Impact of outpatient SARS-CoV-2 infections in minority children
Data regarding COVID-19 in the adult population and hospitalized children is rapidly evolving, but little is known about children infected with severe acute respiratory syndrome coronavirus 2 who do not require hospitalization.In an observational, retrospective study we analyzed risk factors, demogr...
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Veröffentlicht in: | Medicine (Baltimore) 2021-02, Vol.100 (8), p.e24895-e24895 |
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creator | Denny, Vanessa Shah, Niva Petro, Karolina Choksey, Karishma DeSantis, Elizabeth Hintz, Molly Rethi, Shruthi Sanchez, Sarah Sylla, Bernadette Chiu, Stephanie Gagliardo, Christina Kairam, Neeraja Nwaobasi-Iwuh, Eberechi Di Pentima, M. Cecilia |
description | Data regarding COVID-19 in the adult population and hospitalized children is rapidly evolving, but little is known about children infected with severe acute respiratory syndrome coronavirus 2 who do not require hospitalization.In an observational, retrospective study we analyzed risk factors, demographics and clinical course of non-hospitalized patients ≤ 21 years of age with COVID-19 infection.Of the 1,796 patients evaluated, 170 were infected, and 40 participated in a telephone survey. Children older >10 years of age (OR: 2.19), Hispanic ethnicity (OR: 3) and residing in counties with higher rates of poverty (OR: 1.5) were associated with higher risk of infection, while older girls were more likely to experience prolonged duration of symptoms (median: 32 days). Consistent with prior reports, fever and cough were present in most of our patients. Shortness of breath, diarrhea, anosmia, and ageusia were more common in our outpatient population than previously reported.Larger studies addressing the clinical and psychosocial impact of CoVID-19 infection in children living in high-risk environments are warranted. |
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Cecilia</creator><creatorcontrib>Denny, Vanessa ; Shah, Niva ; Petro, Karolina ; Choksey, Karishma ; DeSantis, Elizabeth ; Hintz, Molly ; Rethi, Shruthi ; Sanchez, Sarah ; Sylla, Bernadette ; Chiu, Stephanie ; Gagliardo, Christina ; Kairam, Neeraja ; Nwaobasi-Iwuh, Eberechi ; Di Pentima, M. Cecilia</creatorcontrib><description>Data regarding COVID-19 in the adult population and hospitalized children is rapidly evolving, but little is known about children infected with severe acute respiratory syndrome coronavirus 2 who do not require hospitalization.In an observational, retrospective study we analyzed risk factors, demographics and clinical course of non-hospitalized patients ≤ 21 years of age with COVID-19 infection.Of the 1,796 patients evaluated, 170 were infected, and 40 participated in a telephone survey. Children older >10 years of age (OR: 2.19), Hispanic ethnicity (OR: 3) and residing in counties with higher rates of poverty (OR: 1.5) were associated with higher risk of infection, while older girls were more likely to experience prolonged duration of symptoms (median: 32 days). Consistent with prior reports, fever and cough were present in most of our patients. Shortness of breath, diarrhea, anosmia, and ageusia were more common in our outpatient population than previously reported.Larger studies addressing the clinical and psychosocial impact of CoVID-19 infection in children living in high-risk environments are warranted.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000024895</identifier><identifier>PMID: 33663120</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Age Factors ; Child ; Child, Preschool ; COVID-19 - ethnology ; COVID-19 - physiopathology ; COVID-19 - psychology ; Female ; Humans ; Infant ; Male ; Minority Groups ; Observational Study ; Retrospective Studies ; Risk Factors ; SARS-CoV-2 ; Sex Factors ; Socioeconomic Factors ; United States - epidemiology ; Young Adult</subject><ispartof>Medicine (Baltimore), 2021-02, Vol.100 (8), p.e24895-e24895</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4503-90d115fadb3b9a81844f0dd30542aedfebbd3000044a36ab694a7309034741be3</citedby><cites>FETCH-LOGICAL-c4503-90d115fadb3b9a81844f0dd30542aedfebbd3000044a36ab694a7309034741be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7909106/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7909106/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33663120$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Denny, Vanessa</creatorcontrib><creatorcontrib>Shah, Niva</creatorcontrib><creatorcontrib>Petro, Karolina</creatorcontrib><creatorcontrib>Choksey, Karishma</creatorcontrib><creatorcontrib>DeSantis, Elizabeth</creatorcontrib><creatorcontrib>Hintz, Molly</creatorcontrib><creatorcontrib>Rethi, Shruthi</creatorcontrib><creatorcontrib>Sanchez, Sarah</creatorcontrib><creatorcontrib>Sylla, Bernadette</creatorcontrib><creatorcontrib>Chiu, Stephanie</creatorcontrib><creatorcontrib>Gagliardo, Christina</creatorcontrib><creatorcontrib>Kairam, Neeraja</creatorcontrib><creatorcontrib>Nwaobasi-Iwuh, Eberechi</creatorcontrib><creatorcontrib>Di Pentima, M. Cecilia</creatorcontrib><title>Impact of outpatient SARS-CoV-2 infections in minority children</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>Data regarding COVID-19 in the adult population and hospitalized children is rapidly evolving, but little is known about children infected with severe acute respiratory syndrome coronavirus 2 who do not require hospitalization.In an observational, retrospective study we analyzed risk factors, demographics and clinical course of non-hospitalized patients ≤ 21 years of age with COVID-19 infection.Of the 1,796 patients evaluated, 170 were infected, and 40 participated in a telephone survey. Children older >10 years of age (OR: 2.19), Hispanic ethnicity (OR: 3) and residing in counties with higher rates of poverty (OR: 1.5) were associated with higher risk of infection, while older girls were more likely to experience prolonged duration of symptoms (median: 32 days). Consistent with prior reports, fever and cough were present in most of our patients. Shortness of breath, diarrhea, anosmia, and ageusia were more common in our outpatient population than previously reported.Larger studies addressing the clinical and psychosocial impact of CoVID-19 infection in children living in high-risk environments are warranted.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>COVID-19 - ethnology</subject><subject>COVID-19 - physiopathology</subject><subject>COVID-19 - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Minority Groups</subject><subject>Observational Study</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>SARS-CoV-2</subject><subject>Sex Factors</subject><subject>Socioeconomic Factors</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUF1P2zAUtRBoLWW_AGnKIy-G64_E8QtTVcaHVDRpbHu1nMRZPZK42M4Q_x6zlo5xX-7XOedeHYSOCZwSkOLs9uIU_gXlpcz30JTkrMC5LPg-mqZpjoUUfIIOQ_gNQJig_AOaMFYUjFCYos83_VrXMXNt5sa41tGaIWZ38293eOF-YprZoTV1tG4Iqcx6Ozhv41NWr2zXeDMcoYNWd8F83OYZ-nH55fviGi-_Xt0s5ktc8xwYltAQkre6qVgldUlKzltoGgY5p9o0ramq1KTgXLNCV4XkWjCQwLjgpDJshs43uuux6k1Tpy-97tTa2177J-W0Vf9vBrtSv9wfJSRIAkUSONkKePcwmhBVb0Ntuk4Pxo1BUS5LXgohZIKyDbT2LgRv2t0ZAurFenV7od5bn1if3n6447x6nQB8A3h0XTQ-3Hfjo_FqZXQXV3_1ciEppkAJUFoATpOSsWcFEo3c</recordid><startdate>20210226</startdate><enddate>20210226</enddate><creator>Denny, Vanessa</creator><creator>Shah, Niva</creator><creator>Petro, Karolina</creator><creator>Choksey, Karishma</creator><creator>DeSantis, Elizabeth</creator><creator>Hintz, Molly</creator><creator>Rethi, Shruthi</creator><creator>Sanchez, Sarah</creator><creator>Sylla, Bernadette</creator><creator>Chiu, Stephanie</creator><creator>Gagliardo, Christina</creator><creator>Kairam, Neeraja</creator><creator>Nwaobasi-Iwuh, Eberechi</creator><creator>Di Pentima, M. Cecilia</creator><general>Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210226</creationdate><title>Impact of outpatient SARS-CoV-2 infections in minority children</title><author>Denny, Vanessa ; Shah, Niva ; Petro, Karolina ; Choksey, Karishma ; DeSantis, Elizabeth ; Hintz, Molly ; Rethi, Shruthi ; Sanchez, Sarah ; Sylla, Bernadette ; Chiu, Stephanie ; Gagliardo, Christina ; Kairam, Neeraja ; Nwaobasi-Iwuh, Eberechi ; Di Pentima, M. 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subjects | Adolescent Age Factors Child Child, Preschool COVID-19 - ethnology COVID-19 - physiopathology COVID-19 - psychology Female Humans Infant Male Minority Groups Observational Study Retrospective Studies Risk Factors SARS-CoV-2 Sex Factors Socioeconomic Factors United States - epidemiology Young Adult |
title | Impact of outpatient SARS-CoV-2 infections in minority children |
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