Spectrum of SARS-CoV-2-Related Clinical Syndromes in Children: A Year in the Life

Khan, Mahjabeen; Dang, LeQuan; Singh, Harjinderpal; Dalrymple, A.; Miller, Aaron S.; Tanios, Aline

doi:10.1177/00099228211064655

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…As per our inclusion criteria, the studies had no geographical limitations. Twenty studies were conducted in the United States (US) (5, 11, 15, 17–23, 27, 31, 35, 36, 39, 47, 48, 50, 53, 54), two in Brazil (34, 49), and one in Canada (10). In addition, five studies took place in Europe, of which one in France (9), one in Switzerland (30), one in Spain (33), one in Poland (32) and one across 25 European countries (16).…”

Section: Resultsmentioning

confidence: 99%

Prognostic factors for mortality, ICU, MIS-C and hospital admission due to SARS-CoV-2 in paediatric patients: A systematic review and meta-analysis

Vardavas,

Nikitara,

Mathioudakis

et al. 2024

Preprint

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BackgroundThere is a paucity of data on the factors associated with severe COVID-19 disease, especially in children. This systematic review and meta-analysis aim to identify the risk factors for acute adverse outcomes of COVID-19 within paediatric populations, using the recruitment setting as a proxy of initial disease severity.MethodsA systematic review and meta-analysis were performed representing published evidence from the start of the pandemic up to 14 February 2022. Our primary outcome was the identification of risk factors for adverse outcomes, stratified by recruitment setting (community, hospital). No geographical restrictions were imposed. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology was used to evaluate the certainty in the body of evidence for each meta-analysis. In anticipation of significant clinical and methodological heterogeneity in the meta-analyses, we fitted logistic regression models with random effects.FindingsOur review identified 47 studies involving 94,210 paediatric cases of COVID-19. Infants up to 3 months were more likely to be hospitalised than older children. Gender and ethnicity were not associated with an increased likelihood of adverse outcomes among children within the community setting. Concerning comorbidities, having at least one pre-existing disease increased the odds of hospitalisation. Concerning BMI, underweight children and severely obese were noted to have an increased likelihood of hospital admission. The presence of metabolic disorders and children with underlying cardiovascular diseases, respiratory disorders, neuromuscular disorders and neurologic conditions were also more likely to be hospitalised. Concerning underlying comorbidities, paediatric hospitalised patients with congenital/genetic disease, those obese, with malignancy, cardiovascular diseases and respiratory disease were associated with higher odds of being admitted to ICU or ventilated.InterpretationOur findings suggest that age, male, gender, and paediatric comorbidities increased the likelihood of hospital and ICU admission. Obesity, malignancy, and respiratory and cardiovascular disorders were among the most important risk factors for hospital and ICU admission among children with COVID-19. The extent to which these factors were linked to actual severity or where the application of cautious preventive care is an area in which further research is needed.

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Section: Resultsmentioning

confidence: 99%

Prognostic factors for mortality, ICU, MIS-C and hospital admission due to SARS-CoV-2 in paediatric patients: A systematic review and meta-analysis

Vardavas,

Nikitara,

Mathioudakis

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Presentation of COVid-19 in children was relatively mild during the initial wave of the pandemic in 2020 ( American Journal of Nursing , 2021 ; Jackson et al, 2022 ; Khan et al, 2022 ; Rubenstein et al, 2021 ) with more severe illness seen in older children, those with higher BMI, and those with underlying conditions ( Elwell et al, 2021 ; Guzman et al, 2022 ; Rubenstein et al, 2021 ). Regardless, pediatric clinicians have reported burnout ( Moerdler et al, 2022 ), fear of exposure, anxiety, and depression ( Silistre et al, 2022 ; Sinsky et al, 2021 ), moral distress ( Elwell et al, 2021 ), a sense of being undervalued by their organization ( Kase et al, 2022 ), and an intent to decrease work hours ( Sinsky et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%