{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T05:14:33Z","timestamp":1771046073982,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T00:00:00Z","timestamp":1629072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the cardio\u2010pulmonary function of children returning to play sports after mild or asymptomatic SARS\u2010CoV\u20102 infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a consecutive case series conducted at the Institute for Maternal and Child Health, Trieste, Italy. Paediatric patients who accessed the Institute for cardiologic and pneumological evaluation before the return\u2010to\u2010play competitive sports were recruited, according to the Italian Sports Medical Federation recommendations. Echocardiogram, electrocardiogram, treadmill ECG test and pulmonary function tests were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and thirty\u2010two patients (aged 8\u201317\u2009years old, mean age 12.8\u2009\u00b1\u20092.5) were recruited. Among these, 127 children were considered for the final analysis (49.6% females). Out of 127, 84 (66.1%) had a mild symptomatic form of SARS\u2010CoV\u20102 infection, while 43 (33.9%) were asymptomatic. The main referred symptoms were fever (<jats:italic>n<\/jats:italic>\u00a0=\u00a037, 44%), asthenia (<jats:italic>n<\/jats:italic>\u00a0=\u00a014, 16.7%), rhinitis (<jats:italic>n<\/jats:italic>\u00a0=\u00a016, 19%), ageusia (<jats:italic>n<\/jats:italic>\u00a0=\u00a019, 22.6%), anosmia (<jats:italic>n<\/jats:italic>\u00a0=\u00a024, 28.6%), sore throat (<jats:italic>n<\/jats:italic>\u00a0=\u00a03, 3.6%), cough (<jats:italic>n<\/jats:italic>\u00a0=\u00a09, 10.7%), arthralgia\u2010myalgia (<jats:italic>n<\/jats:italic>\u00a0=\u00a011, 13.1%), headache (<jats:italic>n<\/jats:italic>\u00a0=\u00a023, 27.4%) and gastrointestinal symptoms (<jats:italic>n<\/jats:italic>\u00a0=\u00a07, 8.3%). No child presented evidence of cardio\u2010pulmonary function impairment after an average time of 77.3\u2009days (SD 35) from SARS\u2010CoV\u20102 swab positivity and a median of 68\u2009days (IQ1 52, IQ3 92.5).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This preliminary study suggests that, in the absence of specific symptoms, the diagnostic yield of cardio\u2010pulmonary tests before returning to play sports may be very low.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.15685","type":"journal-article","created":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T08:54:00Z","timestamp":1629104040000},"page":"152-156","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Cardio\u2010pulmonary function among children with mild or asymptomatic <scp>COVID<\/scp>\u201019 infection needing certification for return\u2010to\u2010play"],"prefix":"10.1111","volume":"58","author":[{"given":"Daniela","family":"Chicco","sequence":"first","affiliation":[{"name":"Department of Pediatrics Institute for Maternal and Child Health IRCCS \u201cBurlo Garofolo\u201d  Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Rispoli","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Health Sciences University of Trieste  Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8141-3389","authenticated-orcid":false,"given":"Laura","family":"De Nardi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Health Sciences University of Trieste  Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Romano","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Health Sciences University of Trieste  Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9719-5582","authenticated-orcid":false,"given":"Michele","family":"Mazzolai","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Health Sciences University of Trieste  Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Bobbo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Institute for Maternal and Child Health IRCCS \u201cBurlo Garofolo\u201d  Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irena","family":"Tavcar","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Sport Medicine Unit, Maggiore Hospital of Trieste, A.S.U.G.I  Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilberto","family":"Cattarini","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Sport Medicine Unit, Gorizia\u2010Monfalcone Hospital, A.S.U.G.I  Gorizia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Badina","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Institute for Maternal and Child Health IRCCS \u201cBurlo Garofolo\u201d  Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6343-846X","authenticated-orcid":false,"given":"Egidio","family":"Barbi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Institute for Maternal and Child Health IRCCS \u201cBurlo Garofolo\u201d  Trieste Italy"},{"name":"Department of Medicine, Surgery and Health Sciences University of Trieste  Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Maschio","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Institute for Maternal and Child Health IRCCS \u201cBurlo Garofolo\u201d  Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCMA.0000000000000270"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa448"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2020.2136"},{"key":"e_1_2_7_5_1","first-page":"514","article-title":"Return to sport after the COVID\u201019 pandemic. 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