Evidence map›Paper›PMID 32565097›Full record

Observational studyThe Journal of pediatrics2020

A Comparison Between Chinese Children Infected with Coronavirus Disease-2019 and with Severe Acute Respiratory Syndrome 2003.

Xiaoli Xiong, Gilbert T Chua, Shuiqing Chi, Mike Yat Wah Kwan, Wilfred Hing Sang Wong, Aifen Zhou, Chi Chiu Shek, Keith T S Tung, Huan Qin, Rosa S Wong and 15 more

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in The Journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 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

17 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Xiaoli XiongDepartment of Integrated Chinese and Western Medicine, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Gilbert T ChuaDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China.
Shuiqing ChiDepartment of Pediatric Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Mike Yat Wah KwanDepartment of Pediatrics and Adolescent Medicine, Princess Margaret Hospital, Hong Kong SAR, China.
Wilfred Hing Sang WongDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China.
Aifen ZhouDepartment of Maternal Healthcare, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Chi Chiu ShekDepartment of Pediatrics and Adolescent Medicine, Princess Margaret Hospital, Hong Kong SAR, China.
Keith T S TungDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China.
Huan QinInstitute of Maternal and Child Health, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan.
Rosa S WongDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China.
Xue LiDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China; Center for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China.
Peng ChenDepartment of Respiratory Medicine, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Shuai LiDepartment of Pediatric Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Celine S ChuiDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China; Center for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China.
Winnie W Y TsoDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China.
Marco H K HoDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China.
Ian C K WongCenter for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong SAR, China; Research Department of Practice and Policy, UCL School of Pharmacy, University College, London, UK.
Godfrey C F ChanDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China.
Yu Lung LauDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China.
Kenneth K Y WongDivision of Pediatric Surgery, Department of Surgery, The University of Hong Kong, Hong Kong SAR, China.
Patrick H Y ChungDivision of Pediatric Surgery, Department of Surgery, The University of Hong Kong, Hong Kong SAR, China.
Hui LiDepartment of Hematology, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Paul K H TamDivision of Pediatric Surgery, Department of Surgery, The University of Hong Kong, Hong Kong SAR, China; Dr. Li Dak Sum Research Center, The University of Hong Kong-Karolinska Institute Collaboration in Regenerative Medicine, The University of Hong Kong, China.
Shao-Tao TangDepartment of Pediatric Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Patrick IpDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China. Electronic address: patricip@hku.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the clinical and laboratory features of severe acute respiratory syndrome 2003 (SARS) and coronavirus disease 2019 (COVID-19) in 2 Chinese pediatric cohorts, given that the causative pathogens and are biologically similar. STUDY

designThis is a cross-sectional study reviewing pediatric patients with SARS (n = 43) and COVID-19 (n = 244) who were admitted to the Princess Margaret Hospital in Hong Kong and Wuhan Children's Hospital in Wuhan, respectively. Demographics, hospital length of stay, and clinical and laboratory features were compared.

resultsOverall, 97.7% of patients with SARS and 85.2% of patients with COVID-19 had epidemiologic associations with known cases. Significantly more patients with SARS developed fever, chills, myalgia, malaise, coryza, sore throat, sputum production, nausea, headache, and dizziness than patients with COVID-19. No patients with SARS were asymptomatic at the time of admission, whereas 29.1% and 20.9% of patients with COVID-19 were asymptomatic on admission and throughout their hospital stay, respectively. More patients with SARS required oxygen supplementation than patients with COVID-19 (18.6 vs 4.7%; P = .004). Only 1.6% of patients with COVID-19 and 2.3% of patients with SARS required mechanical ventilation. Leukopenia (37.2% vs 18.6%; P = .008), lymphopenia (95.4% vs 32.6%; P < .01), and thrombocytopenia (41.9% vs 3.8%; P < .001) were significantly more common in patients with SARS than in patients with COVID-19. The duration between positive and negative nasopharyngeal aspirate and the length in hospital stay were similar in patients with COVID-19, regardless of whether they were asymptomatic or symptomatic, suggesting a similar duration of viral shedding.

conclusionsChildren with COVID-19 were less symptomatic and had more favorable hematologic findings than children with SARS.

Indexed as

AdolescentAsymptomatic InfectionsBetacoronavirusChildChild, PreschoolChinaCoronavirus InfectionsCOVID-19Cross-Sectional StudiesFemaleHong KongHospitalizationHumansInfantLength of StayMalechildrenChineseCOVID-19SARS

Identifiers

PMID32565097
PMCPMC7301144

What OpenQuestion holds

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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.