | 0.6 | |
| >5.0 | 60 | 45.11 | 13 | 34.21 | 73 | 42.70 | 0.2 | |
| HGB (g/L) | <110 | 6 | 4.51 | 1 | 2.63 | 7 | 4.09 | 0.5 |
| 110–140 | 74 | 55.64 | 37 | 97.37 | 111 | 64.91 | 0.001* | |
| >140 | 53 | 39.85 | 0 | 0.00 | 53 | 30.99 | 0.001 | |
| WBC (*109 cells/L) | <5.5 | 29 | 21.80 | 9 | 23.68 | 38 | 22.22 | 0.6 |
| 5.5–12 | 81 | 60.90 | 20 | 52.63 | 101 | 59.06 | 0.3 | |
| >12 | 23 | 17.29 | 9 | 23.68 | 32 | 18.71 | 0.1 | |
| Lymphocytes (%) | <45 | 93 | 69.92 | 24 | 63.16 | 117 | 68.42 | 0.4 |
| 45–65 | 32 | 24.06 | 10 | 26.32 | 42 | 24.56 | 0.7 | |
| >65 | 8 | 6.02 | 4 | 10.53 | 12 | 7.02 | 0.4 | |
| Eosinophils (%) | <0.5 | 2 | 1.50 | 1 | 2.63 | 3 | 1.75 | 0.4 |
| 0.5–7 | 128 | 96.24 | 37 | 97.37 | 165 | 96.49 | 0.6 | |
| >7 | 3 | 2.26 | 0 | 0.00 | 3 | 1.75 | 0.1 | |
| ERS (mm/h) | <10 | 119 | 89.47 | 36 | 94.74 | 155 | 90.64 | 0.2 |
| >10 | 14 | 10.53 | 2 | 5.26 | 16 | 9.36 | 0.2 | |
| CRP (mg/L) | <3 | 72 | 54.14 | 8 | 21.05 | 80 | 46.78 | 0.001* |
| >3 | 61 | 45.86 | 30 | 78.95 | 91 | 53.22 | ||
| ALT (IU/L) | <40 | 116 | 89.23 | 32 | 91.48 | 148 | 86.59 | 0.6 |
| >40 | 14 | 10.76 | 3 | 8.57 | 17 | 10.30 | 0.6 | |
| AST (IU/L) | <40 | 106 | 81.53 | 17 | 48.57 | 123 | 75.54 | 0.001* |
| >40 | 24 | 18.46 | 18 | 51.42 | 42 | 25.45 | ||
| Creatinine (mmol/L) | <50 | 65 | 60.74 | 25 | 83.33 | 91 | 66.42 | 0.01 |
| >50 | 42 | 39.25 | 5 | 16.66 | 46 | 35.57 | ||
| Urea (mmol/L) | 2.5–6.5 | 95 | 88.78 | 25 | 83.33 | 120 | 87.59 | 0.5 |
| >6.5 | 12 | 11.21 | 5 | 16.66 | 17 | 12.40 | 0.5 | |