[Survival in pediatric patients with pneumonia in coronavirus disease 2019]

Efrén Murillo-Zamora1, Alicia Jiménez-Álvarez2

  • 1Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 19, Departamento de Epidemiología. Colima, Colima, México.

Insights

Children and adolescents with COVID-19 pneumonia face survival challenges. Immunosuppression history significantly increases the risk of fatal outcomes in these young patients.

Area of Science:

  • Pediatric Infectious Diseases
  • Epidemiology
  • Critical Care Medicine

Background:

  • Limited evidence exists on prognostic factors for coronavirus disease 2019 (COVID-19) pneumonia in children and adolescents.
  • Pneumonia is a significant complication of COVID-19 in pediatric populations.

Purpose of the Study:

  • To determine the survival rates of hospitalized children and adolescents with COVID-19 related pneumonia.
  • To identify prognostic factors associated with adverse outcomes in this cohort.

Main Methods:

  • A cohort study was conducted in Mexico analyzing data from hospitalized pediatric patients with COVID-19 pneumonia.
  • Kaplan-Meier survival analysis and Cox proportional-hazards regression were employed to assess survival functions and risk factors.

Main Results:

  • The study included 1423 patients with a mortality rate of 13.7 per 1000 person-days.
  • Overall survival at the end of hospital stay was 69.3%.
  • History of immunosuppression was a significant risk factor for fatal outcomes (Hazard Ratio = 2.70).

Conclusions:

  • This study provides a comprehensive characterization of survival in a large cohort of pediatric patients with COVID-19 pneumonia.
  • Minors with a history of immunosuppression and pneumonia face a substantially increased risk of mortality.
Abstract

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