Evidence map›Paper›PMID 34540320›Full record

ArticlePediatric investigation2021

Epidemiological characteristics and clinical manifestations of pediatric patients with COVID-19 in China: A multicenter retrospective study.

Yan Bai, Liwei Gao, Xianfeng Wang, Lili Zhong, Jingfeng Li, Shenggang Ding, Yuejie Zheng, Jun Liu, Yuxia Cui, Lina Wang and 25 more

Abstract read
In one paragraph

Article in Pediatric investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Review
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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

35 authors.

Yan BaiPediatric Department Union Hospital Tongji Medical College Huazhong University of Science and Technology Hubei China.
Liwei GaoChina National Clinical Research Center for Respiratory Diseases Department of Respiratory Medicine Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Xianfeng WangDepartment of Pediatrics Shenzhen Third People's Hospital Second Affiliated Hospital of Southern University of Science and Technology Shenzhen China.
Lili ZhongChildren's medical center of Hunan Provincial People's Hospital Hunan China.
Jingfeng LiTaihe Hospital Shiyan Hubei China.
Shenggang DingDepartment of Pediatrics the First Affiliated Hospital of Anhui Medical University Hefei Anhui China.
Yuejie ZhengDepartment of Respiratory Medicine Shenzhen Children's Hospital Shenzhen China.
Jun LiuChina National Clinical Research Center for Respiratory Diseases Department of Respiratory Medicine Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Yuxia CuiDepartment of Pediatrics Guizhou Provincial People's Hospital Guizhou China.
Lina WangChina National Clinical Research Center for Respiratory Diseases Department of Respiratory Medicine Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Mingfeng HanDepartment of Respiratory medicine The Second People's Hospital of Fuyang Anhui China.
Jun LiuDepartment of Pediatrics the People Hospital of Bozhou Anhui China.
Xinping JiangLoudi Central Hospital Loudi City, Hunan China.
Min JiangDepartment of Pediatrics the First Affiliated Hospital of Guangxi Medical University Nanning Guangxi China.
Junhua LiDepartment of Pediatrics Xiangyang Central Hospital Xiangyang Hubei China.
Ning ChenDepartment of Pediatric Shengjing Hospital of China Medical University Liaoning China.
Yunxiao ShangDepartment of Pediatric Shengjing Hospital of China Medical University Liaoning China.
Hourong ZhouDepartment of General Practice Guizhou Provincial People's Hospital Office of Academic Research Jiangjunshan Hospital Guiyang, Guizhou China.
Yi XuDepartment of Pediatric Guangzhou Women and Children's Medical Center Guangzhou Medical University Guangzhou China.
Gen LuDepartment of Pediatric Guangzhou Women and Children's Medical Center Guangzhou Medical University Guangzhou China.
Xing ChenDepartment of Pediatrics Shangdong Provincial Hospital Affiliated to Shandong First Medical University Shangdong China.
Jizhi XuChangsha Maternal and Child Health Hospital Changsha Hunan China.
Qihong FanDepartment of Pediatrics Jingzhou First People's Hospital Jingzhou Hubei China.
Yu TangChildren's Hospital Affiliated to Zhengzhou University Zhengzhou Henan China.
Jiang WuHuangshi Maternity and Child Health Care Hospital Huangshi Hubei China.
Cen LiGuizhou Provincial People's Hospital Guizhou China.
Xiaoxiang YangDepartment of Pediatrics the Maternal Child Health Hospital of Guangxi Zhuang Autonomous Region Nanning Guangxi China.
Chunxi ChenXishui People's Hospital Huanggang Hubei China.
Yonghong YangBeijing Pediatric Reasearch Institute Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Gary Wing-Kin WongChinese University of Hong Kong Shatin Hong Kong China.
Adong ShenBeijing Key Laboratory of Pediatric Respiratory Infectious Diseases Beijing Pediatric Research Institute Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Tianyou WangHematologic Oncology Center Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Runming JinPediatric Department Union Hospital Tongji Medical College Huazhong University of Science and Technology Hubei China.
Baoping XuChina National Clinical Research Center for Respiratory Diseases Department of Respiratory Medicine Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Kunling ShenChina National Clinical Research Center for Respiratory Diseases Department of Respiratory Medicine Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: The Coronavirus disease 2019 (COVID-19) global pandemic poses a considerable challenge for pediatricians. Objective: This study aimed to identify the epidemiological characteristics and clinical features of pediatric patients with COVID-19 in China. Methods: This multicenter retrospective study included pediatric patients from 46 hospitals in China, covering 12 provinces and two municipalities. Epidemiological, demographic, clinical, laboratory, treatment, and outcome data were analyzed. Results: In total, 211 pediatric patients with COVID-19 were included in this study. The median age was 7.0 years (range: 22 days to 18 years). Approximately 16.3% of the patients exhibited asymptomatic infections, 23.0% had upper respiratory tract infections, and 60.7% had pneumonia, including two with severe pneumonia and one with critical illness. Approximately 78.7% of the pediatric patients occurred in familial clusters. The most three common symptoms or signs at onset in children with COVID-19 were fever (54.5%), cough (49.3%), and pharyngeal congestion (20.8%). Only 17.6% of the patients presented with decreased lymphocyte count, whereas 13.6% had increased lymphocyte count. Among the patients with pneumonia who exhibited abnormal chest computed tomography findings, 18.2% (23/127) of the patients had no other symptoms. Generally, the chest radiographs showed abnormalities that affected both lungs (49.6%); ground-glass opacity (47.2%) was the most common manifestation. The cure and improvement rates were 86.7% (183/211) and 13.3% (28/211), respectively. Only one patient with an underlying condition received invasive mechanical ventilation; none of the patients died. Interpretation: Similar to adults, children of all age groups are susceptible to COVID-19. Fortunately, most pediatric patients have mild symptoms or remain asymptomatic, despite the high incidence of pneumonia. Decreased proportions of white blood cells and lymphocytes are less frequent in children than in adults.

Indexed as

ChildrenCOVID‐19SARS‐CoV‐2

Identifiers

PMID34540320
PMCPMC8441896

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