COVID-19 in 7780 pediatric patients: A systematic review

Ansel Hoang1, Kevin Chorath1, Axel Moreira2

  • 1Department of Pediatrics, University of Texas Health Science Center San Antonio, San Antonio, Texas, USA.

Eclinicalmedicine
|August 9, 2020
PubMed

Insights

This review found that most children with COVID-19 (coronavirus disease 2019) have an excellent prognosis, with a low mortality rate. Further research is needed to identify children at risk for severe outcomes.

Area of Science:

  • Pediatric infectious diseases
  • Respiratory viral infections
  • Global health

Background:

  • Limited data exists on the clinical presentation of COVID-19 in pediatric populations.
  • Characterizing symptoms, laboratory findings, and imaging in children is crucial for effective management.

Purpose of the Study:

  • To systematically review and synthesize the clinical characteristics, diagnostic findings, and outcomes of COVID-19 in children.
  • To provide a comprehensive overview of the pediatric COVID-19 landscape.

Main Methods:

  • A systematic literature search was conducted across major medical databases following PRISMA guidelines.
  • Included were peer-reviewed studies reporting clinical, imaging, and laboratory data for confirmed pediatric COVID-19 cases.
  • Risk of bias was assessed using the National Institutes of Health quality assessment tool.

Main Results:

  • 131 studies from 26 countries included 7780 pediatric patients; 19.3% were asymptomatic.
  • Fever and cough were common symptoms; chest imaging revealed patchy lesions and ground-glass opacities.
  • Underlying conditions were noted in a subset of patients; coinfections and abnormal lab markers were observed. Mortality was low (0.09%), with 11 cases of multisystem inflammatory syndrome.

Conclusions:

  • Children with COVID-19 generally exhibit an excellent prognosis.
  • Longitudinal studies are necessary to identify risk factors for severe disease, inflammation, and multiorgan failure in pediatric patients.
Abstract

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