Trends in COVID-19 Cases, Emergency Department Visits, and Hospital Admissions Among Children and Adolescents Aged 0–17 Years — United States, August 2020–August 2021

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Siegel, David A. ; Reses, Hannah E. ; Cool, Andrea J. ; Shapiro, Craig N. ; Hsu, Joy ; Boehmer, Tegan K. ; Cornwell, Cheryl R. ; Gray, Elizabeth B. ; Henley, S. Jane ; Lochner, Kimberly ; Suthar, Amitabh B. ; Lyons, B. Casey ; Mattocks, Linda ; Hartnett, Kathleen ; Adjemian, Jennifer ; van Santen, Katharina L. ; Sheppard, Michael ; Soetebier, Karl A. ; Logan, Pamela ; Martin, Michael ; Idubor, Osatohamwen ; Natarajan, Pavithra ; Sircar, Kanta ; Oyegun, Eghosa ; Dalton, Joyce ; Perrine, Cria G. ; Peacock, Georgina ; Schweitzer, Beth ; Morris, Sapna Bamrah ; Raizes, Elliot
• Corporate Authors:
  MAPW1
• Description:
  Although COVID-19 generally results in milder disease in children and adolescents than in adults, severe illness from COVID-19 can occur in children and adolescents and might require hospitalization and intensive care unit (ICU) support (1-3). It is not known whether the B.1.617.2 (Delta) Variants,* which has been the predominant Variants of SARS-CoV-2 (the Virus that causes COVID-19) in the United States since late June 2021,| causes different clinical outcomes in children and adolescents compared with Variantss that circulated earlier. To assess Trends among children and adolescents, CDC analyzed new COVID-19 cases, emergency department (ED) visits with a COVID-19 Diagnosis code, and hospital admissions of patients with confirmed COVID-19 among persons aged 0-17 years during August 1, 2020-August 27, 2021. Since July 2021, after Delta had become the predominant circulating Variants, the rate of new COVID-19 cases and COVID-19-related ED visits increased for persons aged 0-4, 5-11, and 12-17 years, and hospital admissions of patients with confirmed COVID-19 increased for persons aged 0-17 years. Among persons aged 0-17 years during the most recent 2-week period (August 14-27, 2021), COVID-19-related ED visits and hospital admissions in the states with the lowest vaccination coverage were 3.4 and 3.7 times that in the states with the highest vaccination coverage, respectively. At selected hospitals, the proportion of COVID-19 patients aged 0-17 years who were admitted to an ICU ranged from 10% to 25% during August 2020-June 2021 and was 20% and 18% during July and August 2021, respectively. Broad, community-wide vaccination of all eligible persons is a critical component of mitigation strategies to protect pediatric populations from SARS-CoV-2 infection and severe COVID-19 illness.
• Subjects:
  Adolescent Child Child, Preschool CoronaVirus Infections COVID-19 COVID-19 Vaccines Emergency Service, Hospital Facilities And Services Utilization Hospitalization Humans Infant Infant, Newborn Severity Of Illness Index Vaccination Coverage

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• Source:
  MMWR Morbidity Mortal Weekly Rep. 70(36):1249-1254
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/mmwr.mm7036e1
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  34499628
• Pubmed Central ID:
  PMC8437056
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  6 pdf pages
• Volume:
  70
• Issue:
  36
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:734d128877207fe174875392bf7e2b4902d5e439e0b46a96aa96d41c3c46e547a78aaa52cafbf9eed8368a16aaee82a528ee5fddcc9b65b98c2b7398d1367515
• Download URL:
  https://stacks.cdc.gov/view/cdc/110243/cdc_110243_DS1.pdf
• File Type:
  [PDF - 166.57 KB ]