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Elevated CRP, procalcitonin, pro-BNP and platelet count — but not obesity or asthma — were linked to PICU admission.

Some Children With COVID-19 Require Admission, PICU Care

WEDNESDAY, May 20, 2020 (HealthDay News) -- Some children with COVID-19 require admission and intensive care, according to a study published online May 11 in The Journal of Pediatrics.

Jerry Y. Chao, M.D., from the Albert Einstein College of Medicine in Bronx, New York, and colleagues describe the clinical profile and risk factors for critical illness among 67 children aged 1 month to 21 years who tested positive for COVID-19 between March 15 and April 13, 2020.

Overall, 31.3 percent of the children were managed as outpatients. The researchers found that 72 percent of the 46 admitted patients were admitted to the general pediatric medical unit and 28 percent (13 children) were admitted to the pediatric intensive care unit (PICU). Obesity and asthma were highly prevalent but were not linked to admission to the PICU. Higher C-reactive protein, procalcitonin, and pro-B type natriuretic peptide levels and platelet counts were significantly associated with admission to the PICU. Seven PICU patients (53.8 percent) had severe sepsis and septic shock syndromes. Ten PICU patients (77 percent) had acute respiratory distress syndrome, and six of these patients required invasive mechanical ventilation (median, nine days). Eight of the 13 PICU patients were discharged home, while four remained hospitalized on ventilatory support at day 14 (61.5 and 30.7 percent, respectively); after withdrawal of life-sustaining therapy, one patient died because of metastatic cancer.

Read the full HealthDay story.

In our latest HealthDay Now, Mabel Jong spoke with Dr. Lori Pierce, president of the American Society of Clinical Oncology and a cancer radiation specialist at the University of Michigan.

Dr. Pierce shared important takeaways from the recently concluded 2021 ASCO annual meeting and discussed why equity was the chosen theme this year.

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HD Live! Videos

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Watch the in-depth discussion above, and see our past HealthDay Nows and other videos on our YouTube channel.

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Watch the in-depth discussion above, and see our past HealthDay Nows and other videos on our YouTube channel.

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Mabel Jong from our liveblog team speaks with Dr. Mary Beth Son, Program Director of Boston Children's Hospital's Rheumatology Program, and Brian Padla, father of James Padla, who has MIS-C.

Watch the in-depth discussion above, and see our past HealthDay Nows and other videos on our YouTube channel.


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Watch the in-depth discussion above, and see our past HealthDay Nows and other videos on our YouTube channel.

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  • Dr. Mark Reinecke, Department of Psychiatry & Behavioral Sciences, Northwestern University
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Watch the in-depth discussion above, and see our past HD Lives and other videos on our YouTube channel.

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UPDATE 1/26/21: Since our HD Live! interview with CEO Andrei Doroshin, the Philadelphia Health Department has severed its ties with the organization. The nonprofit has changed its status to a for-profit entity.

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Mabel Jong from our liveblog team speaks with Andrei Doroshin, founder of Philly Fighting Covid.

Watch the in-depth discussion above, and see our past HD Lives and other videos on our YouTube channel.