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Coronavirus disease 2019 (COVID-19) in children and/or adolescents: a meta-analysis

Pediatric research, 2021-03, Vol.89 (4), p.733-737 [Peer Reviewed Journal]

International Pediatric Research Foundation, Inc 2020. ;ISSN: 0031-3998 ;EISSN: 1530-0447 ;DOI: 10.1038/s41390-020-1015-2 ;PMID: 32555539

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  • Title:
    Coronavirus disease 2019 (COVID-19) in children and/or adolescents: a meta-analysis
  • Author: Mantovani, Alessandro ; Rinaldi, Elisabetta ; Zusi, Chiara ; Beatrice, Giorgia ; Saccomani, Marco Deganello ; Dalbeni, Andrea
  • Subjects: Adolescent ; Child ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - physiopathology ; COVID-19 - virology ; Female ; Humans ; Male ; Pneumonia ; Prevalence ; Prognosis ; SARS-CoV-2 - isolation & purification ; Teenagers
  • Is Part Of: Pediatric research, 2021-03, Vol.89 (4), p.733-737
  • Description: To assess the overall prevalence of clinical signs, symptoms, and radiological findings in children and/or adolescents with COVID-19. We systematically researched in PubMed, Scopus and Web of Science databases observational studies describing COVID-19 in children and/or adolescents until April 11, 2020. Data regarding clinical and radiological features were extracted from eligible studies and meta-analysis was performed using random-effects modeling. We examined 19 eligible studies for a total of 2855 children and/or adolescents with COVID-19. Approximately 47% of subjects had fever (95% confidence interval [CI] 22-72%; I  = 98.6%), 37% cough (95%CI 15-63%; I  = 98.6%), 4% diarrhea (95%CI 0-12%; I  = 92.2%), 2% nasal congestion (95%CI 0-7%; I  = 87.7%), 1% dyspnea (95%CI 0-7%; I  = 91.5%) and 0% abdominal pain (95%CI 0-1%; I  = 76.3%). Subjects presented mild symptoms in 79% (95%CI 65-91%; I  = 93.5%) of cases, whereas only 4% (95%CI 1-9%; I  = 76.4%) were critical. Among those with pneumonia on computed tomography, 26.4% (95%CI 13-41%; I  = 80.8%) presented a unilateral involvement, 16% (95%CI 5-29%, I  = 81.2%) had bilateral involvement and 9% (95%CI 0-24%; I  = 88.7%) had interstitial pneumonia. Children and/or adolescents tend to have a mild COVID-19 course with a good prognosis. Compared to adults, children and/or adolescents tend to have a mild COVID-19 course with a good prognosis. This study provides new and consistence information on the clinical and radiological characteristics of COVID-19 in pediatrics. This study may help to fight COVID-19 in pediatric population.
  • Publisher: United States: Nature Publishing Group
  • Language: English
  • Identifier: ISSN: 0031-3998
    EISSN: 1530-0447
    DOI: 10.1038/s41390-020-1015-2
    PMID: 32555539
  • Source: MEDLINE
    Alma/SFX Local Collection
    ProQuest Central
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