AI Article Synopsis
- A study of pediatric visits during the COVID-19 pandemic found that 32% of sick visits were for possible COVID-19 cases, with most patients displaying mild symptoms like fever and cough.
- The majority of these patients were tested for COVID-19, and the presence of COVID-19 contacts and loss of taste/smell were strong indicators of positive cases.
- The results indicate that there was a low threshold for testing in children, emphasizing the importance of monitoring mild symptoms during the pandemic.
Article Abstract
Background: Children with COVID-19 usually present with mild symptoms. We characterize visits with respect to symptoms and testing in the outpatient setting.
Methods: A retrospective chart review of sick visits in a pediatric academic primary care clinic April-August 2020. We included possible COVID-19 cases, or "persons under investigation" (PUIs), recording symptoms, positive contacts, and COVID-19 testing. Descriptive statistics and Chi-square or Fisher's exact tests for comparisons were used.
Results: 32% (476/1,474) of sick visits were PUIs; 20% were telehealth. Symptoms most commonly reported were fever, congestion/rhinorrhea and cough. 76% of PUIs were tested for COVID-19. Only presence of COVID-19 contacts and loss of taste/smell were significantly associated with positive tests (p<0.001).
Conclusion: Nearly a third of sick visits in an academic pediatric practice were seen for possible COVID-19 symptoms and most were tested. The majority with and without COVID-19 had fever, congestion and/or cough. Our findings suggest low thresholds for testing in children.
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