The Impact of the COVID-19 Outbreak on the Medical Treatment of Chinese Children with Chronic Kidney Disease (CKD) : A Multicenter Cross-section Study in the Context of a Public Health Emergency of International Concern

Zhang, Gaofu; Yang, Haiping; Zhang, Aihua; Shen, Qian; Wang, Li; Li, Zhijuan; Li, Yuhong; Zhao, Lijun; Du, Ye; Sun, Liangzhong; Zhao, Bo; Zhu, Hongtao; Fu, Haidong; Li, Xiaoyan; Gao, Xiaojie; Sheng, Hao; Ding, Juanjuan; Chen, Zongwen; Xu, Zhongneng; Liu, Xiaorong; Wu, Daoqi; Gao, Mingsi; Wang, Mo; Li, Qiu

doi:10.1101/2020.02.28.20029199

Cited by 11 publications

(10 citation statements)

References 9 publications

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“…Children with underlying diseases, such as malignancies, cirrhosis, chronic kidney disease, cardiovascular or pulmonary diseases or immunosuppression may experience more severe symptoms, like respiratory distress syndrome, septic shock, deep acidosis, and respiratory or even cardiovascular collapse (3,15).…”

Section: Clinical Manifestations Of Covid-19 In Pediatricsmentioning

confidence: 99%

Coronavirus Disease 2019 (COVID-19) Outbreak in Pediatrics and the Role of Pediatricians: A Systematic Review

et al. 2020

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The coronavirus disease 2019 (COVID-19) outbreak initiated in Wuhan, China and has spread rapidly all around the world and labeled as a pandemic with almost 168,000 infected cases and 6,500 deaths globally up to March 16, 2020. It is believed that children are less likely than adults to be infected with COVID-19. In this review, we discuss different aspects of COVID-19 infection in pediatrics. COVID-19 in pediatrics occurs in the early stages of its outbreak at a high rate with a family cluster pattern mainly. Children infected with COVID-19 are mostly asymptomatic carriers and the main potential causes of the spread and transmission of the disease in communities. Asymptomatic children with no underlying disease or red flags should follow home isolation protocols. Children with red flags, comorbidities and risk factors or those with severe pneumonia must be admitted to the hospitals. Children's hospitals should be equipped with the acute respiratory diseases ward, quarantine rooms, and intensive care unit to protect other patients and health care staff during the COVID-19 outbreak.

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Section: Clinical Manifestations Of Covid-19 In Pediatricsmentioning

confidence: 99%

Coronavirus Disease 2019 (COVID-19) Outbreak in Pediatrics and the Role of Pediatricians: A Systematic Review

et al. 2020

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“…In another study, Haslak et al (15) have investigated the concerns regarding the management of childhood-onset autoinflammatory diseases during the era of COVID-19. Their findings showed that children with childhood-onset autoinflammatory disorder who received biologic treatment and/or colchicine may not be at higher risk of infection from COVID-19 or experiencing severe disease course (16). The results of these two studies highlight the importance of reliance on the therapeutic regimen during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 97%

“…In this regards, Zhang et al (16) have also investigated the impact of COVID-19 pandemic on the treatment of children with chronic kidney disease (CKD) in China. In line with our findings, Zhang et al (16) showed that the majority of the parents (81.1%) were concerned about the condition of their children. Moreover, they found that only 1.12 of the parents decided to stop the medicines or treatment of their children.…”

Section: Discussionmentioning

confidence: 99%

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Management of Childhood Rheumatic Diseases During the COVID-19 Pandemic: A Survey on Parental Approaches and Involvements in the Treatment Procedure

Tahghighi

Ziaee

2020

Iran J Pediatr

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Objectives: This study aimed to seek the approaches of parents in medical management of their children with rheumatic disorders during the COVID-19 outbreak. Methods: This cross-sectional study was conducted based on an online questionnaire survey at Children’s Medical Center Hospital of Tehran University of Medical Sciences, Tehran, Iran. The participants were selected based on their institutional records. The questionnaires contained questions covering all the basic information related to the patients and their parents, as well as the approaches that parents had taken to manage the rheumatic disease of their children during the outbreak of COVID-19. Results: A total number of 125 valid questionnaires were collected. Based on our results, 13 out of 129 parents had discontinued their children’s medicines due to COVID-19 concerns, 4 had respiratory disease symptoms but 9 had not any signs of pulmonary involvements. Thus, the overall response rate was calculated 89.6%. However, among the symptomatic cases 19 out of 23 rheumatoid cases had continued to take their routine medications, and the response rate among this group was obtained 82.6%. Among these 13 cases, 7 children had worsened symptoms; however 6 had no changes in the disease symptoms. Seventy-six out of 125 children had been visited by a doctor in the last 2 months, while the remaining 49 cases did not. Twenty-three children (18.4%) had respiratory disease symptoms in the last two months, 19 of whom (82.6%) had continued their rheumatic drugs, but 4 (17.3%) had stopped. Only 3 of 125 children had confirmed COVID-19 infection. Conclusions: None of the parents who had visited a pediatric rheumatologist during this time had discontinued their children’s medicines. Therefore, close contact with doctors or online consultation could benefit them during the COVID-19 era.

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“…6 In addition, because of contact with health care professionals at our center children with cancer may have been informed better regarding COVID-19 risks and prevention, and had access to psychosocial support if necessary. 17 Also, the disruption of care during COVID-19 may be worrisome, 18,19 but outpatient care was continued completely at our center.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial function of Dutch children with cancer and their caregivers during different phases of the COVID-19 pandemic

Gorp

Maurice‐Stam

Teunissen

et al. 2021

Preprint

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We compared psychosocial functioning of children with cancer and their caregivers in several phases of the COVID-19 pandemic to before COVID-19. One or more questionnaires on health-related quality of life (HRQoL) or fatigue of children or distress of their caregivers was available from 1644 families. In children with cancer, HRQoL was stable throughout the COVID-19 pandemic. Fatigue was slightly lower and sleep somewhat better during the pandemic than before. Caregiver distress was lower in the first pandemic phase, but increased to pre-COVID-19 levels in later phases, indicating that the length and consequences of the pandemic may be weighing on them.

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The Impact of the COVID-19 Outbreak on the Medical Treatment of Chinese Children with Chronic Kidney Disease (CKD) : A Multicenter Cross-section Study in the Context of a Public Health Emergency of International Concern

Cited by 11 publications

References 9 publications

Coronavirus Disease 2019 (COVID-19) Outbreak in Pediatrics and the Role of Pediatricians: A Systematic Review

Coronavirus Disease 2019 (COVID-19) Outbreak in Pediatrics and the Role of Pediatricians: A Systematic Review

Management of Childhood Rheumatic Diseases During the COVID-19 Pandemic: A Survey on Parental Approaches and Involvements in the Treatment Procedure

Psychosocial function of Dutch children with cancer and their caregivers during different phases of the COVID-19 pandemic

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