Evidence map›Paper›PMID 35670605›Full record

ArticleHospital pediatrics2022

Factors Associated With Severe Illness in Patients Aged <21 Years Hospitalized for COVID-19.

Rewa Choudhary, Bryant J Webber, Lindsay S Womack, Hannah K Dupont, Sophia K Chiu, Valentine Wanga, Megan E Gerdes, Sophia Hsu, Dallas S Shi, Theresa M Dulski and 41 more

Open access · greenAbstract read
In one paragraph

Article in Hospital pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Risk Factors for Pediatric Critical COVID-19: A Systematic Review and Meta-Analysis.Journal of the Pediatric Infectious Diseases Society · 2024
    Pooled it
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  5. Risk Factors for Pediatric Critical COVID-19: A Systematic Review and Meta-Analysis.medRxiv : the preprint server for health sciences · 2024
    Article
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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

51 authors at 10 institutions in 2 countries.

Rewa Choudhary *COVID-19 Emergency Response Team.
Bryant J Webber *COVID-19 Emergency Response Team.
Lindsay S WomackCOVID-19 Emergency Response Team.
Hannah K DupontCOVID-19 Emergency Response Team.
Sophia K ChiuCOVID-19 Emergency Response Team.
Valentine WangaCOVID-19 Emergency Response Team.
Megan E GerdesCOVID-19 Emergency Response Team.
Sophia HsuCOVID-19 Emergency Response Team.
Dallas S ShiCOVID-19 Emergency Response Team.
Theresa M DulskiCOVID-19 Emergency Response Team.
Osatohamwen I IduborCOVID-19 Emergency Response Team.
Arthur M WendelCOVID-19 Emergency Response Team.
Nickolas T AgathisCOVID-19 Emergency Response Team.
Kristi AndersonCOVID-19 Emergency Response Team.
Tricia BoylesCOVID-19 Emergency Response Team.
Eleanor S ClickCOVID-19 Emergency Response Team.
Juliana Da SilvaCOVID-19 Emergency Response Team.
Mary E EvansCOVID-19 Emergency Response Team.
Jeremy A W GoldCOVID-19 Emergency Response Team.
Julia C HastonCOVID-19 Emergency Response Team.
Pamela LoganCOVID-19 Emergency Response Team.
Susan A MaloneyCOVID-19 Emergency Response Team.
Marisol MartinezCOVID-19 Emergency Response Team.
Pavithra NatarajanCOVID-19 Emergency Response Team.
Kevin B SpicerCOVID-19 Emergency Response Team.
Mark SwancuttCOVID-19 Emergency Response Team.
Valerie A StevensCOVID-19 Emergency Response Team.
Jessica Rogers-BrownCOVID-19 Emergency Response Team.
Gyan ChandraCOVID-19 Emergency Response Team.
Megan LightCOVID-19 Emergency Response Team.
Frederick E BarrArkansas Children's, Little Rock, Arkansas.
Jessica SnowdenArkansas Children's, Little Rock, Arkansas.
Larry K KociolekAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Matthew McHughAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
David L WesselChildren's National Hospital, Washington, DC.
Joelle N SimpsonChildren's National Hospital, Washington, DC.
Kathleen C GormanChildren's National Hospital, Washington, DC.
Kristen A BreslinChildren's National Hospital, Washington, DC.
Roberta L DeBiasiChildren's National Hospital, Washington, DC.
Aaron ThompsonChildren's Hospital New Orleans, New Orleans, Louisiana.
Mark W KlineChildren's Hospital New Orleans, New Orleans, Louisiana.
Julie A BoomDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas.
Ila R SinghTexas Children's Hospital, Houston, Texas.
Michael DowlinDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas.
Mark WietechaChildren's Hospital Association, Washington, DC.
Beth SchweitzerCOVID-19 Emergency Response Team.
Sapna Bamrah MorrisCOVID-19 Emergency Response Team.
Emilia H KoumansCOVID-19 Emergency Response Team.
Jean Y KoCOVID-19 Emergency Response Team.
David A SiegelCOVID-19 Emergency Response Team.
Anne A KimballCOVID-19 Emergency Response Team.
Computer Emergency Response Team · FRChildren's National · USCenters for Disease Control and Prevention · USBaylor College of Medicine · USChildren's Hospital of New Orleans · USLurie Children's Hospital · USChildren's Hospital Association · USEpidemic Intelligence Service · USTexas Children's Hospital · USUnited States Public Health Service Commissioned Officers Association · US

Funding

AICORE-kids: Artificial Intelligence COVID-19 Risk AssEssment for kidsR61HD105593 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI ALLEN, CARL E, ANNAPRAGADA, ANANTH V · 2021 to 2022
$1.6M
Intramural CDC HHS CC999999NICHD NIH HHS R61 HD105593
6 · The paper itself

Abstract

objectivesTo describe coronavirus disease 2019 (COVID-19)-related pediatric hospitalizations during a period of B.1.617.2 (Δ) variant predominance and to determine age-specific factors associated with severe illness.

methodsWe abstracted data from medical charts to conduct a cross-sectional study of patients aged <21 years hospitalized at 6 United States children's hospitals from July to August 2021 for COVID-19 or with an incidental positive severe acute respiratory syndrome coronavirus 2 test. Among patients with COVID-19, we assessed factors associated with severe illness by calculating age-stratified prevalence ratios (PR). We defined severe illness as receiving high-flow nasal cannula, positive airway pressure, or invasive mechanical ventilation.

resultsOf 947 hospitalized patients, 759 (80.1%) had COVID-19, of whom 287 (37.8%) had severe illness. Factors associated with severe illness included coinfection with respiratory syncytial virus (RSV) (PR 3.64) and bacteria (PR 1.88) in infants; RSV coinfection in patients aged 1 to 4 years (PR 1.96); and obesity in patients aged 5 to 11 (PR 2.20) and 12 to 17 years (PR 2.48). Having ≥2 underlying medical conditions was associated with severe illness in patients aged <1 (PR 1.82), 5 to 11 (PR 3.72), and 12 to 17 years (PR 3.19).

conclusionsAmong patients hospitalized for COVID-19, factors associated with severe illness included RSV coinfection in those aged <5 years, obesity in those aged 5 to 17 years, and other underlying conditions for all age groups <18 years. These findings can inform pediatric practice, risk communication, and prevention strategies, including vaccination against COVID-19.

Indexed as

CoinfectionCOVID-19Respiratory Syncytial Virus InfectionsChildCross-Sectional StudiesHospitalizationHumansInfantObesitySARS-CoV-2United States

Identifiers

PMID35670605
PMCPMC9773098
OpenAlexW4281756798

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.