Evidence map›Paper›PMID 32557789›Full record

SynthesisActa paediatrica (Oslo, Norway : 1992)2020

Novel coronavirus infection (COVID-19) in children younger than one year: A systematic review of symptoms, management and outcomes.

Ali Ahmed Raba, Anis Abobaker, Ismail Suliman Elgenaidi, Ahmed Daoud

Abstract readSystematic Review
In one paragraph

Synthesis in Acta paediatrica (Oslo, Norway : 1992), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Setting-specific Transmission Rates: A Systematic Review and Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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  12. Clinical features and outcomes of coronavirus disease 2019 in early infants in Japan: A case series and literature review.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Ali Ahmed RabaSchool of Medicine and Medical Sciences, University College Dublin (UCD), Dublin, Ireland.ORCID https://orcid.org/0000-0003-2133-319X
Anis AbobakerSpire Fylde Coast Hospital, Blackpool, UK.
Ismail Suliman ElgenaidiSchool of Medicine, Trinity College Dublin, Trinity Translational Medicine Institute, Dublin, Ireland.
Ahmed DaoudDepartment of Paediatrics and Neonatology, Portiuncula University Hospital, Ballinasloe, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this systematic review was to evaluate the clinical characteristics of COVID-19 in neonates and children under one year of age.

methodsA systematic literature review of the MEDLINE, PubMed, CINAHL, Embase and EBSCO databases was carried out for studies from January 1, 2020, to April 7, 2020. We included all papers that addressed clinical manifestations, laboratory results, imaging findings and outcomes in infants and neonates.

resultsOur search identified 77 peer-reviewed papers, and 18 papers covering 160 infants were reviewed. One paper was from Vietnam, and the other 17 were from China: eight were cross-sectional studies, eight were case reports, one was a case series, and one was a prospective cohort study. The most common clinical symptoms were fever (54%) and cough (33%). Most infants were treated symptomatically, with frequent use of various empirical medications. Infants and neonates tended to have more severe COVID-19 disease than older children: 11 (7%) were admitted to intensive care and one infant died. The mortality rate was 0.006%, with favourable outcomes in most cases.

conclusionInfants and neonates were more vulnerable to more severe COVID-19 disease than older children, but morbidity and mortality were low.

Indexed as

COVID-19HumansInfantInfant, Newbornclinical characteristicsinfantsneonatesnovel coronavirusoutcomes

Identifiers

PMID32557789
PMCPMC7323350

What OpenQuestion holds

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Registered trials

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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.