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COVID-19 in children with underlying chronic respiratory diseases: survey results from 174 centres

Alexander Moeller, Leo Thanikkel, Liesbeth Duijts, Erol A. Gaillard, Luis Garcia-Marcos, Ahmad Kantar, Nathalie Tabin, Steven Turner, Angela Zacharasiewicz, Mariëlle W.H. Pijnenburg
ERJ Open Research 2020 6: 00409-2020; DOI: 10.1183/23120541.00409-2020
Alexander Moeller
1Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zurich, Zurich, Switzerland
11These authors contributed equally
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  • ORCID record for Alexander Moeller
  • For correspondence: alexander.moeller@kispi.uzh.ch
Leo Thanikkel
1Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zurich, Zurich, Switzerland
11These authors contributed equally
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Liesbeth Duijts
2Dept of Pediatrics, Division of Respiratory Medicine and Allergology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands
3Dept of Pediatrics, Division of Neonatology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands
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Erol A. Gaillard
4Dept of Respiratory Sciences, College of Life Sciences, University of Leicester, Leicester, UK
5NIHR Biomedical Research Centre (Respiratory Theme), Leicester, UK
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Luis Garcia-Marcos
6Pulmonology and Allergy Units, Arrixaca University Children's Hospital, University of Murcia, Biohealth Research Institute of Murcia (IMIB), and ARADyAL network, El Palmar, Spain
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Ahmad Kantar
7Pediatric Asthma and Cough Center, Istituti Ospedalieri Bergamaschi, Bergamo, Ponte San Pietro, Italy
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Nathalie Tabin
8European Respiratory Society, Lausanne, Switzerland
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Steven Turner
9Child Health, University of Aberdeen, Aberdeen, UK
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Angela Zacharasiewicz
10Dept of Pediatrics, Wilhelminenspital, Klinikum Ottakring, Teaching Hospital of the University of Vienna, Vienna, Austria
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Mariëlle W.H. Pijnenburg
2Dept of Pediatrics, Division of Respiratory Medicine and Allergology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands
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  • FIGURE 1
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    FIGURE 1

    Consort diagram. #: 4 of the centres with double entries reported data from different clinics.

  • FIGURE 2
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    FIGURE 2

    Admissions for children with coronavirus disease 2019 (COVID-19) for whom detailed data was provided. Details for children with specific underlying conditions. The bars indicate absolute numbers as presented in the table below. BPD: bronchopulmonary dysplasia; CF: cystic fibrosis; PICU: paediatric intensive care unit; ward: paediatric ward, other: ward not specified.

  • FIGURE 3
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    FIGURE 3

    Age distribution of children with reported coronavirus disease 2019 (COVID-19) infection. Bars indicate absolute numbers of children with COVID-19.

  • FIGURE 4
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    FIGURE 4

    a) Leading clinical presentation and symptoms of children with asthma and coronavirus disease 2019 (COVID-19). b) Distribution of children with asthma and COVID-19 in relation to their basic asthma therapy according to Global Initiative for Asthma (GINA) steps. Bars indicate absolute numbers.

  • FIGURE 5
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    FIGURE 5

    Leading clinical presentation and symptoms of children with other underlying conditions and coronavirus disease 2019 (COVID-19). Bars indicate absolute numbers.

Tables

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  • TABLE 1

    Underlying conditions

    ConditionnConditionn
    Respiratory conditionsUnderlying neurological conditions
     Non-CF bronchiectasis10 Guillain–Barre syndrome2
     Laryngomalacia1 Mental retardation2
     Congenital bronchial stenosis1 Rett syndrome1
     Chronic aspiration pneumonia1 Epilepsy2
     Pulmonary hypertension3 Hypoxic encephalopathy2
     Bronchiolitis obliterans1 Ataxia telangiectasia1
     Interstitial lung disease2 Autism1
     Surfactant deficit syndrome1 Neuromuscular disease1
     Tracheostomy2
     Severe bronchomalacia1Renal conditions
     Wheezing1 Renal transplant1
     Chronic renal insufficiency2
    Cardiac conditions Polycystic renal disease1
     Congenital heart disease6 Other1
     Supraventricular arrhythmia1
    Miscellaneous
    Oncological/haematological conditions Charge syndrome1
     Unclassified oncological condition3 Down syndrome4
     Neuroblastoma2 Malformative syndrome1
     Medulloblastoma1 Crohn disease1
     Malignancy1 Exostoses1
     Leukaemia3 Mild malnutrition1
     Thrombocytosis1 Pierre Robin sequence1
     SCID1 Prader–Willi syndrome1
     Liver transplantation1
     Portal hypertension1
     Diabetes mellitus1

Supplementary Materials

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  • Supplementary Material

    Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

    Supplementary material 00409-2020.SUPPLEMENT

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COVID-19 in children with underlying chronic respiratory diseases: survey results from 174 centres
Alexander Moeller, Leo Thanikkel, Liesbeth Duijts, Erol A. Gaillard, Luis Garcia-Marcos, Ahmad Kantar, Nathalie Tabin, Steven Turner, Angela Zacharasiewicz, Mariëlle W.H. Pijnenburg
ERJ Open Research Oct 2020, 6 (4) 00409-2020; DOI: 10.1183/23120541.00409-2020

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COVID-19 in children with underlying chronic respiratory diseases: survey results from 174 centres
Alexander Moeller, Leo Thanikkel, Liesbeth Duijts, Erol A. Gaillard, Luis Garcia-Marcos, Ahmad Kantar, Nathalie Tabin, Steven Turner, Angela Zacharasiewicz, Mariëlle W.H. Pijnenburg
ERJ Open Research Oct 2020, 6 (4) 00409-2020; DOI: 10.1183/23120541.00409-2020
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