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Demographic and clinical characteristics of pediatric COVID-19 in Arkansas: March–December 2020

The COVID-19 pandemic reached the United States in early 2020 and spread rapidly across the country. This retrospective study describes the demographic and clinical characteristics of 308 children presenting to an Arkansas Children’s emergency department (ED) or admitted to an Arkansas Children’s ho...

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Autores principales: Sanders, Sara C., Taylor, Maxwell D., Filipek, Jacob, Williford, Dustin, Nguyen, Cindy, Fisher, Charalene R., Scheffler, Stephanie M., Smith, Emily S., Martin, Phoebe, Latch, Rebecca L., Snowden, Jessica, Wu, Chang L., Cantu, Rebecca M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592139/
https://www.ncbi.nlm.nih.gov/pubmed/36281145
http://dx.doi.org/10.1097/MD.0000000000031058
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author Sanders, Sara C.
Taylor, Maxwell D.
Filipek, Jacob
Williford, Dustin
Nguyen, Cindy
Fisher, Charalene R.
Scheffler, Stephanie M.
Smith, Emily S.
Martin, Phoebe
Latch, Rebecca L.
Snowden, Jessica
Wu, Chang L.
Cantu, Rebecca M.
author_facet Sanders, Sara C.
Taylor, Maxwell D.
Filipek, Jacob
Williford, Dustin
Nguyen, Cindy
Fisher, Charalene R.
Scheffler, Stephanie M.
Smith, Emily S.
Martin, Phoebe
Latch, Rebecca L.
Snowden, Jessica
Wu, Chang L.
Cantu, Rebecca M.
author_sort Sanders, Sara C.
collection PubMed
description The COVID-19 pandemic reached the United States in early 2020 and spread rapidly across the country. This retrospective study describes the demographic and clinical characteristics of 308 children presenting to an Arkansas Children’s emergency department (ED) or admitted to an Arkansas Children’s hospital with COVID-19 in the first 10 months of the COVID-19 pandemic, prior to the emergence of clinically significant variants and available vaccinations. Adolescents aged 13 and older represented the largest proportion of this population. The most common presenting symptoms were fever, gastrointestinal symptoms, and upper respiratory symptoms. Patients with multisystem inflammatory syndrome in children (MIS-C) had a longer length of stay (LOS) than patients with acute COVID-19. Children from urban zip codes had lower odds of admission but were more likely to be readmitted after discharge. Nearly twenty percent of the study population incidentally tested positive for COVID-19. Despite lower mortality in children with COVID than in adults, morbidity and resource utilization are significant. With many Arkansas children living in rural areas and therefore far from pediatric hospitals, community hospitals should be prepared to evaluate children presenting with COVID-19 and to determine which children warrant transport to pediatric-specific facilities.
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spelling pubmed-95921392022-10-25 Demographic and clinical characteristics of pediatric COVID-19 in Arkansas: March–December 2020 Sanders, Sara C. Taylor, Maxwell D. Filipek, Jacob Williford, Dustin Nguyen, Cindy Fisher, Charalene R. Scheffler, Stephanie M. Smith, Emily S. Martin, Phoebe Latch, Rebecca L. Snowden, Jessica Wu, Chang L. Cantu, Rebecca M. Medicine (Baltimore) 6200 The COVID-19 pandemic reached the United States in early 2020 and spread rapidly across the country. This retrospective study describes the demographic and clinical characteristics of 308 children presenting to an Arkansas Children’s emergency department (ED) or admitted to an Arkansas Children’s hospital with COVID-19 in the first 10 months of the COVID-19 pandemic, prior to the emergence of clinically significant variants and available vaccinations. Adolescents aged 13 and older represented the largest proportion of this population. The most common presenting symptoms were fever, gastrointestinal symptoms, and upper respiratory symptoms. Patients with multisystem inflammatory syndrome in children (MIS-C) had a longer length of stay (LOS) than patients with acute COVID-19. Children from urban zip codes had lower odds of admission but were more likely to be readmitted after discharge. Nearly twenty percent of the study population incidentally tested positive for COVID-19. Despite lower mortality in children with COVID than in adults, morbidity and resource utilization are significant. With many Arkansas children living in rural areas and therefore far from pediatric hospitals, community hospitals should be prepared to evaluate children presenting with COVID-19 and to determine which children warrant transport to pediatric-specific facilities. Lippincott Williams & Wilkins 2022-10-21 /pmc/articles/PMC9592139/ /pubmed/36281145 http://dx.doi.org/10.1097/MD.0000000000031058 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 6200
Sanders, Sara C.
Taylor, Maxwell D.
Filipek, Jacob
Williford, Dustin
Nguyen, Cindy
Fisher, Charalene R.
Scheffler, Stephanie M.
Smith, Emily S.
Martin, Phoebe
Latch, Rebecca L.
Snowden, Jessica
Wu, Chang L.
Cantu, Rebecca M.
Demographic and clinical characteristics of pediatric COVID-19 in Arkansas: March–December 2020
title Demographic and clinical characteristics of pediatric COVID-19 in Arkansas: March–December 2020
title_full Demographic and clinical characteristics of pediatric COVID-19 in Arkansas: March–December 2020
title_fullStr Demographic and clinical characteristics of pediatric COVID-19 in Arkansas: March–December 2020
title_full_unstemmed Demographic and clinical characteristics of pediatric COVID-19 in Arkansas: March–December 2020
title_short Demographic and clinical characteristics of pediatric COVID-19 in Arkansas: March–December 2020
title_sort demographic and clinical characteristics of pediatric covid-19 in arkansas: march–december 2020
topic 6200
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592139/
https://www.ncbi.nlm.nih.gov/pubmed/36281145
http://dx.doi.org/10.1097/MD.0000000000031058
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