Evidence map›Paper›PMID 35765138›Full record

ArticlePediatrics2022

Health Impairments in Children and Adolescents After Hospitalization for Acute COVID-19 or MIS-C.

Aline B Maddux, Laura Berbert, Cameron C Young, Leora R Feldstein, Laura D Zambrano, Suden Kucukak, Margaret M Newhams, Kristen Miller, Madyson M FitzGerald, Jie He and 31 more

Open access · greenAbstract readMulticenter Study
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 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  8. A Predictive Model for the Development of Long COVID in Children.International journal of environmental research and public health · 2025
    Article
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  13. Pre-existing Immunocompromising Conditions and Outcomes of Acute COVID-19 Patients Admitted for Pediatric Intensive Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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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

41 authors at 20 institutions in 1 country.

Aline B MadduxDepartment of Pediatrics, Section of Critical Care Medicine, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado.
Laura BerbertBiostatistics and Research Design Center, Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, Massachusetts.
Cameron C YoungDepartment of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Leora R FeldsteinCOVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia.
Laura D ZambranoCOVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia.
Suden KucukakDepartment of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Margaret M NewhamsDepartment of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Kristen MillerDepartment of Pediatrics, Section of Critical Care Medicine, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado.
Madyson M FitzGeraldDepartment of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Jie HeBiostatistics and Research Design Center, Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, Massachusetts.
Natasha B HalasaDivision of Pediatric Infectious Diseases, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
Natalie Z CvijanovichDivision of Critical Care Medicine, UCSF Benioff Children's Hospital, Oakland, California.
Laura L LoftisSection of Critical Care Medicine, Department of Pediatrics, Texas Children's Hospital, Houston, Texas.
Tracie C WalkerDepartment of Pediatrics, University of North Carolina at Chapel Hill Children's Hospital, Chapel Hill, North Carolina.
Stephanie P SchwartzDepartment of Pediatrics, University of North Carolina at Chapel Hill Children's Hospital, Chapel Hill, North Carolina.
Shira J GertzDivision of Pediatric Critical Care, Department of Pediatrics, Cooperman Barnabas Medical Center, Livingston, New Jersey.
Keiko M TarquinioDivision of Critical Care Medicine, Department of Pediatrics, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, Georgia.
Julie C FitzgeraldDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania.
Michele KongDivision of Pediatric Critical Care Medicine, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama.
Jennifer E SchusterDivision of Pediatric Infectious Disease, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri.
Elizabeth H MackDivision of Pediatric Critical Care Medicine, Medical University of South Carolina, Charleston, South Carolina.
Charlotte V HobbsDepartment of Pediatrics, Department of Microbiology, Division of Infectious Diseases, University of Mississippi Medical Center, Jackson, Mississippi.
Courtney M RowanDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, Indiana.
Mary A StaatDepartment of Pediatrics, University of Cincinnati, Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Matt S ZinterDepartment of Pediatrics, Division of Critical Care, University of California San Francisco, San Francisco, California.
Katherine IrbySection of Pediatric Critical Care, Department of Pediatrics, Arkansas Children's Hospital, Little Rock, Arkansas.
Hillary CrandallDivision of Pediatric Critical Care, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Heidi FloriDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Mott Children's Hospital and University of Michigan, Ann Arbor, Michigan.
Melissa L CullimoreDivision of Pediatric Critical Care, Department of Pediatrics, Children's Hospital and Medical Center, Omaha, Nebraska.
Ryan A NofzigerDivision of Critical Care Medicine, Akron Children's Hospital, Akron, Ohio.
Steven L SheinDivision of Pediatric Critical Care Medicine, Rainbow Babies and Children's Hospital, Cleveland, Ohio.
Mary Glas GaspersUniversity of Arizona, Diamond Children's Banner Children's Medical Center, Tucson, Arizona.
Janet R HumeDivision of Pediatric Critical Care, University of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota.
Emily R LevyDepartment of Pediatrics, Section of Critical Care Medicine, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado.
Sabrina R ChenDepartment of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Manish M PatelCOVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia.
Mark W TenfordeCOVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia.
Edie WellerBiostatistics and Research Design Center, Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, Massachusetts.
Angela P CampbellCOVID-19 Response, Centers for Disease Control and Prevention, Atlanta, Georgia.
Adrienne G RandolphDepartment of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Overcoming COVID-19 Investigators
Boston Children's Hospital · USCenters for Disease Control and Prevention · USChildren's Hospital Colorado · USUniversity of North Carolina Hospitals · USAkron Children's Hospital · USArkansas Children's Hospital · USChildren's Healthcare of Atlanta · USChildren's Hospital & Medical Center · USChildren's Medical Center · USChildren's Mercy Hospital · USC. S. Mott Children's Hospital · USHarvard University · USIndiana University School of MedicineMedical University of South Carolina · USPhiladelphia University · USRainbow Babies & Children's Hospital · USSaint Barnabas Medical Center · USTexas Children's Hospital · USUCSF Benioff Children's Hospital · USUniversity of Alabama at Birmingham · US

Funding

Pediatric septic acute kidney injury: personalizing antibiotic dosing through understanding acute kidney injury risk factors and biomarker profilesK23DK119463 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI FITZGERALD, JULIE C. HOLLOWS · 2020 to 2024
$810k
Functional Outcomes after Prolonged Mechanical Ventilation in ChildrenK23HD096018 · NICHD · UNIVERSITY OF COLORADO DENVER · PI MADDUX, ALINE BERNARD · 2019 to 2023
$807k
NICHD NIH HHS K23 HD096018NIDDK NIH HHS K23 DK119463
6 · The paper itself

Abstract

objectivesTo evaluate risk factors for postdischarge sequelae in children and adolescents hospitalized for acute coronavirus disease 2019 (COVID-19) or multisystem inflammatory syndrome in children (MIS-C).

methodsMulticenter prospective cohort study conducted in 25 United States pediatric hospitals. Patients <21-years-old, hospitalized May 2020 to May 2021 for acute COVID-19 or MIS-C with follow-up 2 to 4 months after admission. We assessed readmissions, persistent symptoms or activity impairment, and new morbidities. Multivariable regression was used to calculate adjusted risk ratios (aRR) and 95% confidence intervals (CI).

resultsOf 358 eligible patients, 2 to 4 month survey data were available for 119 of 155 (76.8%) with acute COVID-19 and 160 of 203 (78.8%) with MIS-C. Thirteen (11%) patients with acute COVID-19 and 12 (8%) with MIS-C had a readmission. Thirty-two (26.9%) patients with acute COVID-19 had persistent symptoms (22.7%) or activity impairment (14.3%) and 48 (30.0%) with MIS-C had persistent symptoms (20.0%) or activity impairment (21.3%). For patients with acute COVID-19, persistent symptoms (aRR, 1.29 [95% CI, 1.04-1.59]) and activity impairment (aRR, 1.37 [95% CI, 1.06-1.78]) were associated with more organ systems involved. Patients with MIS-C and pre-existing respiratory conditions more frequently had persistent symptoms (aRR, 3.09 [95% CI, 1.55-6.14]) and those with obesity more frequently had activity impairment (aRR, 2.52 [95% CI, 1.35-4.69]). New morbidities were infrequent (9% COVID-19, 1% MIS-C).

conclusionsOver 1 in 4 children hospitalized with acute COVID-19 or MIS-C experienced persistent symptoms or activity impairment for at least 2 months. Patients with MIS-C and respiratory conditions or obesity are at higher risk of prolonged recovery.

Indexed as

COVID-19AdolescentAdultAftercareChildHospitalizationHumansObesityPatient DischargeProspective StudiesSARS-CoV-2Systemic Inflammatory Response SyndromeUnited StatesYoung Adult

Identifiers

PMID35765138
PMCPMC10281852
OpenAlexW4283699420

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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.