Journal of Health and Medical Sciences
ISSN 2622-7258
Published: 27 August 2024
Review of Chest Pain in Children after COVID-19 Pandemic in Albaha, Saudi Arabia
Abdulmajid Almawazini, Ali Alsayed Alsharkawy, Abdullah Abdulaziz Alghamdi, Fatemah Helal Alrefaydy, Anwar Abdullah M Alghamdi
King Fahad Hospital, Saudi Arabia
Download Full-Text Pdf
10.31014/aior.1994.07.03.323
Pages: 10-14
Keywords: Children, Chest Pain
Abstract
Introduction: Although chest pain in children induces anxiety among their parents and caregivers, various studies have reported that the majority of cases in children are benign and not related to cardiac disorders. Methodology and objectives: This is retrospective cohort file review study between January 2022 and December 2023, included all admitted pediatric patients due to chest pain. The study aimed to review the clinical profile and etiology of chest pain after the coronavirus disease 2019 (COVID-19) pandemic in Albaha, Saudi Arabia. Results: We noted some pre- versus post-pandemic differences in the etiology and prevalence of chest pain. Idiopathic causes were the most common, but the incidence decreased from 56% pre- to 40.5% post-pandemic (p=0.20). Respiratory causes increased from 13% pre- to 21.4% post-pandemic (p=0.14) and became more common than musculoskeletal causes (18.6%; p=0.23). Gastrointestinal causes were slightly increased from 4% pre- to 8.4% post-pandemic (p=0.17). A slight uptick in psychogenic causes was observed from 4% pre- to 7.4% post-pandemic (p=0.16), and reported more in female patients. In contrast, cardiac causes decreased from 7% pre- to 3.7% post-pandemic (p=0.09). Conclusion: This study confirmed that pediatric chest pain has a benign origin in most cases. After the COVID-19 pandemic, mild differences in etiology and prevalence were noted, while psychogenic causes were slightly elevated.
References
Alp, Esma Keleş, and Hayrullah Alp. "Chest pain and its recurrence in pediatric population: A large cohort study." Journal of Contemporary Medicine 11.2 (2021): 124-129.
Powell, Adam W., et al. "Implementation of a pediatric chest pain local consensus guideline decreases the total tests performed without negatively affecting the yield of abnormal cardiac results." Pediatric Cardiology 41 (2020): 1580-1586.
Chen, Li, et al. "The etiology of chest pain in children admitted to cardiology clinics and the use echocardiography to screen for cardiac chest pain in children." Frontiers in Pediatrics 10 (2022): 882022.
Greuter, Thomas, and Alain M. Schoepfer. "Dupilumab in patients with eosinophilic esophagitis." The New England journal of medicine 388.10 (2023): 955-956.
Alsabri, Mohammed, et al. "Chest pain in pediatric patients in the emergency department-Presentation, risk factors and outcomes-A systematic review and meta-analysis." Plos one 19.4 (2024): e0294461.
Yeh, Tisha K., and Jay Yeh. "Chest pain in pediatrics." Pediatric Annals 44.12 (2015): e274-e278.
Harahsheh, Ashraf S., et al. "Pediatric Chest Pain—Low-Probability Referral: A Multi-Institutional Analysis From Standardized Clinical Assessment and Management Plans (SCAMPs®), the Pediatric Health Information Systems Database, and the National Ambulatory Medical Care Survey." Clinical pediatrics 56.13 (2017): 1201-1208.
Dönmez, Yasemin Nuran, et al. "Comorbidity of behavioral problems and parental acceptance-rejection in children diagnosed with chest discomfort, palpitations, vasovagal syncope, and underlying heart disease: a multiple case-control study." BMC psychiatry 24.1 (2024): 70.
Chen, Li, et al. "The causes of chest pain in children and the criteria for targeted myocardial enzyme testing in identifying the causes of chest pain in children." Frontiers in Cardiovascular Medicine 8 (2021): 582129.
First, Michael B., and Harold Alan Pincus. "The DSM-IV Text Revision: rationale and potential impact on clinical practice." Psychiatric services 53.3 (2002): 288-292.
Lubrano, Riccardo, et al. "Emergency Department Admissions of Children with Chest Pain before and during COVID-19 Pandemic." Children 10.2 (2023): 246.
Tang, Yaqi, et al. "The change in pediatric subject symptoms during the COVID-19 pandemic in China: an increase in cardiac consultation." Italian Journal of Pediatrics 48.1 (2022): 198.
Almawazini, A. M., et al. "Chest Pain in children." Pediat Therapeut 3.150 (2013): 2161-0665.
Fisher, Jay D., and Beth Warren. "Pediatric chest pain: using evidence to reduce diagnostic testing in the emergency department." Pediatric emergency medicine practice 19.2 (2022): 1-24.
Mohan, Shaun, et al. "Implementation of a clinical pathway for chest pain in a pediatric emergency department." Pediatric emergency care 34.11 (2018): 778-782.
Januzzi, James L., and Cian P. McCarthy. "Evaluating chest pain in the emergency department: searching for the optimal gatekeeper." Journal of the American College of Cardiology 71.6 (2018): 617-619.
Brancato, Federica, et al. "Role of troponin determination to diagnose chest pain in the pediatric emergency department." Pediatric Emergency Care 37.12 (2021): e1589-e1592.
Kocsis, Richard N. "Book review: diagnostic and statistical manual of mental disorders: (DSM-5)." (2013): 1546-1548.
Akdeniz, Osman, and Kerem Ertaş. "Diagnostic Evaluation of Children Presenting with Chest Pain to Pediatric Cardiology Clinic: Covid-19 Pandemic's Effect to Etiology." Journal of Contemporary Medicine 11.4 (2021): 531-536.