Evidence map›Paper›PMID 34838054›Full record

Observational studyPediatric rheumatology online journal2021

Clinical characteristics and COVID-19 outcomes in a regional cohort of pediatric patients with rheumatic diseases.

Daniel Clemente, Clara Udaondo, Jaime de Inocencio, Juan Carlos Nieto, Pilar Galán Del Río, Antía García Fernández, Jaime Arroyo Palomo, Javier Bachiller-Corral, Juan Carlos Lopez Robledillo, Claudia Millán Longo and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Pediatric rheumatology online journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 35 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. COVID-19 in immunocompromised children and adolescents.Clinical and experimental pediatrics · 2023
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. 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

13 authors at 7 institutions in 1 country.

Daniel ClementePediatric Rheumatology Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.ORCID https://orcid.org/0000-0002-1605-7488
Clara UdaondoPediatric Rheumatology Department, Hospital Universitario La Paz, Madrid, Spain.ORCID https://orcid.org/0000-0001-6223-7140
Jaime de InocencioPediatric Rheumatology Department, Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID https://orcid.org/0000-0002-0438-0245
Juan Carlos NietoRheumatology Department, Hospital Universitario Gregorio Marañon, Madrid, Spain.ORCID https://orcid.org/0000-0002-5971-4185
Pilar Galán Del RíoRheumatology Department, Hospital Universitario de Fuenlabrada, Madrid, Spain.ORCID https://orcid.org/0000-0002-0646-2914
Antía García FernándezRheumatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.ORCID https://orcid.org/0000-0003-3670-6796
Jaime Arroyo PalomoRheumatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.ORCID https://orcid.org/0000-0002-6954-532X
Javier Bachiller-CorralRheumatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.ORCID https://orcid.org/0000-0001-8954-209X
Juan Carlos Lopez RobledilloPediatric Rheumatology Unit, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.ORCID https://orcid.org/0000-0002-5253-945X
Claudia Millán LongoPediatric Rheumatology Department, Hospital Universitario La Paz, Madrid, Spain.ORCID https://orcid.org/0000-0002-2169-5660
Leticia LeonRheumatology Department and IDISSC, Hospital Universitario Clinico San Carlos, Martin Lagos s/n, 28040, Madrid, Spain. lleon@salud.madrid.org.ORCID http://orcid.org/0000-0001-7142-0545
Lydia AbasoloRheumatology Department and IDISSC, Hospital Universitario Clinico San Carlos, Martin Lagos s/n, 28040, Madrid, Spain.ORCID https://orcid.org/0000-0001-8152-0478
Alina BoteanuRheumatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.ORCID https://orcid.org/0000-0002-7826-6947
Hospital Universitario Ramón y Cajal · ESHospital Clínico San Carlos · ESHospital Infantil Universitario Niño Jesús · ESHospital Universitario La Paz · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario 12 De Octubre · ESHospital Universitario de Fuenlabrada · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to assess the baseline characteristics and clinical outcomes of coronavirus disease 2019 (COVID-19) in pediatric patients with rheumatic and musculoskeletal diseases (RMD) and identify the risk factors associated with symptomatic or severe disease defined as hospital admission, intensive care admission or death.

methodsAn observational longitudinal study was conducted during the first year of the SARS-CoV-2 pandemic (March 2020-March 2021). All pediatric patients attended at the rheumatology outpatient clinics of six tertiary referral hospitals in Madrid, Spain, with a diagnosis of RMD and COVID-19 were included. Main outcomes were symptomatic disease and hospital admission. The covariates were sociodemographic and clinical characteristics and treatment regimens. We ran a multivariable logistic regression model to assess associated factors for outcomes.

resultsThe study population included 77 pediatric patients. Mean age was 11.88 (4.04) years Of these, 30 patients (38.96%) were asymptomatic, 41 (53.25%) had a mild-moderate COVID-19 and 6 patients (7.79%) required hospital admission. The median length of hospital admission was 5 (2-20) days, one patient required intensive care and there were no deaths. Previous comorbidities increased the risk for symptomatic disease and hospital admission. Compared with outpatients, the factor independently associated with hospital admission was previous use of glucocorticoids (OR 3.51; p = 0.00). No statistically significant risk factors for symptomatic COVID-19 were found in the final model.

conclusionNo differences in COVID-19 outcomes according to childhood-onset rheumatic disease types were found. Results suggest that associated comorbidities and treatment with glucocorticoids increase the risk of hospital admission.

Indexed as

AdolescentAntirheumatic AgentsArthritis, JuvenileAsthmaCarrier StateChildCohort StudiesComorbidityCOVID-19FemaleGlucocorticoidsHeart DiseasesHereditary Autoinflammatory DiseasesHospitalizationHumansIntensive Care Units, PediatricAntirheumatic AgentsGlucocorticoidsAutoinflammatory diseasesChildhood-onset rheumatic diseasesChronic inflammatory arthritisCOVID-19Multisystemic autoimmune disorders

Identifiers

PMID34838054
PMCPMC8626725
OpenAlexW3216445591

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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.