{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:25:31Z","timestamp":1786116331426,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction\u2010Aim<\/jats:title>\n                    <jats:p>The study evaluates the long\u2010term effect of COVID\u201019 on lung function in children, considering symptoms, physical examination findings, radiologic and laboratory evaluations during the acute infection period (AIP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This prospective, longitudinal, multicenter study involved 270 patients with confirmed SARS\u2010CoV\u20102 infection. Patients underwent pulmonary function tests (PFTs) (spirometry, diffusion capacity of the lung for carbon monoxide (DLCO), and plethysmography) at the 3rd and 6th months of follow\u2010up. Clinical characteristics, radiological, and laboratory findings during AIP were analyzed to establish the relationship with PFT parameters on long\u2010term follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age was 12.97\u2009\u00b1\u20093.43 years (6\u201318 years), and 141(52.2%) were girls. Most patients had mild disease, while 193 patients were classified as having pneumonia. Overall mean PFT parameters were normal at the 3rd and 6th months, and FEV\n                      <jats:sub>1<\/jats:sub>\n                      %, FVC%, and DLCOadj% showed statistically significant longitudinal changes. Abnormal DLCOadj was observed in patients with COVID\u201019 pneumonia at the 6th month when compared with the non\u2010pneumonia group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046). At the 3rd month follow\u2010up, comorbidities were independently associated with abnormal FEV\n                      <jats:sub>1<\/jats:sub>\n                      (OR 6.30, 95% CI 2.61\u201315.17,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and abnormal FVC (OR 3.47, 95% CI 1.72\u20137.00,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Respiratory system related abnormal physical examination findings were also independently associated with abnormal FEV\n                      <jats:sub>1<\/jats:sub>\n                      (OR 3.04, 95% CI 1.13\u20138.21,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028). Dyspnea showed a borderline association with abnormal FVC (OR 2.11, 95% CI 0.98\u20134.54,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.057). Pathologic chest radiography, interlobular septal thickening on thorax CT, ground\u2010glass opacity, fever, dyspnea, and respiratory system related abnormal physical examination findings during the AIP were associated with abnormal PFT parameters during follow\u2010up. Disease severity scores did not differ significantly between children with normal and abnormal.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most children had preserved mean pulmonary function during follow\u2010up after SARS\u2010CoV\u20102 infection. However, children with COVID\u201019 pneumonia, comorbidities, and respiratory system related abnormal physical examination findings during the AIP may be at increased risk for persistent functional abnormalities. Follow\u2010up assessment in higher\u2010risk children should include spirometry, and DLCO measurement should be considered when feasible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71721","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T13:45:25Z","timestamp":1782827125000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Effect Of COVID\u201019 on Children's Lung Function: A Prospective Longitudinal Study"],"prefix":"10.1002","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9224-5237","authenticated-orcid":false,"given":"\u015eule Selin","family":"Akyan Soyda\u015f","sequence":"first","affiliation":[{"name":"Department of Pediatric Pulmonology Ministry of Health Ankara Bilkent City Hospital Ankara 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