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The characteristics of SARS-CoV-2-positive children who presented to Australian hospitals during 2020: a PREDICT network study.
Ibrahim, Laila F; Tham, Doris; Chong, Vimuthi; Corden, Mark; Craig, Simon; Buntine, Paul; Jani, Shefali; Zhang, Michael; George, Shane; Kochar, Amit; O'Brien, Sharon; Robins-Browne, Karen; Tosif, Shidan; Daley, Andrew; McNab, Sarah; Crawford, Nigel W; Wilson, Catherine; Babl, Franz E.
  • Ibrahim LF; Murdoch Children's Research Institute, Melbourne, VIC.
  • Tham D; University of Melbourne, Melbourne, VIC.
  • Chong V; Murdoch Children's Research Institute, Melbourne, VIC.
  • Corden M; Western Health, Melbourne, VIC.
  • Craig S; Austin Hospital, Melbourne, VIC.
  • Buntine P; Northern Hospital Epping, Melbourne, VIC.
  • Jani S; Monash Health, Melbourne, VIC.
  • Zhang M; Monash University, Melbourne, VIC.
  • George S; Eastern Health, Melbourne, VIC.
  • Kochar A; Box Hill Hospital, Melbourne, VIC.
  • O'Brien S; The Children's Hospital at Westmead, Sydney, NSW.
  • Robins-Browne K; The University of Sydney, Sydney, NSW.
  • Tosif S; John Hunter Hospital, Newcastle, NSW.
  • Daley A; Gold Coast University Hospital, Gold Coast, QLD.
  • McNab S; The University of Queensland Child Health Research Centre, Brisbane, QLD.
  • Crawford NW; Women's and Children's Hospital, Adelaide, SA.
  • Wilson C; Perth Children's Hospital, Perth, WA.
  • Babl FE; Curtin University, Perth, WA.
Med J Aust ; 215(5): 217-221, 2021 09 06.
Article in English | MEDLINE | ID: covidwho-1355152
ABSTRACT

OBJECTIVES:

To examine the epidemiological and clinical characteristics of SARS-CoV-2-positive children in Australia during 2020. DESIGN,

SETTING:

Multicentre retrospective study in 16 hospitals of the Paediatric Research in Emergency Departments International Collaborative (PREDICT) network; eleven in Victoria, five in four other Australian states.

PARTICIPANTS:

Children aged 0-17 years who presented to hospital-based COVID-19 testing clinics, hospital wards, or emergency departments during 1 February - 30 September 2020 and who were positive for SARS-CoV-2. MAIN OUTCOME

MEASURES:

Epidemiological and clinical characteristics of children positive for SARS-CoV-2.

RESULTS:

A total of 393 SARS-CoV-2-positive children (181 girls, 46%) presented to the participating hospitals (426 presentations, including 131 to emergency departments [31%]), the first on 3 February 2020. Thirty-three children presented more than once (8%), including two who were transferred to participating tertiary centres (0.5%). The median age of the children was 5.3 years (IQR, 1.9-12.0 years; range, 10 days to 17.9 years). Hospital admissions followed 51 of 426 presentations (12%; 44 children), including 17 patients who were managed remotely by hospital in the home. Only 16 of the 426 presentations led to hospital medical interventions (4%). Two children (0.5%) were diagnosed with the paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS).

CONCLUSION:

The clinical course for most SARS-CoV-2-positive children who presented to Australian hospitals was mild, and did not require medical intervention.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Systemic Inflammatory Response Syndrome / Emergency Service, Hospital / COVID-19 Testing / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Infant, Newborn Country/Region as subject: Oceania Language: English Journal: Med J Aust Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Systemic Inflammatory Response Syndrome / Emergency Service, Hospital / COVID-19 Testing / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Infant, Newborn Country/Region as subject: Oceania Language: English Journal: Med J Aust Year: 2021 Document Type: Article