Evidence map›Paper›PMID 33339516›Full record

ArticleBMC pediatrics2020

COVID-19 and children with Down syndrome: is there any real reason to worry? Two case reports with severe course.

Ahmad Kantar, Angelo Mazza, Ezio Bonanomi, Marta Odoni, Manuela Seminara, Ilaria Dalla Verde, Camillo Lovati, Stefania Bolognini, Lorenzo D'Antiga

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. COVID-19 in patients with Down syndrome: A systematic review.Immunity, inflammation and disease · 2024
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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

9 authors at 2 institutions in 1 country.

Ahmad KantarPediatric Unit, Istituti Ospedalieri Bergamaschi, Gruppo Ospedaliero San Donato, Bergamo, Italy. kantar@centropediatricotosse.com.
Angelo MazzaPediatric Department, Hospital Papa Giovanni XXIII, Bergamo, Italy.
Ezio BonanomiPediatric Intensive Care Unit, Hospital Papa Giovanni XXIII, Bergamo, Italy.
Marta OdoniPediatric Unit, Istituti Ospedalieri Bergamaschi, Gruppo Ospedaliero San Donato, Bergamo, Italy.
Manuela SeminaraPediatric Unit, Istituti Ospedalieri Bergamaschi, Gruppo Ospedaliero San Donato, Bergamo, Italy.
Ilaria Dalla VerdePediatric Unit, Istituti Ospedalieri Bergamaschi, Gruppo Ospedaliero San Donato, Bergamo, Italy.
Camillo LovatiPediatric Unit, Istituti Ospedalieri Bergamaschi, Gruppo Ospedaliero San Donato, Bergamo, Italy.
Stefania BologniniPediatric Unit, Istituti Ospedalieri Bergamaschi, Gruppo Ospedaliero San Donato, Bergamo, Italy.
Lorenzo D'AntigaPediatric Department, Hospital Papa Giovanni XXIII, Bergamo, Italy.
Azienda Ospedaliero Universitaria Ospedali Riuniti · ITOspedale Papa Giovanni XXIII · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDown syndrome (DS) is characterized by a series of immune dysregulations, of which interferon hyperreactivity is important, as it is responsible for surging antiviral responses and the possible initiation of an amplified cytokine storm. This biological condition is attributed to immune regulators encoded in chromosome 21. Moreover, DS is also characterized by the coexistence of obesity and cardiovascular and respiratory anomalies, which are risk factors for coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). CASE PRESENTATION: A total of 55 children were admitted to the pediatric ward in Bergamo, between February and May 2020 for COVID-19. Here, we describe the cases of two children with DS and a confirmed COVID-19 diagnosis who had a severe course. In addition, both cases involved one or more comorbidities, including cardiovascular anomalies, obesity, and/or obstructive sleep apnea.

conclusionsOur observations indicate that children with DS are at risk for severe COVID-19 disease course.

Indexed as

Severity of Illness IndexAdolescentChild, PreschoolCOVID-19Down SyndromeFemaleHeart Septal DefectsHumansPediatric ObesityRisk FactorsSARS-CoV-2Sleep Apnea, ObstructiveCase reportChildrenCoronavirus diseaseDown syndromeTrisomy 21

Identifiers

PMID33339516
PMCPMC7746520
OpenAlexW3112263715

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.