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Pediatric Deaths Associated With Coronavirus Disease 2019 (COVID-19) in Korea

Eunjeong Shin1, Young June Choe2, Boyeong Ryu1

  • 1Data Analysis Team, Epidemiological Investigation and Analysis Task Force, Central Disease Control Headquarters, Korea Disease Control and Prevention Agency, Cheongju, Korea.

Journal of Korean Medical Science
|January 17, 2023
PubMed

Insights

In Korea, over 5.3 million child COVID-19 cases were reported by September 2022, with 46 deaths. Most child fatalities occurred early after diagnosis, highlighting the need for accessible medical care.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Coronavirus disease 2019 (COVID-19) has impacted global populations, including children.
  • Understanding pediatric COVID-19 mortality patterns is crucial for public health strategies.

Purpose of the Study:

  • To analyze the characteristics and outcomes of COVID-19 associated deaths in children in Korea.
  • To identify risk factors and timing of death in pediatric COVID-19 cases.

Main Methods:

  • Retrospective analysis of reported COVID-19 cases and deaths in children (≤ 18 years) in Korea up to September 3, 2022.
  • Examination of demographic data, underlying conditions, immunization status, and time from diagnosis to death for fatal cases.

Main Results:

  • A total of 5,388,338 COVID-19 cases and 46 deaths were reported in children. The case fatality rate was 0.85 per 100,000.
  • Among the 46 deaths, the median age was 7 years, and 58.7% were male. Underlying diseases were present in 47.8%, with neurologic diseases being most common.
  • Deaths often occurred rapidly after diagnosis (median 2 days), with a significant proportion occurring before or upon hospital arrival. Myocarditis and respiratory failure were common documented causes.

Conclusions:

  • COVID-19 associated deaths in children can occur very early after diagnosis.
  • The findings underscore the critical need for accessible and timely medical interventions for pediatric COVID-19 patients.
  • Public health policies must prioritize ensuring prompt access to healthcare for children during pandemics.

Keywords:
COVID-19ChildrenCoronavirusDeathMortalitySARS-CoV-2

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