Evidence map›Paper›PMID 39428981›Full record

ArticleInfluenza and other respiratory viruses2024

Incidence and Risk of Coronavirus Disease 2019 Hospitalization Among Unvaccinated Children.

Ousseny Zerbo, Julius Timbol, John R Hansen, Kristin Goddard, Evan Layefsky, Pat Ross, Bruce Fireman, Dao Nguyen, Tara L Greenhow, Nicola P Klein

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Ousseny ZerboVaccine Study Center, Kaiser Permanente Northern California, Oakland, California, USA.ORCID 0000-0002-8380-6215
Julius TimbolVaccine Study Center, Kaiser Permanente Northern California, Oakland, California, USA.
John R HansenVaccine Study Center, Kaiser Permanente Northern California, Oakland, California, USA.
Kristin GoddardVaccine Study Center, Kaiser Permanente Northern California, Oakland, California, USA.
Evan LayefskyVaccine Study Center, Kaiser Permanente Northern California, Oakland, California, USA.
Pat RossVaccine Study Center, Kaiser Permanente Northern California, Oakland, California, USA.
Bruce FiremanVaccine Study Center, Kaiser Permanente Northern California, Oakland, California, USA.
Dao NguyenDepartment of Pediatrics, Kaiser Permanente Northern California, Oakland, California, USA.
Tara L GreenhowPediatrics Infectious Diseases, Kaiser Permanente Northern California, Oakland, California, USA.
Nicola P KleinVaccine Study Center, Kaiser Permanente Northern California, Oakland, California, USA.

Funding

COVID-19 Vaccine Effectiveness in Pregnant Women and their InfantsR01AI168373 · NIAID · KAISER FOUNDATION RESEARCH INSTITUTE · PI Ousseny Zerbo · 2022 to 2026
$2.7M
CDC HHS 75D30120C07765NIAID NIH HHS R01 AI168373NIH HHS R01AI168373-02
6 · The paper itself

Abstract

objectivesThe aim of this study is to determine the incidence and risk factors associated with COVID-19 hospitalization among unvaccinated children.

methodsChildren aged 0- < 18 years, members of Kaiser Permanente Northern California (KPNC), were followed from March 1, 2020, until the earliest occurrence of: chart-confirmed COVID-19 hospitalization, disenrollment from KPNC, age 18 years, receipt of COVID-19 vaccine, death, or study end (December 31, 2022). We calculated the incidence rate of hospitalization by SARS-CoV-2 variant period and by age group. We determined risk factors for hospitalization using Poisson regression. We also conducted descriptive analyses of hospitalized cases.

resultsAmong 1,107,799 children, 423 were hospitalized for COVID-19 during follow-up. The incidence of hospitalization increased with each new SARS-CoV-2 variant and was highest among children aged < 6 months. Among the < 6-month-olds, the incidence rate per 100,000 person-months was 7 during predelta, 13.3 during delta, and 22.4 during omicron. Black (RR = 2.05, 95% CI: 1.33-3.16) and Hispanic children (RR = 1.82, 95% CI: 1.34-2.46) and children with any comorbidities were at high risk of hospitalization (RR = 3.81, 95% CI: 2.94-4.95). Overall, 20.3% of hospitalized children were admitted to an intensive care unit (ICU), but ICU admission was 36.1% among 12- < 18-year-olds. The majority of ICU admits (91.8%) had no comorbidities.

conclusionChildren too young to be vaccinated had the highest incidence of COVID-19 hospitalization, while adolescents had the highest proportion of ICU admissions. To prevent severe disease in children and adolescents, everyone eligible should be vaccinated.

Indexed as

COVID-19HospitalizationSARS-CoV-2AdolescentCaliforniaChildChild, PreschoolCOVID-19 VaccinesFemaleHumansIncidenceInfantInfant, NewbornMaleRisk FactorsUnvaccinated PersonsCOVID-19 VaccinesCOVID‐19hospitalizationpediatric infectionsunvaccinated

Identifiers

PMID39428981
PMCPMC11491685

What OpenQuestion holds

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LicenceCC BY
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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.