Post-coronavirus disease 2019–associated symptoms among children and adolescents in the SARS-CoV-2 Omicron era
2024

Post-COVID Symptoms in Children and Adolescents During the Omicron Era

Sample size: 272 publication 10 minutes Evidence: moderate

Author Information

Author(s): Schlegtendal Anne, Maier Christoph, Stein Julien, Höpner Jakob, Petersmann Astrid, Drinka Denisa, Berner Reinhard, Lücke Thomas, Toepfner Nicole, Brinkmann Folke

Primary Institution: University Children´s Hospital, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany

Hypothesis

What are the symptoms associated with post-coronavirus disease 2019 (COVID-19) syndrome in children and adolescents during the Omicron era?

Conclusion

Children with and without previous infections did not differ in most post-COVID symptoms, except for physical performance and cognitive problems, which were more impaired after Omicron infection.

Supporting Evidence

  • 64.9% of children in the COVID-19 group reported at least one PCS symptom.
  • Concentration disorders were significantly more prevalent in the COVID-19 group (12.3% vs. 1.5%).
  • Physical performance was significantly impaired in the COVID-19 group regardless of age, sex, and vaccination status.
  • Quality of life ratings were similar between both groups.

Takeaway

This study looked at kids who had COVID-19 and those who didn't to see if they felt different afterward. Most kids felt the same, but those who had COVID-19 had more trouble with thinking and physical activities.

Methodology

A multicentre, cross-sectional cohort study comparing children with confirmed COVID-19 to a control group without infection.

Potential Biases

Potential bias due to parents reporting symptoms on behalf of children and the possibility of families sensitive to PCS enrolling.

Limitations

The study had a retrospective design, a relatively small sample size, and relied on self-reported symptoms.

Participant Demographics

Children and adolescents aged 5 to 17 years, with a mix of genders and backgrounds.

Statistical Information

P-Value

p=0.012 for concentration disorders; p=0.016 for physical performance.

Confidence Interval

95% CI for concentration disorders: 9.1 (1.17…70.88); for physical performance: 3.08 (1.33…7.15)

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1007/s00431-024-05919-3

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