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Cited by 513

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Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 — COVID-NET, 14 States, March 1–July 25, 2020

Open access
Kim, Lindsay, Whitaker, Michael, O’Halloran, Alissa, Kambhampati, Anita, Chai, Shua J., Reingold, Arthur, Armistead, Isaac, Kawasaki, Breanna, Meek, James, Yousey-Hindes, Kimberly, Anderson, Evan J., Openo, Kyle P., Weigel, Andy, Ryan, Patricia, Monroe, Maya L., Fox, Kimberly, Kim, Sue, Lynfield, Ruth, Bye, Erica, Shrum Davis, Sarah, Smelser, Chad, Barney, Grant, Spina, Nancy L., Bennett, Nancy M., Felsen, Christina B., Billing, Laurie M., Shiltz, Jessica, Sutton, Melissa, West, Nicole, Talbot, H. Keipp, Schaffner, William, Risk, Ilene, Price, Andrea, Brammer, Lynnette, Fry, Alicia M., Hall, Aron J., Langley, Gayle E., Garg, Shikha, COVID-NET Surveillance Team, COVID-NET Surveillance Team, Coates, Ashley, Daily Kirley, Pam, Libby, Tanya, Roland, Jeremy, Alden, Nisha, Herlihy, Rachel, McLafferty, Sarah, Clogher, Paula, Kayalioglu, Hazal, Maslar, Amber, Misiorski, Adam, Niccolai, Linda, Olson, Danyel, Parisi, Christina, Fawcett, Emily, Gretzinger, Siyeh, Lengacher, Katelyn, Williams, Jeremiah, Blythe, David, Brooks, Alicia, Park, Rachel, Wilson, Michelle, Como-Sabetti, Kathryn, Danila, Richard, Cline, Cory, Angeles, Kathy, Eisenberg, Nancy, Flores, Kristina, Habrun, Caroline, Hancock, Emily, Khanlian, Sarah, Novi, Meaghan, Phipps, Erin, Salazar-Sanchez, Yadira, Dufort, Elizabeth, Muse, Alison, Bushey, Sophrena, Gaitan, Maria, Kurtz, RaeAnne, Owusu-Dommey, Ama, Snyder, Lindsey, Michaelis, Katherine, Seeley, Kylie, Markus, Tiffanie, Chatelain, Ryan, George, Andrea, Hill, Mary, McCullough, Laine, Spencer, Melanie, Swain, Ashley, McCaffrey, Keegan, Holstein, Rachel, Meador, Seth, Wortham, Jonathan·2020·MMWR. Morbidity and Mortality Weekly Report

Abstract

Most reported cases of coronavirus disease 2019 (COVID-19) in children aged <18 years appear to be asymptomatic or mild (1). Less is known about severe COVID-19 illness requiring hospitalization in children. During March 1-July 25, 2020, 576 pediatric COVID-19 cases were reported to the COVID-19-Associated Hospitalization Surveillance Network (COVID-NET), a population-based surveillance system that collects data on laboratory-confirmed COVID-19-associated hospitalizations in 14 states (2,3). Based on these data, the cumulative COVID-19-associated hospitalization rate among children aged <18 years during March 1-July 25, 2020, was 8.0 per 100,000 population, with the highest rate among children aged <2 years (24.8). During March 21-July 25, weekly hospitalization rates steadily increased among children (from 0.1 to 0.4 per 100,000, with a weekly high of 0.7 per 100,000). Overall, Hispanic or Latino (Hispanic) and non-Hispanic black (black) children had higher cumulative rates of COVID-19-associated hospitalizations (16.4 and 10.5 per 100,000, respectively) than did non-Hispanic white (white) children (2.1). Among 208 (36.1%) hospitalized children with complete medical chart reviews, 69 (33.2%) were admitted to an intensive care unit (ICU); 12 of 207 (5.8%) required invasive mechanical ventilation, and one patient died during hospitalization. Although the cumulative rate of pediatric COVID-19-associated hospitalization remains low (8.0 per 100,000 population) compared with that among adults (164.5),* weekly rates increased during the surveillance period, and one in three hospitalized children were admitted to the ICU, similar to the proportion among adults. Continued tracking of SARS-CoV-2 infections among children is important to characterize morbidity and mortality. Reinforcement of prevention efforts is essential in congregate settings that serve children, including childcare centers and schools.

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Metadata

Authors
Kim, L., Whitaker, M., O’Halloran, A., Kambhampati, A., Chai, S. J., Reingold, A., Armistead, I., Kawasaki, B., Meek, J., Yousey-Hindes, K., Anderson, E. J., Openo, K. P., Weigel, A., Ryan, P., Monroe, M. L., Fox, K., Kim, S., Lynfield, R., Bye, E., Shrum Davis, S., Smelser, C., Barney, G., Spina, N. L., Bennett, N. M., Felsen, C. B., Billing, L. M., Shiltz, J., Sutton, M., West, N., Talbot, H. K., Schaffner, W., Risk, I., Price, A., Brammer, L., Fry, A. M., Hall, A. J., Langley, G. E., Garg, S., COVID-NET Surveillance Team, COVID-NET Surveillance Team, Coates, A., Daily Kirley, P., Libby, T., Roland, J., Alden, N., Herlihy, R., McLafferty, S., Clogher, P., Kayalioglu, H., Maslar, A., Misiorski, A., Niccolai, L., Olson, D., Parisi, C., Fawcett, E., Gretzinger, S., Lengacher, K., Williams, J., Blythe, D., Brooks, A., Park, R., Wilson, M., Como-Sabetti, K., Danila, R., Cline, C., Angeles, K., Eisenberg, N., Flores, K., Habrun, C., Hancock, E., Khanlian, S., Novi, M., Phipps, E., Salazar-Sanchez, Y., Dufort, E., Muse, A., Bushey, S., Gaitan, M., Kurtz, R., Owusu-Dommey, A., Snyder, L., Michaelis, K., Seeley, K., Markus, T., Chatelain, R., George, A., Hill, M., McCullough, L., Spencer, M., Swain, A., McCaffrey, K., Holstein, R., Meador, S., & Wortham, J.
Venue
MMWR. Morbidity and Mortality Weekly Report
Published
2020-08-14
Volume
69
Issue
32
Pages
1081-1088
ISSN
  • 0149-2195 (ISSN-L)
  • 1545-861X
OpenAlex
W3047978089
Cited by
513
References
8
FWCI
13.37
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 — COVID-NET, 14 States, March 1–July 25, 2020. https://app.cochat.ai/papers/10.15585/mmwr.mm6932e3
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Kim, L., Whitaker, M., O’Halloran, A., Kambhampati, A., Chai, S. J., Reingold, A., Armistead, I., Kawasaki, B., Meek, J., Yousey-Hindes, K., Anderson, E. J., Openo, K. P., Weigel, A., Ryan, P., Monroe, M. L., Fox, K., Kim, S., Lynfield, R., Bye, E., . . . Wortham, J. (2020). Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 — COVID-NET, 14 States, March 1–July 25, 2020. MMWR. Morbidity and Mortality Weekly Report. https://doi.org/10.15585/mmwr.mm6932e3

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