ĐIỀU TRỊ BỆNH COVID-19 NẶNG Ở TRẺ EM TẠI BỆNH VIỆN NHI ĐỒNG THÀNH PHỐ HỒ CHÍ MINH

Abstract

Objective: to describe therapeutic interventions in children with severe or critical COVID-19 admitted to the infectious disease department, City Children's Hospital during the period from July 1, 2021 to October 1, 2021.

Subjects and methods: Retrospective, descriptive series case. 165 children of severe or critical COVID-19 were included in the study.

Results and conclusions: 165 children of severe or critical COVID-19, median age was 11 years old, most of them were over 10 years old (64.2%) Respiratory failure complications 100% need respiratory support such as NCPAP breathing (61.8%), HFNC 22.4%, NIV 15.8%, conventional mechanical ventilation 20.6% after failed to one of those mentioned above, shock (6.7%). Treatment included respiratory support, shock resuscitation, continuous renal replacement therapy (CRRT), extracorporeal membrane oxygenation (ECMO). The average length of stay at the infectious ICU was 9.3 days, with 4 (2.4%) deaths in severe respiratory failure with multiple organ dysfunction syndrome (MODS) or chronic underlying diseases.

Recommendation: It is necessary to equip the province hospitals with the means of respiratory, circulatory resuscitation, as well as transfer necessary and advanced techniques such as noninvasive, invasive mechanical ventilation, CRRT, ECMO to save more lives of patients with severe or critical COVID-19.