Evidence map›Paper›PMID 32424745›Full record

SynthesisEuropean journal of pediatrics2020

SARS-COV-2 infection in children and newborns: a systematic review.

Ilaria Liguoro, Chiara Pilotto, Margherita Bonanni, Maria Elena Ferrari, Anna Pusiol, Agostino Nocerino, Enrico Vidal, Paola Cogo

Erratum issuedOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in European journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 262 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
262citing papers in PubMed, 9 pooled it
48.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

262 citing papers in PubMed, 9 syntheses or guidelines pooled it, 554 citations in OpenAlex.

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  16. Do timing and severity of gestational COVID-19 impact perinatal and neonatal outcomes?Journal of perinatology : official journal of the California Perinatal Association · 2025
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202 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Ilaria LiguoroDepartment of Medicine DAME-Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15, 33100, Udine, Italy. ilarialiguoro@gmail.com.ORCID http://orcid.org/0000-0002-9177-0400
Chiara PilottoDepartment of Medicine DAME-Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15, 33100, Udine, Italy.
Margherita BonanniDepartment of Medicine DAME-Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15, 33100, Udine, Italy.
Maria Elena FerrariDepartment of Medicine DAME-Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15, 33100, Udine, Italy.
Anna PusiolDepartment of Medicine DAME-Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15, 33100, Udine, Italy.
Agostino NocerinoDivision of Pediatrics, University Hospital of Udine, Udine, Italy.
Enrico VidalDepartment of Medicine DAME-Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15, 33100, Udine, Italy.
Paola CogoDepartment of Medicine DAME-Division of Pediatrics, University of Udine, P.zzale S. Maria della Misericordia, 15, 33100, Udine, Italy.
University of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A recent outbreak of a novel Coronavirus responsible for a Severe Acute Respiratory Syndrome (SARS-CoV-2) is spreading globally. The aim of this study was to systematically review main clinical characteristics and outcomes of SARS-CoV-2 infections in pediatric age. An electronic search was conducted in PubMed database. Papers published between 1 January and 1 May 2020 including children aged 0-18 years were selected. Sixty-two studies and three reviews were included, with a total sample size of 7480 children (2428/4660 males, 52.1%; weighted mean age 7.6 years). Patients showed mainly mild (608/1432, 42.5%) and moderate (567/1432, 39.6%) signs of the infection. About 2% of children were admitted to the pediatric intensive care unit. The most commonly described symptoms were fever (51.6%) and cough (47.3%). Laboratory findings were often unremarkable. Children underwent a chest CT scan in 73.9% of all cases, and 32.7% resulted normal. Overall, the estimated mortality was 0.08%. A higher proportion of newborns was severely ill (12%) and dyspnea was the most common reported sign (40%).Conclusion: SARS-CoV-2 affects children less severely than adults. Laboratory and radiology findings are mainly nonspecific. Larger epidemiological and clinical cohort studies are needed to better understand possible implications of COVID-19 infection in children.What is Known:• A novel Coronavirus has been recently identified as responsible for a new Severe Acute Respiratory Syndrome (SARS-CoV-2) spreading globally.• There is limited evidence on SARS-CoV2 infection in children.What is New:• Systematically reviewed available evidence showed that children with SARS-CoV-2 infection may have a less severe pattern of disease in comparison to adults.• Blood tests and radiology findings are mainly nonspecific in children but may help to identify those who are severely ill.

Indexed as

BetacoronavirusAdolescentChildChild, PreschoolClinical Laboratory TechniquesCoronavirus InfectionsCOVID-19COVID-19 TestingGlobal HealthHumansInfantInfant, NewbornPandemicsPneumonia, ViralPrognosisSARS-CoV-2COVID-19Infectious diseaseNeonatalNovel coronavirusPandemicPediatrics

Identifiers

PMID32424745
PMCPMC7234446
OpenAlexW3024197490

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.