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Descriptive and Retrospective Analysis of Acute Myocarditis Associated With Pandemic COVID-19 in Children

Completed
Conditions
COVID-19
Registration Number
NCT04420468
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Brief Summary

The study objectives are to descript clinical, biological and echocardiographic features of an acute myocarditis in children in the context of COVID-19 and to identify the underlying mechanism : direct viral damage and/or inadequate host response risk.

Detailed Description

An unexpected increase of shock with fever in children suspected to be infect by the COVID-19 is observed. These children present with similar symptoms and seem to have similar clinical time course.

This unexpected phenomenon needs to be extensively described in order to further the knowledge of unusual COVID-19 presentation in children.

The study consists an extensive retrospective data collection from April 2020 till the end of the main SARS-Cov-2 outbreak, from medical file of children have exhibited acute myocarditis and cared in 4 pediatric intensive care units of Assistance Publique-Hôpitaux de Paris of Ile-de-France region.

The study objectives are to descript clinical, biological and echocardiographic features of an acute myocarditis in children in the context of COVID-19 and to identify the underlying mechanism : direct viral damage and/or inadequate host response risk.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Age < 18 years
  • Admitted to PICU from April 2020
  • Presented with an acute myocarditis, fever and shock with a possible COVID-19 infection
Exclusion Criteria
  • Age ≥ 18 years
  • Other etiologies of acute myocarditis than the COVID-19
  • Opposition expressed by the holders of parental authority

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Acute myocarditis7 days

Occurrence, description and time course of acute myocarditis

Multi-systemic inflammatory syndrome7 days

Occurrence, description and time course of multi-systemic inflammatory syndrome, features of Kawasaki disease

Kawasaki disease7 days

Occurrence, description and time course of features of Kawasaki disease

Secondary Outcome Measures
NameTimeMethod
Results of SARS-CoV-27 days

Results of SARS-CoV-2 screening either by PCR or antibodies serological assay

Trial Locations

Locations (4)

Hôpital Necker-Enfants Malades

🇫🇷

Paris, France

Hôpital Armand Trousseau

🇫🇷

Paris, France

Hôpital Bicêtre

🇫🇷

Le Kremlin-Bicêtre, France

Hôpital Robert Debré

🇫🇷

Paris, France

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