Article ; Online: Diagnosis of EVALI in Adolescents During the COVID-19 Pandemic: A Case Series.
Hospital pediatrics
2022 Volume 12, Issue 5, Page(s) 538–543
Abstract: Objective: Electronic-cigarette or vaping use-associated lung injury (EVALI) is an illness that requires further awareness for appropriate diagnosis and management. This series is a retrospective chart review of EVALI cases admitted from June to ... ...
| Abstract | Objective: Electronic-cigarette or vaping use-associated lung injury (EVALI) is an illness that requires further awareness for appropriate diagnosis and management. This series is a retrospective chart review of EVALI cases admitted from June to December 2020 at a large academic children's hospital in New York. Methods: Notably during this time, the coronavirus disease 2019 (COVID-19) global pandemic rendered the world under strict quarantine mandates. We discuss 7 patients, all of whom were seen in a clinic, urgent care, or emergency department before presentation to our hospital. Results: Patients presented with respiratory, gastroenterology, and constitutional complaints typically seen with EVALI and COVID-19. However, given their complex presentations in the setting of the COVID-19 pandemic, EVALI was not considered as pertinent history was not elicited. Conclusions: With the COVID-19 pandemic as a setting for these cases, we emphasize the importance of eliciting a complete psychosocial history for all adolescents because without vaping disclosure, EVALI will go undiagnosed. It is also imperative to ensure consistent outpatient follow-up, although difficult because of limited access or hesitation and fear of acquiring COVID-19 in health care settings during the pandemic, and to stress vaping cessation, both of which are crucial in preventing further complications. |
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| MeSH term(s) | Adolescent ; COVID-19/epidemiology ; Child ; Electronic Nicotine Delivery Systems ; Humans ; Lung Injury/diagnosis ; Lung Injury/epidemiology ; Lung Injury/etiology ; Pandemics ; Retrospective Studies ; Vaping/adverse effects |
| Language | English |
| Publishing date | 2022-04-06 |
| Publishing country | United States |
| Document type | Journal Article |
| ISSN | 2154-1671 |
| ISSN (online) | 2154-1671 |
| DOI | 10.1542/hpeds.2021-006110 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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