UMEM Educational Pearls

Category: Pediatrics

Title: Risk factors for severe COVID in children

Keywords: pediatrics, COVID, vaccination, hospitalization (PubMed Search)

Posted: 1/21/2022 by Jenny Guyther, MD
Click here to contact Jenny Guyther, MD

This recently published study was conducted from May 2020 to May 2021 and included 3106 hospitalized pediatric patients with COVID 19 over 14 states.  2293 children were admitted due to their COVID symptoms.  30% of these patients had severe COVID (ICU admission, mechanical ventilation or death) and 0.5% died.
32.5% of admitted patients were younger than 2 years.  More than half of the patients had at least one medical condition.  The most common underlying conditions were obesity, chronic lung disease, neurologic disorders, cardiovascular disease and blood disorders.
Although this data was collected prior to the US presence of both the delta and omnicron variants and public availability of vaccination in 5-11 year olds, this study has identified children at potentially higher risk of severe COVID who may benefit from prevention efforts that include vaccination. 

References

Woodruff RC, Campbell AP, Taylor CA, et al. Risk Factors for Severe COVID-19 in Children. Pediatrics. 2022;149(1):e2021053418.