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Characteristics and Presentations of Hospitalized Children Due to 3 Predominate COVID-19 Variants Within a Health Care Network.
- Source :
- Clinical Pediatrics; Jan2024, Vol. 63 Issue 1, p66-72, 7p
- Publication Year :
- 2024
-
Abstract
- Objective of this article is to describe differences in the demographic and clinical characteristics, severity of illness, and outcomes in pediatric patients with different SARS-CoV-2 variants. We conducted a retrospective study of pediatric patients admitted with COVID-19 during the 3 large waves of infection within a health network in New Jersey. We included demographic characteristics, clinical features, and outcomes and compared the data with respect to the different variants. Of 351 total patients included in this study, 74 were admitted during wave 1, 94 during wave 2, and 181 during wave 3. The median age of patients decreased from wave 1 (11.5 years) to wave 3 (3 years) (P =.0034). 87.7% of the patients were unvaccinated. The overall incidence of admissions due to pneumonia related to COVID-19 decreased in wave 3. COVID-19 bronchiolitis or croup admissions occurred mostly in wave 3. There was no significant difference in the number of patients requiring intensive care in any particular wave. Length of stay decreased across the waves (P <.0001). Treatments required did not vary between the waves except for a decrease in antibiotic use with each subsequent wave (P <.0001). The impact of COVID-19 on the pediatric population differs from the adult population, and the overall number of hospitalized children has mirrored the peak in cases observed during each infection wave. Our study illustrates the changes in clinical presentation and severity observed with the different coronavirus variants. [ABSTRACT FROM AUTHOR]
- Subjects :
- LENGTH of stay in hospitals
PNEUMONIA
COVID-19
GENETIC mutation
SARS-CoV-2
MEDICAL care
HEALTH information systems
RETROSPECTIVE studies
DISEASE incidence
RESPIRATORY infections
SEVERITY of illness index
COMPARATIVE studies
BRONCHIOLE diseases
CRITICAL care medicine
DESCRIPTIVE statistics
HOSPITAL care of children
Subjects
Details
- Language :
- English
- ISSN :
- 00099228
- Volume :
- 63
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Clinical Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 173991061
- Full Text :
- https://doi.org/10.1177/00099228231207314