Evidence map›Paper›PMID 33227520›Full record

SynthesisInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

Severe COVID-19 Infection and Pediatric Comorbidities: A Systematic Review and Meta-Analysis.

Boyan K Tsankov, Joannie M Allaire, Michael A Irvine, Alison A Lopez, Laura J Sauvé, Bruce A Vallance, Kevan Jacobson

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 180 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
180citing papers in PubMed, 6 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

180 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Risk Factors for Pediatric Critical COVID-19: A Systematic Review and Meta-Analysis.Journal of the Pediatric Infectious Diseases Society · 2024
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  5. SARS-CoV-2 Circulation in the School Setting: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022
    Pooled it
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120 more citing papers are in PubMed but not listed here.

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

7 authors.

Boyan K TsankovDepartment of Pediatrics, BC Children's Hospital, Vancouver, BC, Canada; Division of Gastroenterology, Hepatology and Nutrition, BC Children's Hospital, Vancouver, BC, Canada; BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada; Department of Immunology, University of Toronto, Toronto, ON, Canada. Electronic address: boyan.tsankov@mail.utoronto.ca.
Joannie M AllaireDepartment of Pediatrics, BC Children's Hospital, Vancouver, BC, Canada; Division of Gastroenterology, Hepatology and Nutrition, BC Children's Hospital, Vancouver, BC, Canada; BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada. Electronic address: jallaire@bcchr.ca.
Michael A IrvineBC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada. Electronic address: Mike.Irvine@bcchr.ca.
Alison A LopezDepartment of Pediatrics, BC Children's Hospital, Vancouver, BC, Canada; Division of Infectious Diseases, BC Children's Hospital, Vancouver, BC, Canada; BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada. Electronic address: alison.lopez@cw.bc.ca.
Laura J SauvéDepartment of Pediatrics, BC Children's Hospital, Vancouver, BC, Canada; Division of Infectious Diseases, BC Children's Hospital, Vancouver, BC, Canada; BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.
Bruce A VallanceDepartment of Pediatrics, BC Children's Hospital, Vancouver, BC, Canada; Division of Gastroenterology, Hepatology and Nutrition, BC Children's Hospital, Vancouver, BC, Canada; BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada. Electronic address: bvallance@cw.bc.ca.
Kevan JacobsonDepartment of Pediatrics, BC Children's Hospital, Vancouver, BC, Canada; Division of Gastroenterology, Hepatology and Nutrition, BC Children's Hospital, Vancouver, BC, Canada; BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada; Department of Cellular and Physiological Sciences, University of British Columbia, Vancouver, BC, Canada. Electronic address: kjacobson@cw.bc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere is limited information on the severity of COVID-19 infection in children with comorbidities. We investigated the effects of pediatric comorbidities on COVID-19 severity by means of a systematic review and meta-analysis of published literature.

methodsPubMed, Embase, and Medline databases were searched for publications on pediatric COVID-19 infections published January 1

results42 studies containing 275,661 children without comorbidities and 9,353 children with comorbidities were included. Severe COVID-19 was present in 5.1% of children with comorbidities, and in 0.2% without comorbidities. Random-effects analysis revealed a higher risk of severe COVID-19 among children with comorbidities than for healthy children; relative risk ratio 1.79 (95% CI 1.27 - 2.51; I

conclusionsChildren with comorbidities have a higher risk of severe COVID-19 and associated mortality than children without underlying disease. Additional studies are required to further evaluate this relationship.

Indexed as

SARS-CoV-2ChildComorbidityCOVID-19HumansRiskComorbidityCoronavirusCOVID-19Meta-AnalysisPediatrics

Identifiers

PMID33227520
PMCPMC7679116

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.