Latest @CDCMMWR looks at paediatric cases of #COVID19 in the US (n=2,572). Findings:
😷 Relatively few hospitalisations
😷 Fever, cough, SOB less prominent than adults
😷 Severe outcomes possible, 3 deaths this dataset
😷 Importance of mild/atypical/asymptomatic in transmission
😷 Kids (<18) 1.7% US cases
😷 Fever, cough, SOB 73% (93% adults)
😷 5.7% hospitalised
😷 Median age 11y, one third in 15-17yo, 27% in 10-14y, 15% <1y
😷 Majority (where info known, only 7.2% of the cohort), vast majority (91%) household/community transmission
#COVID19
😷 Combined w hosp/ICU data where known, 77% admissions and all ICU cases had at least 1 comorbidity
😷 Among non-hospitalised cases where this data was available, 12% had comorbidities
😷 5/15 ICU admissions in kids <1y
😷 57% of all paed #COVID19 cases male, ? biologic factors
Dataset has lots of omissions, incomplete info, but authors say valuable preliminary insights largely accord w other paed #COVID19 studies:
😷 Illness looks different and more mild in kids, ? important in transmission
😷 More severe in infants (<1y) & those with comorbidities
😷 Hospitalisation data only available in around 1/3 of cases but estimates 5.7-20% (10-33% adults) require admission, 0.58-2% (1.4-4.5% adults) ICU
😷 Rates highest in kids <1y (59 cases in set, 5 requiring ICU)
😷 3 deaths but reviews ongoing as to whether #COVID19 the cause
😷 Fever in 56% (71% adults) cough in 54% (80%) SOB 13% (43%)
😷 Myalgia, sore throat, headache & diarrhoea also less common than in adults
😷 1.3% were asymptomatic, another 68% did not report cardinal sx but info incomplete so not able to say if truly asymptomatic
#COVID19
😷 As with adults, importance of underlying conditons
😷 This data available for 345 cases; 23% had at least one
😷 Chronic lung disease including asthma (n=40), CVD (25), immunosuppression (10) most common
#COVID19
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