Long COVID in children and young people: uncertainty and contradictions

Chew‐Graham, Carolyn; Briggs, Tracy A; Kane, Binita

doi:10.3399/bjgp22x719501

Cited by 6 publications

(7 citation statements)

References 16 publications

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“…Compared to various preceding studies based on online questionnaires [ 14 ], the identification of long COVID symptoms in this study may be more accurate because the symptoms were identified by face-to-face interviews. This study is unique in that we were able to perform a direct comparison of symptoms in children with those in adults because both the adults and children were seen by the same general physicians using the same evaluation tools as those proposed from a study conducted in Britain [ 34 ]. However, our study also has some limitations.…”

Section: Discussionmentioning

confidence: 99%

Trends in Long COVID Symptoms in Japanese Teenage Patients

et al. 2023

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Background: Since the start of the global pandemic of coronavirus disease 2019 (COVID-19), not only adults but also many children have suffered from it. However, the clinical characteristics of long COVID in children remain unclear. Methods: In this retrospective observational study conducted in a single facility, we reviewed the medical records of all long COVID patients who visited Okayama University Hospital from February 2021 to October 2022, and we compared the clinical characteristics of long COVID in teenagers (11 to 18 years of age) with those in adults. Results: Data for 452 long COVID patients including 54 teenagers (11.9%) were analyzed. Fatigue was the most frequent symptom in teenagers (55.6% of the patients) and also in adults. On the other hand, the percentage of teenagers who complained of headache, which was the second most frequent complaint, was significantly higher than the percentage of adults (35.2% vs. 21.9%, p < 0.05). A comparison of the frequencies of symptoms depending on the viral variant showed that fatigue and headache were predominant symptoms in the Omicron variant phase. Of the 50 teenagers who were enrolled in schools, 28 (56.0%) could not attend school due to long COVID symptoms. The most common symptoms as reasons for absence from school were fatigue (85.7% of the patients), headache (42.9%), and insomnia (32.1%). Conclusions: Attention should be paid to the symptoms of fatigue and headache in teenagers with long COVID.

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Section: Discussionmentioning

confidence: 99%

Trends in Long COVID Symptoms in Japanese Teenage Patients

et al. 2023

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“…Researchers in other parts of the world also attach great importance to the relationship between the physician and patient in treating long COVID, including the authors of two UK studies. 8 , 9 Atherton et al note that 'the patient–doctor relationship is vital in the management of people with long COVID' . 16 Effective communication and ongoing support through follow-up appointments are vital for rehabilitation and patient satisfaction because it was reported that only patients that were offered this type of support felt that they had received satisfactory care.…”

Section: Discussionmentioning

confidence: 99%

“… 4 National Institute for Health and Care Excellence, 5 Scottish Intercollegiate Guideline Network, 6 and the Royal College of General Practitioners 7 have established comprehensive definitions, norms, and guidelines to address the multifaceted nature of long COVID. 8 However, the reality faced by patients and medical staff is complex because of sometimes controversial clinical conditions. Above all, studies of survivors and physicians report a wide array of experiences among individuals who have been struggling with post-COVID symptoms for multiple years.…”

Section: Introductionmentioning

confidence: 99%

Long COVID as a never-ending puzzle: the experience of primary care physicians. A qualitative interview study

Rotar Pavlic,

Maksuti,

Mihevc

et al. 2023

BJGP Open

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BackgroundLong COVID provides a new context in which primary healthcare needs to be reexamined, especially because it has health and social dimensions. The experiences of care for patients with long COVID and primary care physicians’ perceptions are an unexplored area.AimTo explore the experiences of Slovenian primary care physicians in management and treatment of patients with long COVID.Design & settingA qualitative interview study in Slovenian primary care was carried out between November 2021 and April 2022.MethodSemi-structured interviews were held with physicians that had treated patients with long COVID until saturation was reached. Qualitative content analysis (QCA) was used to analyze the data collected.ResultsSeventeen participants were interviewed. Six categories were defined based on the coding process: the definition and symptoms of long COVID; social exclusion, sick leave, returning to the work environment, cooperation with rehabilitation centers and the importance of trust and good communication with the patient.ConclusionThe study shows the experiences of Slovenian primary care physicians in the management and treatment of long COVID. The problems related to long COVID were divided into two groups: health problems and psycho-social problems. Slovenian physicians have the greatest problems with dealing with the patient’s ability to work. It was found that adequate communication and trust between physicians and patients are two important indicators for an integrated model of managing long COVID.

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“…GPs have an important role in listening to CYP with long COVID, supporting them, and referring to long COVID services if available. 31 …”

Section: Discussionmentioning

confidence: 99%

Experiences and care needs of children with long COVID: a qualitative study

Faux-Nightingale,

Saunders,

Burton

et al. 2023

BJGP Open

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BackgroundLong Covid, the patient-preferred term, describes symptoms persisting after an acute episode of Covid-19 infection. Symptoms in children and young people (CYP) can affect daily routine, with broader impacts on education, health-related quality of life, and social activities, which may have long term effects on health and wellbeing.AimTo explore the lived experiences and care needs of CYP with Long Covid from the perspectives of CYP with Long Covid, their parents, and professionals associated with the care of children and families living with Long Covid.Design & SettingCYP and their parent/carer were invited for interview following participation in a cohort study, which recruited from a primary care setting.MethodInterviews were carried out with four CYP with Long Covid (all female, aged 10–17 years), three interviews included a parent. Two focus groups were conducted, which included seven professionals involved with care of CYP or Long Covid, from a range of disciplines. Interviews and focus groups were transcribed verbatim, and data analysed thematically using constant comparison techniques.ResultsThe main themes presented are Living with Long Covid; Uncertainty surrounding Long Covid; and Seeking help for symptoms.ConclusionsLong Covid can severely impact the lives of CYP and their families. CYP and their families need to be listened to by professionals and have any uncertainties acknowledged. It is imperative that agencies working with them understand the condition, its impact, and are able to offer support where needed.

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Long COVID in children and young people: uncertainty and contradictions

Cited by 6 publications

References 16 publications

Trends in Long COVID Symptoms in Japanese Teenage Patients

Trends in Long COVID Symptoms in Japanese Teenage Patients

Long COVID as a never-ending puzzle: the experience of primary care physicians. A qualitative interview study

Experiences and care needs of children with long COVID: a qualitative study

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