Evidence map›Paper›PMID 34693233›Full record

ArticleEClinicalMedicine2021

Risk factors for poor prognosis in children and adolescents with COVID-19: A systematic review and meta-analysis.

Qianling Shi, Zijun Wang, Jiao Liu, Xingmei Wang, Qi Zhou, Qinyuan Li, Yang Yu, Zhengxiu Luo, Enmei Liu, Yaolong Chen and 1 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 6 pooled it
14.4field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 6 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Risk Factors for Pediatric Critical COVID-19: A Systematic Review and Meta-Analysis.Journal of the Pediatric Infectious Diseases Society · 2024
    Pooled it
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Pooled it
  7. Article
  8. Article
  9. Review
  10. Risk Factors for Pediatric Critical COVID-19: A Systematic Review and Meta-Analysis.medRxiv : the preprint server for health sciences · 2024
    Article
  11. COVID-19 Vaccines in the Pediatric Population: A Focus on Cardiac Patients.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2024
    Review
  12. Article
  13. The Therapy of SARS-CoV-2 Infection in Children.Journal of clinical medicine · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. 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

11 authors at 3 institutions in 1 country.

Qianling ShiThe First School of Clinical Medicine, Lanzhou University, Lanzhou 730000, China.
Zijun WangLanzhou University Institute of Health Data Science, Lanzhou 730000, China.
Jiao LiuDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400000, China.
Xingmei WangDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400000, China.
Qi ZhouLanzhou University Institute of Health Data Science, Lanzhou 730000, China.
Qinyuan LiDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400000, China.
Yang YuDepartment of Tumor Surgery, Lanzhou University Second Hospital, Lanzhou 730000, China.
Zhengxiu LuoDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400000, China.
Enmei LiuDepartment of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400000, China.
Yaolong ChenLanzhou University Institute of Health Data Science, Lanzhou 730000, China.
COVID-19 evidence and recommendations working group
Lanzhou University · CNChina International Science and Technology Cooperation · CNChongqing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study provides the first systematic review and meta-analysis to identify the predictors of unfavorable prognosis of COVID-19 in children and adolescents.

methodsWe searched literature databases until July 2021 for studies that investigated risk factors for unfavorable prognosis of children and adolescents with COVID-19. We used random-effects models to estimate the effect size with 95% confidence interval (

findingsWe identified 56 studies comprising 79,104 individuals. Mortality was higher in patients with multisystem inflammatory syndrome (MIS-C) (odds ratio [

interpretationCongenital heart disease, chronic pulmonary disease, neurological diseases, obesity, MIS-C, shortness of breath, ARDS, AKI, gastrointestinal symptoms, elevated CRP and D-dimer are associated with unfavourable prognosis in children and adolescents with COVID-19.

Indexed as

AdolescentsChildrenCOVID-19Meta-analysisPrognosisRisk factor

Identifiers

PMID34693233
PMCPMC8523335
OpenAlexW3207790123

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.