The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1401
4
1
gregorian
2022
7
1
30
4
online
1
fulltext
fa
بررسی عوارض کووید- 19 در کودکان بستری در بیمارستان شهید صدوقی یزد از اسفند سال 1398 لغایت اسفند سال 1399
Evaluation of Complications of Covid-19 in Children Admitted to Shahid Sadoughi Hospital in Yazd (March 2020 - March 2021)
اطفال
Pediatrics
پژوهشي
Original article
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شیوع بیماری کووید- 19 اولین بار توسط سازمان بهداشت جهانی در سال 2019 در ووهان چین اعلام شد</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> مطالعات محدودی در مورد عوارض درازمدت پس از فاز حاد بیماری در کودکان انجام شده است</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> این مطالعه با هدف ارزیابی پیامدهای بلندمدت کووید- 19در کودکان بستری، انجام شد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در این مطالعه مقطعی عوارض طولانیمدت در 105کودک زیر 18 سال مشکوک به بیماری</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">کووید- 19 که به مدت یک سال </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">از اسفند 1398 در بیمارستان شهید صدوقی یزد بستری شده بودند، </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">با </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تکمیل پرسشنامه 3 ماه بعد از ترخیص توسط خانواده بیماران و دریافت اطلاعات پرونده آنها بررسی شد</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">همچنین افراد مورد مطالعه در 4 گروه سنی طبقهبندی شدند. در نهایت اطلاعات توسط نرمافزار</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">version 16 </span> <span dir="LTR" new="" roman="" style="font-family:" times="">SPSS</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> مورد آنالیز قرار گرفت.</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">0/05</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P<</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> معنیدار در نظر گرفته شد</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تمام 105 کودک بستری مشکوک به کووید-19 در زمان مذکور، وارد این مطالعه شدند. اما خانواده 80 کودک پرسشنامه را تکمیل کردند. </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شایعترین عوارض طولانیمدت اختلال خلق و خو (35/2%)، کاهش اشتها (22/9%) و احساس خستگی (20%) بوده است و نیز مشخص گردید که با افزایش سن، میزان باقی ماندن عوارض بیشتر شده است</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:.1pt"> (0/007 </span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="letter-spacing:.1pt">P=</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:.1pt">) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">.</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج این مطالعه نشان داد که شایعترین عوارض در پیگیری سه ماهه کودکان مبتلا به کووید-19 به ترتیب اختلالات خلقی، کاهش اشتها و خستگی است. بنابراین، عوارض پس از کووید-19 را نمیتوان در میان کودکان و نوجوانان نادیده گرفت. مطالعات مبتنی بر جمعیت کنترل شده و تجزیه و تحلیلهای عمیق بیشتر برای تأیید تأثیر آنها بر افراد و سیستم های مراقبت بهداشتی مورد نیاز است.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Introduction:</span></b> <span new="" roman="" style="font-family:" times="">The World Health Organization first reported outbreaks of COVID-19 in 2019 in Wuhan, China. Limited studies have been performed on long-term complications after the acute phase of this disease in children. This study aimed to evaluate the long-term outcomes of children who had previously been hospitalized with COVID-19.</span> <span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Methods:</span></b> <span new="" roman="" style="font-family:" times="">In this cross-sectional study, </span><span new="" roman="" style="font-family:" times="">long-term complications in 105 children less than 18 years of age suspected of having Covid-19 disease</span><span new="" roman="" style="font-family:" times=""> were assessed (2020-2021). This evaluation was performed by completing a questionnaire by patients' families three months after discharge and collecting information from the patients' records at the time of hospitalization. Participants were also classified into four age groups. Finally, the data were analyzed using SPSS software version 19.</span> <span new="" roman="" style="font-family:" times="">P-value less than 0.05 was considered statistically significant.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><b> </b><span new="" roman="" style="font-family:" times="">All 105 children suspected of having COVID-19 who were hospitalized during the mentioned period were included in this study, but the families of 80 children completed the questionnaire. The most common long-term complications in the patients were mood disorders (35.2%), loss of appetite (22.9%), and fatigue (20%), respectively. It has also been found that with the increasing age of the patients, the incidence of complications has increased.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><b> </b><span new="" roman="" style="font-family:" times="">This study results demonstrated that the most common side effects observed in trimester follow-up of children with COVID-19 are mood disorders, loss of appetite, and fatigue, respectively. Thus, post-COVID-19 complications cannot be dismissed among children and adolescents. Controlled population-based studies and further in-depth analyses are </span><span new="" roman="" style="font-family:" times="">needed</span><span new="" roman="" style="font-family:" times=""> to confirm their impact on individuals and health care systems.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span></div>
کووید-19, فالوآپ, کودکان, عوارض
COVID-19, Follow-up, Children, Complications.
4719
4725
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4762-1&slc_lang=fa&sid=1
Meysam
Yazdian
میثم
یزدیان
dr.meysam.yazdian@gmail.com