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Predictors of Mortality Among Children with Confirmed and Suspected Cases of COVID-19 in East Java, Indonesia

Ferry Efendi1, Joni Haryanto1, Eka Mishbahatul Mar'ah Has1

  • 1Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.

Journal of Multidisciplinary Healthcare
|February 14, 2023
PubMed

Insights

Severe illness and hospitalization with ventilators are key predictors of COVID-19 mortality in children. Prevention programs can reduce hospitalizations and child deaths from the virus.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Epidemiology

Background:

  • Coronavirus disease 2019 (COVID-19) presents a significant mortality risk across all age groups, including children.
  • Predictive factors for mortality in pediatric COVID-19 cases require further clarification.

Purpose of the Study:

  • To identify and analyze predictors associated with mortality in children diagnosed with COVID-19.

Main Methods:

  • A secondary data analysis was performed on provincial COVID-19 data from April 2020 to May 2021.
  • The study included 6,441 pediatric patients (under 18 years).
  • Statistical analyses included Chi-square and binary logistic regression.

Main Results:

  • The mortality rate among pediatric COVID-19 cases was 2.7%.
  • Significant predictors of mortality included age, case definition, treatment status, illness severity, and travel history.
  • Severe illness (AOR=46.76) and hospitalization with ventilators (AOR=22.25) were strongly associated with increased mortality risk.

Conclusions:

  • Severe illness is the most potent predictor of mortality in pediatric COVID-19 cases.
  • Implementing disease prevention and health promotion initiatives is crucial for reducing hospitalizations and mortality rates in children.
Abstract

Keywords:
COVID-19child healthchild mortality

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