Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 — COVID-NET, 14 States, March 1–July 25, 2020

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Kim, Lindsay ; Whitaker, Michael ; O’Halloran, Alissa ; Kambhampati, Anita ; Chai, Shua J. ; Reingold, Arthur ; Armistead, Isaac ; Kawasaki, Breanna ; Meek, James ; Yousey-Hindes, Kimberly ; Anderson, Evan J. ; Openo, Kyle P. ; Weigel, Andy ; Ryan, Patricia ; Monroe, Maya L. ; Fox, Kimberly ; Kim, Sue ; Lynfield, Ruth ; Bye, Erica ; Shrum Davis, Sarah ; Smelser, Chad ; Barney, Grant ; Spina, Nancy L. ; Bennett, Nancy M. ; Felsen, Christina B. ; Billing, Laurie M. ; Shiltz, Jessica ; Sutton, Melissa ; West, Nicole ; Talbot, H. Keipp ; Schaffner, William ; Risk, Ilene ; Price, Andrea ; Brammer, Lynnette ; Fry, Alicia M. ; Hall, Aron J. ; Langley, Gayle E. ; Garg, Shikha ; Coates, Ashley ; Daily Kirley, Pam ; Libby, Tanya ; Roland, Jeremy ; Alden, Nisha ; Herlihy, Rachel ; McLafferty, Sarah ; Clogher, Paula ; Kayalioglu, Hazal ; Maslar, Amber ; Misiorski, Adam ; Niccolai, Linda ; Olson, Danyel ; Parisi, Christina ; Fawcett, Emily ; Gretzinger, Siyeh ; Lengacher, Katelyn ; Williams, Jeremiah ; Blythe, David ; Brooks, Alicia ; Park, Rachel ; Wilson, Michelle ; Como-Sabetti, Kathryn ; Danila, Richard ; Cline, Cory ; Angeles, Kathy ; Eisenberg, Nancy ; Flores, Kristina ; Habrun, Caroline ; Hancock, Emily ; Khanlian, Sarah ; Novi, Meaghan ; Phipps, Erin ; Salazar-Sanchez, Yadira ; Dufort, Elizabeth ; Muse, Alison ; Bushey, Sophrena ; Gaitan, Maria ; Kurtz, RaeAnne ; Owusu-Dommey, Ama ; Snyder, Lindsey ; Michaelis, Katherine ; Seeley, Kylie ; Markus, Tiffanie ; Chatelain, Ryan ; George, Andrea ; Hill, Mary ; McCullough, Laine ; Spencer, Melanie ; Swain, Ashley ; McCaffrey, Keegan ; Holstein, Rachel ; Meador, Seth ; Wortham, Jonathan
• Corporate Authors:
  COVID-NET Surveillance Team
• Description:
  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.
• Subjects:
  Adolescent BetacoronaVirus Child Child, Preschool Chronic Disease Clinical Laboratory Services CoronaVirus Infections COVID-19 Ethnicity Female Hospitalization Humans Infant Infant, Newborn Male Pandemics Pediatric Obesity Pneumonia, Viral Risk Factors Severity Of Illness Index

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• Source:
  MMWR Morbidity Mortal Weekly Rep. 69(32):1081-1088
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  32790664
• Pubmed Central ID:
  PMC7440125
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  8 pdf pages
• Volume:
  69
• Issue:
  32
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:939102cf778cf3d0bd7a1d2296abeb21203bbdb7d981d70a0b977f04544a298260875ac51c68e621bdaa044b06acee749e8cb69527b90ccba68d76192419b88e
• Download URL:
  https://stacks.cdc.gov/view/cdc/92567/cdc_92567_DS1.pdf
• File Type:
  [PDF - 175.81 KB ]