Evidence map›Paper›PMID 33309057›Full record

Observational studyJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2021

Clinical characteristics of SARS-CoV-2 infection in children with cystic fibrosis: An international observational study.

Robert Bain, Rebecca Cosgriff, Marco Zampoli, Alexander Elbert, Pierre-Régis Burgel, Siobhán B Carr, Claudio Castaños, Carla Colombo, Harriet Corvol, Albert Faro and 17 more

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
8.2field-weighted citation impact, top 2% 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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  8. Success of the German Cystic Fibrosis Registry.Pharmacoepidemiology and drug safety · 2025
    Article
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  13. Mechanisms by which the cystic fibrosis transmembrane conductance regulator may influence SARS-CoV-2 infection and COVID-19 disease severity.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 20 institutions in 13 countries.

Robert BainTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
Rebecca CosgriffCystic Fibrosis Trust, London, United Kingdom.
Marco ZampoliDivision of Paediatric Pulmonology, Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, South Africa.
Alexander ElbertCystic Fibrosis Foundation, Bethesda, MD, United States.
Pierre-Régis BurgelRespiratory Medicine and National Reference CF Center, AP-HP Hôpital Cochin, Paris, France; Université de Paris, Institut Cochin, Inserm U-1016, Paris, France.
Siobhán B CarrRoyal Brompton Hospital and Imperial College London, United Kingdom.
Claudio CastañosDepartment of Pulmonology, Hospital de Pediatria JP Garrahan, Buenos Aires, Argentina.
Carla ColomboCF Regional Reference Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Italy.
Harriet CorvolSorbonne Université, Inserm, Centre de Recherche Saint-Antoine, Assistance Publique Hôpitaux de Paris (APHP), Hôpital Trousseau, Service de Pneumologie Pédiatrique, Paris, France.
Albert FaroCystic Fibrosis Foundation, Bethesda, MD, United States.
Christopher H GossDepartment of Medicine and Pediatrics, University of Washington, Seattle, WA, United States.
Hector GutierrezPediatric Pulmonary and Sleep Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.
Andreas JungDepartment of Pulmonology and Children's Research Centre, University Children's Hospital Zurich, Zurich, Switzerland.
Nataliya KashirskayaLaboratory of Genetic Epidemiology, Research Centre for Medical Genetics, Moscow, Russian Federation.
Bruce C MarshallCystic Fibrosis Foundation, Bethesda, MD, United States.
Joel MeloInstituo Nacional del Tórax, Santiago, Chile.
Pedro Mondejar-LopezPediatric Pulmonology and Cystic Fibrosis Unit, Hospital Clinico Universitario Virgen de la Arrixaca, Murcia, Spain.
Isabelle de MonestrolStockholm Cystic Fibrosis Centre Karolinska Institutet, Karolinska University Hospital, Huddinge, Stockholm, Sweden.
Lutz NaehrlichUniversities of Giessen and Marburg Lung Center, German Center of Lung Research, Justus-Liebig-University Giessen, Giessen, Germany.
Rita PadoanCystic Fibrosis Support Center, Department of Paediatric, University of Brescia, Italy.
Maria Dolores Pastor-ViveroPediatric Pulmonology and Cystic Fibrosis Unit, Osakidetza, Hospital Universitario Cruces, Barakado, Bizkaia, Spain.
Samar RizviCystic Fibrosis Foundation, Bethesda, MD, United States.
Marco SalvatoreNational Center Rare Diseases, Undiagnosed Rare Diseases Interdepartmental Unit Istituto Superiore di Sanità, Rome, Italy.
Luiz Vicente Ribeiro Ferreira da Silva FilhoPediatric Pulmonology Unit, Instituto da Criança do Hospital das Clínicas da FMUSP, São Paulo, São Paulo, Brazil.
Keith G BrownleeCystic Fibrosis Trust, London, United Kingdom.
Iram J HaqTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom; Paediatric Respiratory Medicine, Great North Children's Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
Malcolm BrodlieTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom; Paediatric Respiratory Medicine, Great North Children's Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom. Electronic address: malcolm.brodlie@ncl.ac.uk.
Cystic Fibrosis Foundation · USCystic Fibrosis Trust · GBInserm · FRNewcastle upon Tyne Hospitals NHS Foundation Trust · GBGarrahan Hospital · ARHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRHospital Universitario Virgen de la Arrixaca · ESInstituto Nacional del Tórax · CLIstituto Superiore di Sanità · ITJustus-Liebig-Universität Gießen · DEKarolinska University Hospital · SENewcastle University · GBOsakidetza · ESResearch Centre for Medical Genetics · RURoyal Brompton Hospital · GBUniversity Children's Hospital Zurich · CHUniversity of Alabama at Birmingham · USUniversity of Brescia · ITUniversity of Cape Town · ZAUniversity of Milan · IT

Funding

UAB CF Research and Translation Core CenterP30DK072482 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Brian R. Davis · 2007 to 2026
$23.0M
Medical Research Council MR/M008797/1NIDDK NIH HHS P30 DK072482
6 · The paper itself

Abstract

backgroundThe presence of co-morbidities, including underlying respiratory problems, has been identified as a risk factor for severe COVID-19 disease. Information on the clinical course of SARS-CoV-2 infection in children with cystic fibrosis (CF) is limited, yet vital to provide accurate advice for children with CF, their families, caregivers and clinical teams.

methodsCases of SARS-CoV-2 infection in children with CF aged less than 18 years were collated by the CF Registry Global Harmonization Group across 13 countries between 1 February and 7 August 2020.

resultsData on 105 children were collated and analysed. Median age of cases was ten years (interquartile range 6-15), 54% were male and median percentage predicted forced expiratory volume in one second was 94% (interquartile range 79-104). The majority (71%) of children were managed in the community during their COVID-19 illness. Out of 24 children admitted to hospital, six required supplementary oxygen and two non-invasive ventilation. Around half were prescribed antibiotics, five children received antiviral treatments, four azithromycin and one additional corticosteroids. Children that were hospitalised had lower lung function and reduced body mass index Z-scores. One child died six weeks after testing positive for SARS-CoV-2 following a deterioration that was not attributed to COVID-19 disease.

conclusionsSARS-CoV-2 infection in children with CF is usually associated with a mild illness in those who do not have pre-existing severe lung disease.

Indexed as

AdolescentChildCOVID-19Cystic FibrosisDisease ProgressionFemaleHumansMalePrognosisRisk FactorsSARS-CoV-2ChildrenCOVID-19Cystic fibrosis

Identifiers

PMID33309057
PMCPMC7713571
OpenAlexW3110140393

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.