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Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 1-July 25, 2020.
MMWR Morb Mortal Wkly Rep. 2020 Aug 14; 69(32):1081-1088.MM

Abstract

Most reported cases of coronavirus disease 2019 (COVID-19) in children aged <18 years appear to be asymptomatic or mild (1). Less is known about severe COVID-19 illness requiring hospitalization in children. During March 1-July 25, 2020, 576 pediatric COVID-19 cases were reported to the COVID-19-Associated Hospitalization Surveillance Network (COVID-NET), a population-based surveillance system that collects data on laboratory-confirmed COVID-19-associated hospitalizations in 14 states (2,3). Based on these data, the cumulative COVID-19-associated hospitalization rate among children aged <18 years during March 1-July 25, 2020, was 8.0 per 100,000 population, with the highest rate among children aged <2 years (24.8). During March 21-July 25, weekly hospitalization rates steadily increased among children (from 0.1 to 0.4 per 100,000, with a weekly high of 0.7 per 100,000). Overall, Hispanic or Latino (Hispanic) and non-Hispanic black (black) children had higher cumulative rates of COVID-19-associated hospitalizations (16.4 and 10.5 per 100,000, respectively) than did non-Hispanic white (white) children (2.1). Among 208 (36.1%) hospitalized children with complete medical chart reviews, 69 (33.2%) were admitted to an intensive care unit (ICU); 12 of 207 (5.8%) required invasive mechanical ventilation, and one patient died during hospitalization. Although the cumulative rate of pediatric COVID-19-associated hospitalization remains low (8.0 per 100,000 population) compared with that among adults (164.5),* weekly rates increased during the surveillance period, and one in three hospitalized children were admitted to the ICU, similar to the proportion among adults. Continued tracking of SARS-CoV-2 infections among children is important to characterize morbidity and mortality. Reinforcement of prevention efforts is essential in congregate settings that serve children, including childcare centers and schools.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

32790664

Citation

Kim, Lindsay, et al. "Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized With Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 1-July 25, 2020." MMWR. Morbidity and Mortality Weekly Report, vol. 69, no. 32, 2020, pp. 1081-1088.
Kim L, Whitaker M, O'Halloran A, et al. Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 1-July 25, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(32):1081-1088.
Kim, L., Whitaker, M., O'Halloran, A., Kambhampati, A., Chai, S. J., Reingold, A., Armistead, I., Kawasaki, B., Meek, J., Yousey-Hindes, K., Anderson, E. J., Openo, K. P., Weigel, A., Ryan, P., Monroe, M. L., Fox, K., Kim, S., Lynfield, R., Bye, E., ... Garg, S. (2020). Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 1-July 25, 2020. MMWR. Morbidity and Mortality Weekly Report, 69(32), 1081-1088. https://doi.org/10.15585/mmwr.mm6932e3
Kim L, et al. Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized With Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 1-July 25, 2020. MMWR Morb Mortal Wkly Rep. 2020 Aug 14;69(32):1081-1088. PubMed PMID: 32790664.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 1-July 25, 2020. AU - Kim,Lindsay, AU - Whitaker,Michael, AU - O'Halloran,Alissa, AU - Kambhampati,Anita, AU - Chai,Shua J, AU - Reingold,Arthur, AU - Armistead,Isaac, AU - Kawasaki,Breanna, AU - Meek,James, AU - Yousey-Hindes,Kimberly, AU - Anderson,Evan J, AU - Openo,Kyle P, AU - Weigel,Andy, AU - Ryan,Patricia, AU - Monroe,Maya L, AU - Fox,Kimberly, AU - Kim,Sue, AU - Lynfield,Ruth, AU - Bye,Erica, AU - Shrum Davis,Sarah, AU - Smelser,Chad, AU - Barney,Grant, AU - Spina,Nancy L, AU - Bennett,Nancy M, AU - Felsen,Christina B, AU - Billing,Laurie M, AU - Shiltz,Jessica, AU - Sutton,Melissa, AU - West,Nicole, AU - Talbot,H Keipp, AU - Schaffner,William, AU - Risk,Ilene, AU - Price,Andrea, AU - Brammer,Lynnette, AU - Fry,Alicia M, AU - Hall,Aron J, AU - Langley,Gayle E, AU - Garg,Shikha, AU - ,, Y1 - 2020/08/14/ PY - 2020/8/14/entrez PY - 2020/8/14/pubmed PY - 2020/8/15/medline SP - 1081 EP - 1088 JF - MMWR. Morbidity and mortality weekly report JO - MMWR Morb. Mortal. Wkly. Rep. VL - 69 IS - 32 N2 - Most reported cases of coronavirus disease 2019 (COVID-19) in children aged <18 years appear to be asymptomatic or mild (1). Less is known about severe COVID-19 illness requiring hospitalization in children. During March 1-July 25, 2020, 576 pediatric COVID-19 cases were reported to the COVID-19-Associated Hospitalization Surveillance Network (COVID-NET), a population-based surveillance system that collects data on laboratory-confirmed COVID-19-associated hospitalizations in 14 states (2,3). Based on these data, the cumulative COVID-19-associated hospitalization rate among children aged <18 years during March 1-July 25, 2020, was 8.0 per 100,000 population, with the highest rate among children aged <2 years (24.8). During March 21-July 25, weekly hospitalization rates steadily increased among children (from 0.1 to 0.4 per 100,000, with a weekly high of 0.7 per 100,000). Overall, Hispanic or Latino (Hispanic) and non-Hispanic black (black) children had higher cumulative rates of COVID-19-associated hospitalizations (16.4 and 10.5 per 100,000, respectively) than did non-Hispanic white (white) children (2.1). Among 208 (36.1%) hospitalized children with complete medical chart reviews, 69 (33.2%) were admitted to an intensive care unit (ICU); 12 of 207 (5.8%) required invasive mechanical ventilation, and one patient died during hospitalization. Although the cumulative rate of pediatric COVID-19-associated hospitalization remains low (8.0 per 100,000 population) compared with that among adults (164.5),* weekly rates increased during the surveillance period, and one in three hospitalized children were admitted to the ICU, similar to the proportion among adults. Continued tracking of SARS-CoV-2 infections among children is important to characterize morbidity and mortality. Reinforcement of prevention efforts is essential in congregate settings that serve children, including childcare centers and schools. SN - 1545-861X UR - https://www.unboundmedicine.com/medline/citation/32790664/Hospitalization_Rates_and_Characteristics_of_Children_Aged_<18_Years_Hospitalized_with_Laboratory_Confirmed_COVID_19___COVID_NET_14_States_March_1_July_25_2020_ L2 - https://doi.org/10.15585/mmwr.mm6932e3 DB - PRIME DP - Unbound Medicine ER -