Volume 33, Issue 219 (4-2023)
J Mazandaran Univ Med Sci 2023, 33(219): 51-59 |
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Rostami-Maskopaee F, Navaeifar M R, Hosseinzadeh F, Mohammadi M, Abootalebi S N, Shorafa E, et al . Gastrointestinal Features of the Multisystem Inflammatory Syndrome in Children (MIS-C) Following COVID-19 Infection in Selected Referral Hospitals in Iran. J Mazandaran Univ Med Sci 2023; 33 (219) :51-59
URL: http://jmums.mazums.ac.ir/article-1-19163-en.html
URL: http://jmums.mazums.ac.ir/article-1-19163-en.html
Fereshteh Rostami-Maskopaee 
, Mohammad Reza Navaeifar , Fatemeh Hosseinzadeh , Mohsen Mohammadi , Seyedeh Narjes Abootalebi , Eslam Shorafa , Behzad Haghighi Aski , Ali Manafi Anari , Mohammad Bagher Rahmati , Azin Hajialibeig , Maedeh Gooran , Seydeh Mahsa Salehpour , Mohammad Sadegh Rezai
, Mohammad Reza Navaeifar , Fatemeh Hosseinzadeh , Mohsen Mohammadi , Seyedeh Narjes Abootalebi , Eslam Shorafa , Behzad Haghighi Aski , Ali Manafi Anari , Mohammad Bagher Rahmati , Azin Hajialibeig , Maedeh Gooran , Seydeh Mahsa Salehpour , Mohammad Sadegh Rezai
Abstract: (1549 Views)
Background and purpose: Multisystem Inflammatory Syndrome in Children (MIS-C) occurs after having COVID-19. The severity and outcomes of COVID-19 with gastrointestinal symptoms are higher. The aim of this study was to investigate gastrointestinal manifestations in MIS-C patients in selected referral hospitals in Iran to obtain comprehensive information about the treatment and prevention of MIS-C.
Materials and methods: In this cross-sectional study, all MIS-C patients <21 years in Dec 2019 to Oct 2021 were included. The patients were identified by the Centers for Disease Control and Prevention (CDC) checklist and data were analyzed applying t-test and Chi-square in STATA11.
Results: There were 225 patients with a median age of 55 months (26-96 months), including 59.56% boys and all had fever on admission. At least one gastrointestinal symptom was seen in 200 patients and the most common symptoms were vomiting (60.9%) and abdominal pain (45.77%). Almost 60% of the patients had positive RT-PCR results. Among the patients with and without gastrointestinal symptoms 85.5% and 48% were admitted to intensive care unit (ICU), respectively. There were significant differences between the two groups in respiratory symptoms, ALT, AST, NT-pro BNP, ESR, and PLT (P<0.05). All patients without gastrointestinal symptoms were discharged but nine patients in the group with gastrointestinal symptoms deceased.
Conclusion: According to the current study, gastrointestinal symptoms are common in MIS-C patients and are associated with higher rates of death and intensive care unit admission. Therefore, in providing services to COVID-19 patients, all typical and atypical signs and symptoms should be considered to prevent unnecessary interventions.
Materials and methods: In this cross-sectional study, all MIS-C patients <21 years in Dec 2019 to Oct 2021 were included. The patients were identified by the Centers for Disease Control and Prevention (CDC) checklist and data were analyzed applying t-test and Chi-square in STATA11.
Results: There were 225 patients with a median age of 55 months (26-96 months), including 59.56% boys and all had fever on admission. At least one gastrointestinal symptom was seen in 200 patients and the most common symptoms were vomiting (60.9%) and abdominal pain (45.77%). Almost 60% of the patients had positive RT-PCR results. Among the patients with and without gastrointestinal symptoms 85.5% and 48% were admitted to intensive care unit (ICU), respectively. There were significant differences between the two groups in respiratory symptoms, ALT, AST, NT-pro BNP, ESR, and PLT (P<0.05). All patients without gastrointestinal symptoms were discharged but nine patients in the group with gastrointestinal symptoms deceased.
Conclusion: According to the current study, gastrointestinal symptoms are common in MIS-C patients and are associated with higher rates of death and intensive care unit admission. Therefore, in providing services to COVID-19 patients, all typical and atypical signs and symptoms should be considered to prevent unnecessary interventions.
Type of Study: Research(Original) |
Subject:
infection
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