J 2023

COVID-19-Associated Paediatric Inflammatory Multisystem Syndrome (PIMS-TS) in Intensive Care: A Retrospective Cohort Trial (PIMS-TS INT)

MUSILOVÁ, Tereza, Jakub JONAS, Tomas GOMBALA, Jan DAVID, Filip FENCL et. al.

Basic information

Original name

COVID-19-Associated Paediatric Inflammatory Multisystem Syndrome (PIMS-TS) in Intensive Care: A Retrospective Cohort Trial (PIMS-TS INT)

Authors

MUSILOVÁ, Tereza (203 Czech Republic, belonging to the institution), Jakub JONAS (203 Czech Republic), Tomas GOMBALA (203 Czech Republic), Jan DAVID (203 Czech Republic), Filip FENCL (203 Czech Republic), Eva KLABUSAYOVÁ (203 Czech Republic, belonging to the institution), Jozef KLUČKA (703 Slovakia, belonging to the institution), Milan KRATOCHVÍL (703 Slovakia), Pavla HAVRÁNKOVÁ (203 Czech Republic, belonging to the institution), Adela VRTKOVA (203 Czech Republic), Kateřina SLABÁ (203 Czech Republic, belonging to the institution), Jana TUČKOVÁ (203 Czech Republic, belonging to the institution), Lukáš HOMOLA (203 Czech Republic), Petr ŠTOURAČ (203 Czech Republic, belonging to the institution) and Tomáš VYMAZAL (203 Czech Republic)

Edition

Children, BASEL, MDPI, 2023, 2227-9067

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30209 Paediatrics

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.400 in 2022

RIV identification code

RIV/00216224:14110/23:00131037

Organization unit

Faculty of Medicine

UT WoS

000938953200001

Keywords in English

PIMS-TS; COVID-19; SARS-CoV-2; paediatric patient; post-COVID syndrome

Tags

International impact, Reviewed
Změněno: 5/4/2024 08:31, Mgr. Tereza Miškechová

Abstract

V originále

Paediatric inflammatory multisystem syndrome temporally associated with COVID-19 (PIMS-TS) is a new disease in children and adolescents that occurs after often asymptomatic or mild COVID-19. It can be manifested by different clinical symptomatology and varying severity of disease based on multisystemic inflammation. The aim of this retrospective cohort trial was to describe the initial clinical presentation, diagnostics, therapy and clinical outcome of paediatric patients with a diagnosis of PIMS-TS admitted to one of the 3 PICUs. All paediatric patients who were admitted to the hospital with a diagnosis of paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) during the study period were enrolled in the study. A total of 180 patients were analysed. The most common symptoms upon admission were fever (81.6%, n = 147), rash (70.6%, n = 127), conjunctivitis (68.9%, n = 124) and abdominal pain (51.1%, n = 92). Acute respiratory failure occurred in 21.1% of patients (n = 38). Vasopressor support was used in 20.6% (n = 37) of cases. Overall, 96.7% of patients (n = 174) initially tested positive for SARS-CoV-2 IgG antibodies. Almost all patients received antibiotics during in-hospital stays. No patient died during the hospital stay or after 28 days of follow-up. Initial clinical presentation and organ system involvement of PIMS-TS including laboratory manifestations and treatment were identified in this trial. Early identification of PIMS-TS manifestation is essential for early treatment and proper management of patients.

Links

MUNI/A/1105/2022, interní kód MU
Name: Efektivita ventilace během kardiopulmonální resuscitace u dětí: simulační komparativní studie
Investor: Masaryk University, Effectivity of ventilation during simulated paediatric CPR: simulatation-based comparative study
MUNI/A/1109/2022, interní kód MU
Name: Hloubka anestezie: prospektivní observační studie
Investor: Masaryk University, The Depth of Paediatric Anaesthesia: Observational Trial