2021, Number 1
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Rev Med UAS 2021; 11 (1)
Morbidity and mortality of COVID-19 compared to Influenza in children: systematic review
Verdugo-Borbón DE, Mayorga-Inzunza A, Pérez-Gaxiola G
Language: Spanish
References: 22
Page: 72-79
PDF size: 142.56 Kb.
ABSTRACT
Introduction: The disease caused by the SARS-CoV-2 virus, COVID-19, is usually more benign in children than adults. Its impact in
childhood morbimortality, in relation to other stational respiratory viruses such as influenza is not known.
Objective: To compare
the burden in morbimortality of COVID-19 with that of influenza in children.
Methods: Studies of any design that compared the clinical
outcomes of children with COVID-19 with those in children with influenza were selected. The outcomes included mortality, duration of
hospital stay, and need for oxygen, mechanical ventilation, or intensive care. The search was performed in Medline, The Cochrane
Library, Google Scholar, and Epistemonikos. Search and data extraction were done by two independent evaluators.
Results: Of
438 articles found, 4 fulfilled the inclusion criteria. All 4 were retrospective studies, with different settings, that compared children with
COVID-19 diagnosed during 2020 with children with influenza diagnosed in previous periods or years. No significant differences were
found in mortality, days of stay, or oxygen, mechanical ventilation or intensive care need. The quality of evidence was considered very
low.
Conclusions: The morbimortality of children with COVID-19 may be similar to that of influenza, but the certainty of the evidence
is very low.
REFERENCES
Johns Hopkins University of Medicine. COVID-19 dashboard by the Center for SystemsScience and Engineering (CSSE) atJohns Hopkins University (JHU) [Internet].Johns Hopkins University of Medicine. [cited 2020 Oct 12]. Available from: https://coronavirus.jhu.edu/map.html.
Huang C, Wang Y, Li X, Ren L, Zhao J, HuY, et al. Clinical features of patients infectedwith 2019 novel coronavirus in Wuhan,China. Lancet. 2020 Feb15;395(10223):497–506.DOI: 10.1016/S0140-6736(20)30183-5
Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z,et al. Epidemiological Characteristics of2143 Pediatric Patients With 2019 CoronavirusDisease in China. Pediatrics. 2020 Mar1. DOI: 10.1542/peds.2020-0702
Tagarro A, Epalza C, Santos M, Sanz-SantaeufemiaFJ, Otheo E, Moraleda C, et al.Screening and Severity of Coronavirus Disease2019 (COVID-19) in Children in Madrid,Spain. JAMA Pediatr. 2020 Apr 8.DOI:10.1001/jamapediatrics.2020.1346
Wu Q, Xing Y, Shi L, Li W, Gao Y, Pan S, etal. Coinfection and Other Clinical Characteristicsof COVID-19 in Children. Pediatrics.2020 May 6;146(1). DOI:10.1542/peds.2020-0961
Xia W, Shao J, Guo Y, Peng X, Li Z, Hu D.Clinical and CT features in pediatric patientswith COVID-19 infection: Different pointsfrom adults. Pediatr Pulmonol. 2020 Mar5;55(5):1169–74. DOI: 10.1002/ppul.24718
Verdoni L, Mazza A, Gervasoni A, Martelli L,Ruggeri M, Ciuffreda M, et al. An outbreak ofsevere Kawasaki-like disease at the Italianepicentre of the SARS-CoV-2 epidemic: anobservational cohort study. Lancet. 2020 Jun6;395(10239):1771–8.
Licciardi F, Pruccoli G, Denina M, Parodi E,Taglietto M, Rosati S, et al. SARS-CoV-2-InducedKawasaki-Like Hyperinflammatory Syndrome:A Novel COVID Phenotype in Children.Pediatrics. 2020 May 21;146(2).DOI:https://doi.org/10.1016/ S0140-6736(20)31103-X
Toubiana J, Poirault C, Corsia A, Bajolle F,Fourgeaud J, Angoulvant F, et al. Kawasakilikemultisystem inflammatory syndrome inchildren during the covid-19 pandemic in Paris,France: prospective observational study.BMJ. 2020 Jun 3.DOI: https://doi.org/10.1136/bmj.m2094
McCrindle BW, Manlhiot C. SARS-CoV-2-Related Inflammatory Multisystem Syndromein Children: Different or SharedEtiology and Pathophysiology as KawasakiDisease? JAMA. 2020 Jun 8.DOI:10.1001/jama.2020.10370
Feldstein LR, Rose EB, Horwitz SM, CollinsJP, Newhams MM, Son MBF, et al. Multisysteminflammatory syndrome in U.S. childrenand adolescents. N Engl J Med. 2020Jul 23;383(4):334–46. DOI: 10.1056/NEJMoa2021680
Song X, Delaney M, Shah RK, Campos JM,Wessel DL, DeBiasi RL. Comparison of ClinicalFeatures of COVID-19 vs Seasonal InfluenzaA and B in US Children. JAMA NetwOpen. 2020 Sep 1;3(9):e2020495.DOI:10.1001/jamanetworkopen.2020.20495
Lafond KE, Nair H, Rasooly MH, Valente F,Booy R, Rahman M, et al. Global Role andBurden of Influenza in Pediatric RespiratoryHospitalizations, 1982-2012: A SystematicAnalysis. PLoS Med. 2016 Mar24;13(3):e1001977.DOI:https://doi.org/10.1371/journal.pmed.1001977
Wang X, Li Y, O’Brien KL, Madhi SA,Widdowson M-A, Byass P, et al. Global burdenof respiratory infections associated withseasonal influenza in children under 5 yearsin 2018: a systematic review and modellingstudy. Lancet Glob Health. 2020 Feb20;8(4):e497–510. DOI: 10.1016/S2214-109X(19)30545-5
Balshem H, Helfand M, Schünemann HJ,Oxman AD, Kunz R, Brozek J, et al. GRADEguidelines: 3. Rating the quality of evidence.J Clin Epidemiol. 2011 Apr;64(4):401–6.DOI: 10.1016/j.jclinepi.2010.07.015
Bhopal S, Bagaria J, Bhopal R. Children’smortality from COVID-19 compared with alldeathsand other relevant causes of death:epidemiological information for decision-makingby parents, teachers, clinicians and policymakers.Public Health. 2020 May30;185:19–20.DOI: 10.1016/j.puhe.2020.05.047
Gupta S, Malhotra N, Gupta N, Agrawal S,Ish P. The curious case of coronavirus disease2019 (COVID-19) in children. J Pediatr.2020 Jul;222:258–9.DOI: 10.1016/j.jpeds.2020.04.062
Li Y, Wang H, Wang F, Du H, Liu X, Chen P,et al. Comparison of hospitalized patientswith pneumonia caused by COVID-19 andinfluenza A in children under 5 years. Int JInfect Dis. 2020 Sep;98:80–3.DOI: 10.1016/j.ijid.2020.06.026
Moher D, Liberati A, Tetzlaff J, Altman DG,PRISMA Group. Preferred reporting itemsfor systematic reviews and meta-analyses:the PRISMA statement. PLoS Med. 2009Jul 21;6(7):e1000097.DOI:https://doi.org/10.1371/journal.pmed.1000097.
Cuadrado-Payán E, Montagud-Marrahi E,Torres-Elorza M, Bodro M, Blasco M, PochE, et al. SARS-CoV-2 and influenza virus coinfection.Lancet. 2020 May16;395(10236):e84.DOI:https://doi.org/10.1016/ S0140-6736(20)31052-7
Lacobucci G. Covid-19: Risk of death morethan doubled in people who also had flu, Englishdata show. BMJ. 2020 Sep23;370:m3720. DOI: 10.1136/bmj.m3720
Olsen SJ, Azziz-Baumgartner E, Budd AP,Brammer L, Sullivan S, Pineda RF, et al. DecreasedInfluenza Activity During the COVID-19 Pandemic - United States, Australia,Chile, and South Africa, 2020. MMWR MorbMortal Wkly Rep. 2020 Sep18;69(37):1305–9.DOI: 10.15585/mmwr.mm6937a6