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Article ; Online: Persistent symptoms are associated with long term effects of COVID-19 among children and young people: Results from a systematic review and meta-analysis of controlled studies.

Behnood, Sanaz / Newlands, Fiona / O'Mahoney, Lauren / Haghighat Ghahfarokhi, Mahta / Muhid, Mohammed Z / Dudley, Jake / Stephenson, Terence / Ladhani, Shamez N / Bennett, Sophie / Viner, Russell M / Bhopal, Rowan / Kolasinska, Paige / Shafran, Roz / Swann, Olivia V / Takeda, Andrea

PloS one

2023  Volume 18, Issue 12, Page(s) e0293600

Abstract: Background: Research on the long-term impact on COVID-19 in children and young people (CYP) has been published at pace. We aimed to update and refine an earlier systematic review and meta-analysis to assess the current evidence for Post-COVID-19 ... ...

Abstract Background: Research on the long-term impact on COVID-19 in children and young people (CYP) has been published at pace. We aimed to update and refine an earlier systematic review and meta-analysis to assess the current evidence for Post-COVID-19 Condition in CYP.
Methods: Studies from the previous systematic review were combined with studies from a systematic search from July 2021 to November 2022 (registration PROSPERO CRD42021233153). Eligible studies included CYP aged ≤19 years with confirmed or probable SARS-CoV-2 infection and symptoms persisting at least 12 weeks.
Findings: 55 studies (n = 1,139,299 participants) were included. Over two-hundred symptoms were associated with Post COVID-19 Condition. Gastrointestinal problems, headaches, cough and fever were among the most prevalent symptoms with rates of 50.2%, 35.6%, 34.7% and 25.8% respectively. Twenty-one symptoms from 11 studies were suitable for meta-analysis. There were significantly higher pooled estimates of proportions of symptoms for altered / loss of smell or taste, dyspnoea, fatigue, and myalgia in CYP with confirmed SARS-CoV-2 infection. Heterogeneity was high suggesting substantial variation amongst the included studies.
Conclusions: Many CYP continue to experience symptoms after SARS-CoV-2 infection. Efforts to aid early identification and intervention of those most in need is warranted and the consequences of COVID-19 for CYP call for long-term follow-up.
MeSH term(s) Child ; Humans ; Adolescent ; COVID-19 ; SARS-CoV-2 ; Headache ; Research Design ; Gastrointestinal Diseases ; Post-Acute COVID-19 Syndrome
Language English
Publishing date 2023-12-28
Publishing country United States
Document type Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID 2267670-3
ISSN 1932-6203 ; 1932-6203
ISSN (online) 1932-6203
ISSN 1932-6203
DOI 10.1371/journal.pone.0293600
Database MEDical Literature Analysis and Retrieval System OnLINE

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