Evidence map›Paper›PMID 38826331›Full record

ArticlemedRxiv : the preprint server for health sciences2024

Pediatric Gastrointestinal Outcomes During the Post-Acute Phase of COVID-19: Findings from RECOVER Initiative from 29 Hospitals in the US.

Dazheng Zhang, Ronen Stein, Yiwen Lu, Ting Zhou, Yuqing Lei, Lu Li, Jiajie Chen, Jonathan Arnold, Michael J Becich, Elizabeth A Chrischilles and 18 more

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

28 authors.

Dazheng ZhangThe Center for Health AI and Synthesis of Evidence (CHASE), University of Pennsylvania, Philadelphia, PA, United States.ORCID 0000-0002-1431-0785
Ronen SteinDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Yiwen LuThe Center for Health AI and Synthesis of Evidence (CHASE), University of Pennsylvania, Philadelphia, PA, United States.
Ting ZhouThe Center for Health AI and Synthesis of Evidence (CHASE), University of Pennsylvania, Philadelphia, PA, United States.
Yuqing LeiThe Center for Health AI and Synthesis of Evidence (CHASE), University of Pennsylvania, Philadelphia, PA, United States.
Lu LiThe Center for Health AI and Synthesis of Evidence (CHASE), University of Pennsylvania, Philadelphia, PA, United States.
Jiajie ChenThe Center for Health AI and Synthesis of Evidence (CHASE), University of Pennsylvania, Philadelphia, PA, United States.
Jonathan ArnoldDivision of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Michael J BecichDepartment of Biomedical Informatics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Elizabeth A ChrischillesDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, IA, United States.
Cynthia H ChuangDivision of General Internal Medicine, Penn State College of Medicine, Hershey, PA, United States.
Dimitri A ChristakisCenter for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, WA, United States.
Daniel FortOchsner Center for Outcomes Research, Ochsner Health, New Orleans, LA, United States.
Carol R GearyCollege of Medicine, University of Nebraska Medical Center, Omaha, NE, United States.
Mady HornigDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, United States.ORCID 0000-0001-7572-3092
Rainu KaushalDepartment of Population Health Sciences, Weill Cornell Medical College, New York, NY, United States.
David M LiebovitzDivision of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States.
Abu Saleh Mohammad MosaDepartment of Biomedical Informatics, Biostatistics and Medical Epidemiology, University of Missouri School of Medicine, Columbia, MO, United States.
Hiroki MorizonoCenter for Genetic Medicine Research, Children's National Hospital, Washington, DC, United States.ORCID 0000-0002-9678-5564
Parsa MirhajiInstitute for Clinical Translational Research, Albert Einstein College of Medicine, New York, NY, United States.
Jennifer L DotsonDivision of Gastroenterology, Hepatology and Nutrition, The Ohio State University College of Medicine, Columbus, OH, United States.
Claudia PulgarinDepartment of Population Health, New York University Grossman School of Medicine, New York, NY, United States.
Marion R SillsDepartment of Research, OCHIN, Inc., Portland, OR, United States.ORCID 0000-0003-1322-0822
Srinivasan SureshDivisions of Health Informatics & Emergency Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.ORCID 0000-0003-1717-7593
David A WilliamsDepartment of Anesthesiology, University of Michigan, Ann Arbor, MI, United States.
Robert N BaldassanoDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Christopher B ForrestApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, PA, United States.ORCID 0000-0003-1252-068X
Yong ChenThe Center for Health AI and Synthesis of Evidence (CHASE), University of Pennsylvania, Philadelphia, PA, United States.

Funding

OTA-21-015A Post-Acute Sequelae of SARS-CoV-2 Infection Initiative: NYU Langone Health Clinical Science Core, Data Resource Core, and PASC Biorepository CoreOT2HL161847 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GROSS, RACHEL SHARON, HORWITZ, LEORA · 2021 to 2025
$651.0M
Einstein-Montefiore Clinical and Translational Science Award HubUM1TR004400 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI Jessica Kahn, Mimi Y Kim · 2023 to 2026
$17.3M
NCATS NIH HHS UM1 TR004400NHLBI NIH HHS OT2 HL161847
6 · The paper itself

Abstract

Importance: The profile of gastrointestinal (GI) outcomes that may affect children in post-acute and chronic phases of COVID-19 remains unclear. Objective: To investigate the risks of GI symptoms and disorders during the post-acute phase (28 days to 179 days after SARS-CoV-2 infection) and the chronic phase (180 days to 729 days after SARS-CoV-2 infection) in the pediatric population. Design: We used a retrospective cohort design from March 2020 to Sept 2023. Setting: twenty-nine healthcare institutions. Participants: A total of 413,455 patients aged not above 18 with SARS-CoV-2 infection and 1,163,478 patients without SARS-CoV-2 infection. Exposures: Documented SARS-CoV-2 infection, including positive polymerase chain reaction (PCR), serology, or antigen tests for SARS-CoV-2, or diagnoses of COVID-19 and COVID-related conditions. Main Outcomes and Measures: Prespecified GI symptoms and disorders during two intervals: post-acute phase and chronic phase following the documented SARS-CoV-2 infection. The adjusted risk ratio (aRR) was determined using a stratified Poisson regression model, with strata computed based on the propensity score. Results: Our cohort comprised 1,576,933 patients, with females representing 48.0% of the sample. The analysis revealed that children with SARS-CoV-2 infection had an increased risk of developing at least one GI symptom or disorder in both the post-acute (8.64% vs. 6.85%; aRR 1.25, 95% CI 1.24-1.27) and chronic phases (12.60% vs. 9.47%; aRR 1.28, 95% CI 1.26-1.30) compared to uninfected peers. Specifically, the risk of abdominal pain was higher in COVID-19 positive patients during the post-acute phase (2.54% vs. 2.06%; aRR 1.14, 95% CI 1.11-1.17) and chronic phase (4.57% vs. 3.40%; aRR 1.24, 95% CI 1.22-1.27). Conclusions and Relevance: In the post-acute phase or chronic phase of COVID-19, the risk of GI symptoms and disorders was increased for COVID-positive patients in the pediatric population.

Indexed as

COVID-19Gastrointestinal outcomesPost-acute phase

Identifiers

PMID38826331
PMCPMC11142297

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.