Evidence map›Paper›PMID 34935038›Full record

ArticlePediatrics2022

Risk Factors for Severe COVID-19 in Children.

Rebecca C Woodruff, Angela P Campbell, Christopher A Taylor, Shua J Chai, Breanna Kawasaki, James Meek, Evan J Anderson, Andy Weigel, Maya L Monroe, Libby Reeg and 13 more

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 150 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 3 pooled it
48.1field-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

150 citing papers in PubMed, 3 syntheses or guidelines pooled it, 268 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
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  5. Bivalent Omicron BA.4/BA.5 BNT162b2 Vaccine in 6-Month- to <12-Year-Olds.Journal of the Pediatric Infectious Diseases Society · 2024
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90 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

23 authors at 16 institutions in 1 country.

Rebecca C WoodruffCDC COVID-19 Response Team.
Angela P CampbellCDC COVID-19 Response Team.
Christopher A TaylorCDC COVID-19 Response Team.
Shua J ChaiUS Public Health Service Commissioned Corps, Rockville, Maryland.
Breanna KawasakiColorado Department of Public Health and Environment, Denver, Colorado.
James MeekConnecticut Emerging Infections Program, Yale School of Public Health, New Haven, Connecticut.
Evan J AndersonDepartments of Medicine and Pediatrics, Emory School of Medicine, Atlanta, Georgia.
Andy WeigelIowa Department of Public Health, Des Moines, Iowa.
Maya L MonroeMaryland Department of Health, Baltimore, Maryland.
Libby ReegMichigan Department of Health and Human Services, Lansing, Michigan.
Erica ByeMinnesota Department of Health, St Paul, Minnesota.
Daniel M SosinNew Mexico Emerging Infections Program, Santa Fe, New Mexico.
Alison MuseNew York State Department of Health, Albany, New York.
Nancy M BennettUniversity of Rochester School of Medicine and Dentistry, Rochester, New York.
Laurie M BillingOhio Department of Health, Columbus, Ohio.
Melissa SuttonPublic Health Division, Oregon Health Authority, Portland, Oregon.
H Keipp TalbotVanderbilt University Medical Center, Nashville, Tennesee.
Keegan McCaffreyUtah Department of Health, Salt Lake City, Utah.
Huong PhamCDC COVID-19 Response Team.
Kadam PatelCDC COVID-19 Response Team.
Michael WhitakerCDC COVID-19 Response Team.
Meredith L McMorrowCDC COVID-19 Response Team.
Fiona P HaversCDC COVID-19 Response Team.
Centers for Disease Control and Prevention · USNational Center for Immunization and Respiratory Diseases · USUnited States Public Health Service Commissioned Officers Association · USColorado Department of Public Health and Environment · USGeorgia Department of Public Health · USIowa Department of Public Health · USMaryland Department of Health · USMichigan Department of Health and Human Services · USMinnesota Department of Health · USNew Mexico Department of Health · USNew York State Department of Health · USOhio Department of Health · USOregon Health Authority · USUniversity of Rochester · USUtah Department of Health · USVanderbilt University Medical Center · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesDescribe population-based rates and risk factors for severe coronavirus disease 2019 (COVID-19) (ie, ICU admission, invasive mechanical ventilation, or death) among hospitalized children.

methodsDuring March 2020 to May 2021, the COVID-19-Associated Hospitalization Surveillance Network identified 3106 children hospitalized with laboratory-confirmed severe acute respiratory syndrome coronavirus 2 infection in 14 states. Among 2293 children primarily admitted for COVID-19, multivariable generalized estimating equations generated adjusted risk ratios (aRRs) and 95% confidence intervals (CIs) of the associations between demographic and medical characteristics abstracted from medical records and severe COVID-19. We calculated age-adjusted cumulative population-based rates of severe COVID-19 among all children.

resultsApproximately 30% of hospitalized children had severe COVID-19; 0.5% died during hospitalization. Among hospitalized children aged <2 years, chronic lung disease (aRR: 2.2; 95% CI: 1.1-4.3), neurologic disorders (aRR: 2.0; 95% CI: 1.5‒2.6), cardiovascular disease (aRR: 1.7; 95% CI: 1.2‒2.3), prematurity (aRR: 1.6; 95% CI: 1.1‒2.2), and airway abnormality (aRR: 1.6; 95% CI: 1.1‒2.2) were associated with severe COVID-19. Among hospitalized children aged 2 to 17 years, feeding tube dependence (aRR: 2.0; 95% CI: 1.5‒2.5), diabetes mellitus (aRR: 1.9; 95% CI: 1.6‒2.3) and obesity (aRR: 1.2; 95% CI: 1.0‒1.4) were associated with severe COVID-19. Severe COVID-19 occurred among 12.0 per 100 000 children overall and was highest among infants, Hispanic children, and non-Hispanic Black children.

conclusionsResults identify children at potentially higher risk of severe COVID-19 who may benefit from prevention efforts, including vaccination. Rates establish a baseline for monitoring changes in pediatric illness severity after increased availability of COVID-19 vaccines and the emergence of new variants.

Indexed as

COVID-19ChildCOVID-19 VaccinesHospitalizationHumansInfantRisk FactorsSARS-CoV-2COVID-19 Vaccines

Identifiers

PMID34935038
PMCPMC9213563
OpenAlexW3206454332

What OpenQuestion holds

Textmetadata
LicenceTDM
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.