Evidence map›Paper›PMID 34764489›Full record

ArticleNature medicine2022

Deaths in children and young people in England after SARS-CoV-2 infection during the first pandemic year.

Clare Smith, David Odd, Rachel Harwood, Joseph Ward, Mike Linney, Matthew Clark, Dougal Hargreaves, Shamez N Ladhani, Elizabeth Draper, Peter J Davis and 5 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed
7.9field-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

76 citing papers in PubMed, 136 citations in OpenAlex.

  1. Trial
  2. Article
  3. COVID-19 and Influenza Deaths in Australian Children 2018-2023: A National Case Analysis.Journal of the Pediatric Infectious Diseases Society · 2025
    Article
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  20. SARS-CoV-2 EncephalitisCurrent pediatric reviews · 2024
    Review

16 more citing papers are in PubMed but not listed here.

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

15 authors at 12 institutions in 2 countries.

Clare SmithNHS England and NHS Improvement, London, UK. clare.smith107@nhs.net.ORCID http://orcid.org/0000-0003-1539-0032
David OddDivision of Population Medicine, Cardiff University, Cardiff, Wales, UK.ORCID http://orcid.org/0000-0002-6416-4966
Rachel HarwoodInstitute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK.ORCID http://orcid.org/0000-0003-3440-3142
Joseph WardPopulation, Policy and Practice Department, UCL Great Ormond St. Institute of Child Health, London, UK.ORCID http://orcid.org/0000-0001-7263-8845
Mike LinneyRoyal College of Paediatrics and Child Health, London, UK.
Matthew ClarkNHS England and NHS Improvement, London, UK.ORCID http://orcid.org/0000-0002-3570-5241
Dougal HargreavesSchool of Public Health, Imperial College London, London, UK.ORCID http://orcid.org/0000-0003-0722-9847
Shamez N LadhaniImmunisation and Countermeasures, Public Health England, London, UK.
Elizabeth DraperPaediatric Intensive Care Audit Network (PICANet), Department of Health Sciences, University of Leicester, Leicester, UK.
Peter J DavisNHS England and NHS Improvement, London, UK.ORCID http://orcid.org/0000-0003-0669-2485
Simon E KennyNHS England and NHS Improvement, London, UK.ORCID http://orcid.org/0000-0002-5917-8554
Elizabeth WhittakerDepartment of Paediatric Infectious Diseases, Imperial College Healthcare NHS Trust, London, UK.ORCID http://orcid.org/0000-0002-7944-8793
Karen LuytNational Child Mortality Database, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-9806-1092
Russell VinerPopulation, Policy and Practice Department, UCL Great Ormond St. Institute of Child Health, London, UK.ORCID http://orcid.org/0000-0003-3047-2247
Lorna K FraserMartin House Research Centre, University of York, York, UK.ORCID http://orcid.org/0000-0002-1360-4191
Great Ormond Street Hospital · GBUniversity of Bristol · GBUniversity of Liverpool · GBBristol Royal Hospital for Children · GBImperial College Healthcare NHS Trust · GBImperial College London · GBNHS EnglandSt George's, University of London · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity Hospitals Sussex NHS Foundation Trust · GBUniversity of Leicester · GBUniversity of York · GB

Funding

DH | National Institute for Health Research (NIHR) NIHR202322Kidney Research UK TF_010_20171124RCUK | Medical Research Council (MRC) MR/R00160X/1
6 · The paper itself

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is rarely fatal in children and young people (CYP, <18 years old), but quantifying the risk of death is challenging because CYP are often infected with SARS-CoV-2 exhibiting no or minimal symptoms. To distinguish between CYP who died as a result of SARS-CoV-2 infection and those who died of another cause but were coincidentally infected with the virus, we undertook a clinical review of all CYP deaths with a positive SARS-CoV-2 test from March 2020 to February 2021. The predominant SARS-CoV-2 variants were wild-type and Alpha. Here we show that, of 12,023,568 CYP living in England, 3,105 died, including 61 who were positive for SARS-CoV-2. Of these deaths, 25 were due to SARS-CoV-2 infection (mortality rate, two per million), including 22 due to coronavirus disease 2019-the clinical disease associated with SARS-CoV-2 infection-and 3 were due to pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2. In total, 99.995% of CYP with a positive SARS-CoV-2 test survived. CYP older than 10 years, Asian and Black ethnic backgrounds and comorbidities were over-represented in SARS-CoV-2-related deaths compared with other CYP deaths. These results are important for guiding decisions on shielding and vaccinating children. New variants might have different mortality risks and should be evaluated in a similar way.

Indexed as

AdolescentAge DistributionAsian PeopleBlack PeopleCause of DeathChildChild, PreschoolCOVID-19EnglandEthnicityFemaleHumansInfantInfant, NewbornMaleSARS-CoV-2

Identifiers

PMID34764489
OpenAlexW3212053680

What OpenQuestion holds

Textmetadata
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.