Document detail
ID
oai:pubmedcentral.nih.gov:9129...
Topic
Major ArticleAuthor
Delahoy, Miranda J. Ujamaa, Dawud Taylor, Christopher A. Cummings, Charisse Anglin, Onika Holstein, Rachel Milucky, Jennifer O’Halloran, Alissa Patel, Kadam Pham, Huong Whitaker, Michael Reingold, Arthur Chai, Shua J. Alden, Nisha B. Kawasaki, Breanna Meek, James Yousey-Hindes, Kimberly Anderson, Evan J. Openo, Kyle P. Weigel, Andy Teno, Kenzie Reeg, Libby Leegwater, Lauren Lynfield, Ruth McMahon, Melissa Ropp, Susan Rudin, Dominic Muse, Alison Spina, Nancy Bennett, Nancy M. Popham, Kevin Billing, Laurie M. Shiltz, Eli Sutton, Melissa Thomas, Ann Schaffner, William Talbot, H. Keipp Crossland, Melanie T. McCaffrey, Keegan Hall, Aron J. Burns, Erin McMorrow, Meredith Reed, Carrie Havers, Fiona P. Garg, ShikhaLangue
enEditor
Oxford University Press
Category
Oxford University Press Public Health Emergency Collection
Year
2022
listing date
1/13/2023
Keywords
range <18 0 influenza-associated influenza hospitalizations hospitalization covid-19-associated covid-19Abstract
BACKGROUND: Influenza virus and SARS-CoV-2 are significant causes of respiratory illness in children.
METHODS: Influenza and COVID-19-associated hospitalizations among children <18 years old were analyzed from FluSurv-NET and COVID-NET, two population-based surveillance systems with similar catchment areas and methodology.
The annual COVID-19-associated hospitalization rate per 100 000 during the ongoing COVID-19 pandemic (October 1, 2020–September 30, 2021) was compared to influenza-associated hospitalization rates during the 2017–18 through 2019–20 influenza seasons.
In-hospital outcomes, including intensive care unit (ICU) admission and death, were compared.
RESULTS: Among children <18 years old, the COVID-19-associated hospitalization rate (48.2) was higher than influenza-associated hospitalization rates: 2017–18 (33.5), 2018–19 (33.8), and 2019–20 (41.7).
The COVID-19-associated hospitalization rate was higher among adolescents 12–17 years old (COVID-19: 59.9; influenza range: 12.2-14.1), but similar or lower among children 5–11 (COVID-19: 25.0; influenza range: 24.3-31.7) and 0–4 (COVID-19: 66.8; influenza range: 70.9-91.5) years old.
Among children <18 years old, a higher proportion with COVID-19 required ICU admission compared with influenza (26.4% vs 21.6%; p < 0.01).
Pediatric deaths were uncommon during both COVID-19- and influenza-associated hospitalizations (0.7% vs 0.5%; p = 0.28).
CONCLUSIONS: In the setting of extensive mitigation measures during the COVID-19 pandemic, the annual COVID-19-associated hospitalization rate during 2020–2021 was higher among adolescents and similar or lower among children <12 years old compared with influenza during the three seasons before the COVID-19 pandemic.
COVID-19 adds substantially to the existing burden of pediatric hospitalizations and severe outcomes caused by influenza and other respiratory viruses.
Delahoy, Miranda J.,Ujamaa, Dawud,Taylor, Christopher A.,Cummings, Charisse,Anglin, Onika,Holstein, Rachel,Milucky, Jennifer,O’Halloran, Alissa,Patel, Kadam,Pham, Huong,Whitaker, Michael,Reingold, Arthur,Chai, Shua J.,Alden, Nisha B.,Kawasaki, Breanna,Meek, James,Yousey-Hindes, Kimberly,Anderson, Evan J.,Openo, Kyle P.,Weigel, Andy,Teno, Kenzie,Reeg, Libby,Leegwater, Lauren,Lynfield, Ruth,McMahon, Melissa,Ropp, Susan,Rudin, Dominic,Muse, Alison,Spina, Nancy,Bennett, Nancy M.,Popham, Kevin,Billing, Laurie M.,Shiltz, Eli,Sutton, Melissa,Thomas, Ann,Schaffner, William,Talbot, H. Keipp,Crossland, Melanie T.,McCaffrey, Keegan,Hall, Aron J.,Burns, Erin,McMorrow, Meredith,Reed, Carrie,Havers, Fiona P.,Garg, Shikha, 2022, Comparison of influenza and COVID-19–associated hospitalizations among children < 18 years old in the United States—FluSurv-NET (October–April 2017–2021) and COVID-NET (October 2020–September 2021), Oxford University Press
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