Evidence map›Paper›PMID 34387240›Full record

ArticleCritical care medicine2022

Characterization and Outcomes of Hospitalized Children With Coronavirus Disease 2019: A Report From a Multicenter, Viral Infection and Respiratory Illness Universal Study (Coronavirus Disease 2019) Registry.

Utpal S Bhalala, Katja M Gist, Sandeep Tripathi, Karen Boman, Vishakha K Kumar, Lynn Retford, Kathleen Chiotos, Allison M Blatz, Heda Dapul, Sourabh Verma and 50 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Critical care medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. The Impact of COVID-19 on Pediatric Cardiac Arrest Outcomes: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Update on Omicron variant and its threat to vulnerable populations.Public health in practice (Oxford, England) · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. COVID in Pediatric Age: an opinion paper.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022
    Review
  20. Article
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

60 authors at 20 institutions in 4 countries.

Utpal S BhalalaThe Children's Hospital of San Antonio, San Antonio, TX.
Katja M GistDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Children's Hospital Colorado, Aurora, CO.
Sandeep TripathiChildren's Hospital of Illinois, OSF St Francis Medical Centre, Peoria, IL.
Karen BomanSociety of Critical Care Medicine, Mount Prospect, IL.
Vishakha K KumarSociety of Critical Care Medicine, Mount Prospect, IL.
Lynn RetfordSociety of Critical Care Medicine, Mount Prospect, IL.
Kathleen ChiotosChildren's Hospital of Philadelphia, Philadelphia, PA.
Allison M BlatzChildren's Hospital of Philadelphia, Philadelphia, PA.
Heda DapulHassenfeld Children's Hospital at NYU Langone, New York, NY.
Sourabh VermaHassenfeld Children's Hospital at NYU Langone, New York, NY.
Imran A SayedDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Children's Hospital Colorado, Aurora, CO.
Varsha P GharpureAdvocate Children's Hospital, Park Ridge, IL.
Erica BjornstadChildren's Hospital Alabama, Birmingham, AL.
Nancy TofilChildren's Hospital Alabama, Birmingham, AL.
Katherine IrbyArkansas Children's Hospital, Little Rock, AR.
Ronald C SandersArkansas Children's Hospital, Little Rock, AR.
Julia A HeneghanUniversity of Minnesota Masonic Children's Hospital, Minneapolis, MN.
Melissa ThomasNorton Children's Hospital, Louisville, KY.
Manoj K GuptaLincoln Medical Center, Bronx, NY.
Franscene E OuldsLincoln Medical Center, Bronx, NY.
Grace M ArteagaMayo Clinic, Rochester, MN.
Emily R LevyMayo Clinic, Rochester, MN.
Neha GuptaUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK.
Margit KaufmanEnglewood Health, Englewood, NJ.
Amr AbdelatyEnglewood Health, Englewood, NJ.
Mark ShlomovichChildren's Hospital at Montefiore, Bronx, NY.
Shivanand S MedarChildren's Hospital at Montefiore, Bronx, NY.
A M Iqbal O'MearaChildren's Hospital of Richmond at VCU, Richmond, VA.
Joshua KuehneThe Children's Hospital of San Antonio, San Antonio, TX.
Shina MenonSeattle Children's Hospital, Seattle, WA.
Paras B KhandharBeaumont Children's Hospital, Beaumont, MI.
Aaron S MillerCardinal Glennon Children's Hospital, Saint Louis, MO.
Suzanne M BarryBernard and Millie Duker Children's Hospital at Albany Medical Center, Albany, NY.
Valerie C DaneshBaylor Scott and White Health, Temple, TX.
Ashish K KhannaWake Forest University School of Medicine, Winston-Salem, NC.
Kimberly ZammitJohn R. Oishei Children's Hospital, Buffalo, NY.
Casey StulceUniversity of Chicago, Chicago, IL.
Patrick W McGonagillUniversity of Iowa, Iowa City, IA.
Asher BercowJacobi Medical Center, Bronx, NY.
Ioana G AmzutaSUNY Upstate University Hospital, Syracuse, NY.
Sandeep GuptaCommunity Health Network, Indianapolis, IN.
Mohammed A AlmazyadDepartment of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Louisdon PierreThe Brooklyn Hospital Center, Brooklyn, NY.
Prithvi SendiNicklaus Children's Hospital, Miami, FL.
Sidra IshaqueThe Aga Khan University Hospital, Karachi, Pakistan.
Harry L AndersonSt. Joseph Mercy, Ann Arbor, MI.
Pooja NawatheCedar-Sinai Medical Center, Los Angeles, CA.
Murtaza AkhterValleywise Health, Phoenix, AZ.
Patrick G LyonsWashington University School of Medicine, St. Louis, MO.
Catherine ChenParkland Hospital, Dallas, TX.
Allan J WalkeyBoston University School of Medicine, Boston, MA.
Azra BihoracUniversity of Florida Shands Children's Hospital, Gainesville, FL.
Imam Wada BelloKwanar Dawaki Isolation Center, Kano, Nigeria.
Judith Ben AriUMC Children's Hospital, Las Vegas, NV.
Tanja KovacevicUniversity Hospital of Split, Split, Croatia.
Vikas BansalMayo Clinic, Rochester, MN.
John T BrintonDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado, Aurora, CO.
Jerry J ZimmermanSeattle Children's Hospital, Seattle, WA.
Rahul KashyapMayo Clinic, Rochester, MN.
Society of Critical Care Medicine Discovery Viral Infection and Respiratory Illness Universal Study (VIRUS): COVID-19 Registry Investigator Group
Mayo Clinic in Arizona · USChildren's Hospital at Montefiore · USSociety of Critical Care Medicine · USArkansas Children's Hospital · USChildren's Hospital of Philadelphia · USChildren's Hospital of San Antonio · USEnglewood Hospital and Medical Center · USSeattle Children's Hospital · USUniversity of Colorado Anschutz Medical Campus · USAdvocate Children's Hospital · USAga Khan University Hospital · PKAlbany Medical Center Hospital · USBaylor Scott & White Health · USBoston University · USBrooklyn Hospital Center · USCedars-Sinai Medical Center · USChildren's Hospital of Richmond at VCU · USColorado School of Public Health · USCommunity Health Network · USHealthwise · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
Boston Biomedical Innovation CenterU54HL119145 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI GOLAN, DAVID E., LOSCALZO, JOSEPH · 2013 to 2021
$18.8M
Principal ProjectU19AI144301 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI Maria Virginia Pascual · 2019 to 2026
$9.9M
SHIPSS: Stress Hydrocortisone In Pediatric Septic ShockR01HD096901 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI AGUS, MICHAEL SD, WYPIJ, DAVID · 2019 to 2024
$8.9M
Clinical Pharmacoepidemiology Training ProgramT32GM075766 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Sean Hennessy, Charles Edward Leonard · 2006 to 2026
$8.4M
Wake Forest Clinical and Translational Science AwardKL2TR001421 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MILLER, DAVID P · 2015 to 2023
$5.8M
PEDSnet Scholars: A Training Program for Pediatric Learning Health System ResearchersK12HS026393 · AHRQ · CHILDREN'S HOSP OF PHILADELPHIA · PI FORREST, CHRISTOPHER B, MOON, JEANHEE · 2018 to 2022
$4.0M
Efficacy of self-management of sedative therapy by ventilated ICU patientsR01HL130881 · NHLBI · MAYO CLINIC ROCHESTER · PI CHLAN, LINDA L, TRACY, MARY FRANCES · 2016 to 2021
$3.2M
Targeting cardiovascular events to improve patient outcomes after sepsisR01HL139751 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WALKEY, ALLAN J. · 2018 to 2021
$2.8M
Evaluating Routine Opioid Use during Acute Respiratory FailureR01HL151607 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LIU, VINCENT, WALKEY, ALLAN J. · 2020 to 2023
$2.3M
Automated detection and prediction of atrial fibrillation during sepsisR01HL136660 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WALKEY, ALLAN J. · 2017 to 2020
$2.2M
Advanced Risk Adjusters and Predictive Formulas for ICD-10 Based Risk AdjustmentR01HS026485 · AHRQ · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI ELLIS, RANDALL P. · 2018 to 2020
$1.2M
AHRQ HHS K12 HS026393AHRQ HHS R01 HS026485NCATS NIH HHS KL2 TR001421NCATS NIH HHS UL1 TR002377NHLBI NIH HHS R01 HL130881NHLBI NIH HHS R01 HL136660NHLBI NIH HHS R01 HL139751NHLBI NIH HHS R01 HL151607NHLBI NIH HHS U54 HL119145NIAID NIH HHS U19 AI144301NIBIB NIH HHS R21 EB027344NICHD NIH HHS R01 HD096901NIGMS NIH HHS T32 GM075766
6 · The paper itself

Abstract

objectivesMulticenter data on the characteristics and outcomes of children hospitalized with coronavirus disease 2019 are limited. Our objective was to describe the characteristics, ICU admissions, and outcomes among children hospitalized with coronavirus disease 2019 using Society of Critical Care Medicine Discovery Viral Infection and Respiratory Illness Universal Study: Coronavirus Disease 2019 registry.

designRetrospective study.

settingSociety of Critical Care Medicine Viral Infection and Respiratory Illness Universal Study (Coronavirus Disease 2019) registry. PATIENTS: Children (< 18 yr) hospitalized with coronavirus disease 2019 at participating hospitals from February 2020 to January 2021.

interventionsNone. MEASUREMENTS AND MAIN

resultsThe primary outcome was ICU admission. Secondary outcomes included hospital and ICU duration of stay and ICU, hospital, and 28-day mortality. A total of 874 children with coronavirus disease 2019 were reported to Viral Infection and Respiratory Illness Universal Study registry from 51 participating centers, majority in the United States. Median age was 8 years (interquartile range, 1.25-14 yr) with a male:female ratio of 1:2. A majority were non-Hispanic (492/874; 62.9%). Median body mass index (n = 817) was 19.4 kg/m2 (16-25.8 kg/m2), with 110 (13.4%) overweight and 300 (36.6%) obese. A majority (67%) presented with fever, and 43.2% had comorbidities. A total of 238 of 838 (28.2%) met the Centers for Disease Control and Prevention criteria for multisystem inflammatory syndrome in children, and 404 of 874 (46.2%) were admitted to the ICU. In multivariate logistic regression, age, fever, multisystem inflammatory syndrome in children, and pre-existing seizure disorder were independently associated with a greater odds of ICU admission. Hospital mortality was 16 of 874 (1.8%). Median (interquartile range) duration of ICU (n = 379) and hospital (n = 857) stay were 3.9 days (2-7.7 d) and 4 days (1.9-7.5 d), respectively. For patients with 28-day data, survival was 679 of 787, 86.3% with 13.4% lost to follow-up, and 0.3% deceased.

conclusionsIn this observational, multicenter registry of children with coronavirus disease 2019, ICU admission was common. Older age, fever, multisystem inflammatory syndrome in children, and seizure disorder were independently associated with ICU admission, and mortality was lower among children than mortality reported in adults.

Indexed as

AdolescentAge FactorsBody Mass IndexChildChild, HospitalizedChild, PreschoolComorbidityCOVID-19FemaleHospital MortalityHumansInfantIntensive Care UnitsLogistic ModelsMaleRetrospective Studies

Identifiers

PMID34387240
PMCPMC8670078
OpenAlexW3188304851

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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.