{"created":"2023-05-15T16:50:10.999869+00:00","id":27936,"links":{},"metadata":{"_buckets":{"deposit":"dc8660a0-503c-4fa1-b5b7-d8a6482e6466"},"_deposit":{"created_by":6,"id":"27936","owners":[6],"pid":{"revision_id":0,"type":"depid","value":"27936"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00027936","sets":["12:13"]},"author_link":["124601","124603","124602","124600","124607","124604","124605","124606"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-02-22","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageStart":"9","bibliographicVolumeNumber":"51","bibliographic_titles":[{"bibliographic_title":"Tropical Medicine and Health"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: COVID-19 has challenged the under-resourced health systems of low- and middle-income countries, significantly affecting child health. Available published data on Filipino children with COVID-19 infection are limited. This study aims to describe the epidemiological and clinical characteristics of pediatric patients with confirmed COVID-19 in an infectious disease hospital in Manila, Philippines. \nMain text: This cross-sectional study reviewed data on patients ages 0 to 18 years with confirmed COVID-19 infection, admitted to San Lazaro Hospital from January 25, 2020 to January 25, 2022. Demographic data and clinical characteristics obtained from COVID-19 case investigation forms were summarized and compared between severe and non-severe cases. Risk factors for disease severity and mortality were analyzed. Of 115 patients, 64% were males. There were 87 patients (75.7%) with asymptomatic, mild, or moderate disease, and 28 cases (24.3%) with severe or critical illness. The median age of all patients was 10 years (interquartile range: 4–15 years). The majority of patients (40.9%) were adolescents ages 13 to 18 years. Predominant symptoms were fever (73.9%) and cough (55.7%). Patients with severe or critical illness were more likely to experience difficulty of breathing (55.2% vs 44.8%, p < 0.001), and have a longer hospital stay (11 days vs 8 days, p = 0.043). Among all patients, 48.7% had at least one underlying disease; and common infectious co-morbidities were tuberculosis (17.4%), dengue (12.2%), and HIV (4.3%). Having tuberculosis (p = 0.008) or at least one co-morbidity (p < 0.001) was associated with disease severity. Ten patients (8.7%) died; and mortality was higher among those with severe or critical illness (80% vs 20%, p < 0.001). Sepsis (p = 0.020) or having at least one co-morbidity (p = 0.007) was associated with death. \nConclusion: Children of all ages remain susceptible to COVID-19 infection, and usually present with mild or moderate symptoms. In this study, many adolescents are affected, highlighting the value of COVID-19 vaccination in this age group. Understanding the clinical features of COVID-19 in Filipino children is essential to identifying and optimally managing those at highest risk of severe disease.","subitem_description_type":"Abstract"}]},"item_2_description_63":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"Tropical Medicine and Health, 51(1), art. no. 9; 2023　","subitem_description_type":"Other"}]},"item_2_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"BMC"}]},"item_2_relation_12":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1186/s41182-023-00507-x","subitem_relation_type_select":"DOI"}}]},"item_2_rights_13":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/."}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1349-4147","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Lota-Salvado, Rhanee"}],"nameIdentifiers":[{"nameIdentifier":"124600","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Padua, Jay Ron"}],"nameIdentifiers":[{"nameIdentifier":"124601","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Agrupis, Kristal An"}],"nameIdentifiers":[{"nameIdentifier":"124602","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Malijan, Greco Mark"}],"nameIdentifiers":[{"nameIdentifier":"124603","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sayo, Ana Ria"}],"nameIdentifiers":[{"nameIdentifier":"124604","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Suzuki, Shuichi"}],"nameIdentifiers":[{"nameIdentifier":"124605","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Go, Grace Devota"}],"nameIdentifiers":[{"nameIdentifier":"124606","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Smith, Chris"}],"nameIdentifiers":[{"nameIdentifier":"124607","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-03-06"}],"displaytype":"detail","filename":"TMH51_9.pdf","filesize":[{"value":"849.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"TMH51_9.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/27936/files/TMH51_9.pdf"},"version_id":"a7cabfb6-3bea-41b4-a9c7-fde5778607c3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"COVID-19","subitem_subject_scheme":"Other"},{"subitem_subject":"Epidemiology","subitem_subject_scheme":"Other"},{"subitem_subject":"Philippines","subitem_subject_scheme":"Other"},{"subitem_subject":"Children","subitem_subject_scheme":"Other"},{"subitem_subject":"Pediatric","subitem_subject_scheme":"Other"},{"subitem_subject":"Low- and middle-income countries (LMIC)","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Epidemiological and clinical characteristics of children with confirmed COVID-19 infection in a tertiary referral hospital in Manila, Philippines","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Epidemiological and clinical characteristics of children with confirmed COVID-19 infection in a tertiary referral hospital in Manila, Philippines"}]},"item_type_id":"2","owner":"6","path":["13"],"pubdate":{"attribute_name":"公開日","attribute_value":"2023-03-06"},"publish_date":"2023-03-06","publish_status":"0","recid":"27936","relation_version_is_last":true,"title":["Epidemiological and clinical characteristics of children with confirmed COVID-19 infection in a tertiary referral hospital in Manila, Philippines"],"weko_creator_id":"6","weko_shared_id":-1},"updated":"2023-05-15T18:12:35.338556+00:00"}