Trends in COVID-19 Cases, Emergency Department Visits, and Hospital Admissions Among Children and Adolescents Aged 0–17 Years — United States, August 2020–August 2021
Open accessAbstract
causes different clinical outcomes in children and adolescents compared with variants that circulated earlier. To assess trends among children and adolescents, CDC analyzed new COVID-19 cases, emergency department (ED) visits with a COVID-19 diagnosis code, and hospital admissions of patients with confirmed COVID-19 among persons aged 0-17 years during August 1, 2020-August 27, 2021. Since July 2021, after Delta had become the predominant circulating variant, the rate of new COVID-19 cases and COVID-19-related ED visits increased for persons aged 0-4, 5-11, and 12-17 years, and hospital admissions of patients with confirmed COVID-19 increased for persons aged 0-17 years. Among persons aged 0-17 years during the most recent 2-week period (August 14-27, 2021), COVID-19-related ED visits and hospital admissions in the states with the lowest vaccination coverage were 3.4 and 3.7 times that in the states with the highest vaccination coverage, respectively. At selected hospitals, the proportion of COVID-19 patients aged 0-17 years who were admitted to an ICU ranged from 10% to 25% during August 2020-June 2021 and was 20% and 18% during July and August 2021, respectively. Broad, community-wide vaccination of all eligible persons is a critical component of mitigation strategies to protect pediatric populations from SARS-CoV-2 infection and severe COVID-19 illness.
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With prioritization of older age groups for vaccination, school-age children now account for an increasing proportion of cases and hospitalizations compared with their proportion early in the pandemic, and school outbreaks are occurring.
“With the prioritization of older age groups for vaccination, school-age children now account for an increasing proportion of cases and hospitalizations as compared with their proportion early in the pandemic,10,22,23,24 and school outbreaks are occurring.14,25”
From Evaluation of the BNT162b2 Covid-19 Vaccine in Children 5 to 11 Years of Age (2022) · cites this paper as [24]
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Evaluation of the BNT162b2 Covid-19 Vaccine in Children 5 to 11 Years of Age
Walter, E. B., Talaat, K. R., Sabharwal, C., Gurtman, A., Lockhart, S., Paulsen, G. C., Barnett, E. D., Muñoz, F. M., Maldonado, Y., Pahud, B. A., et al. (2022) · New England Journal of Medicine · doi:10.1056/nejmoa2116298 · Cited by 593 · see citing works
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Missed and Delayed Preventive Health Care Visits Among US Children Due to the COVID-19 Pandemic
Lebrun-Harris, L. A., Sappenfield, O. R., & Warren, M. D. (2022) · Public Health Reports® · doi:10.1177/00333549211061322 · Cited by 74 · see citing works
- Authors
- Siegel, D. A., Reses, H. E., Cool, A. J., Shapiro, C. N., Hsu, J., Boehmer, T. K., Cornwell, C. R., Gray, E. B., Henley, S. J., Lochner, K., Suthar, A. B., Lyons, B. C., Mattocks, L., Hartnett, K., Adjemian, J., van Santen, K. L., Sheppard, M., Soetebier, K. A., MAPW1, Logan, P., Martin, M., Idubor, O., Natarajan, P., Sircar, K., Oyegun, E., Dalton, J., Perrine, C. G., Peacock, G., Schweitzer, B., Morris, S. B., & Raizes, E.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Siegel, David A.
- ORCID
- Siegel, David A.
- Reses, Hannah E.
- Shapiro, Craig N.
- Hsu, Joy
- Boehmer, Tegan K.
- Cornwell, Cheryl R.
- Gray, Elizabeth B.
- Henley, S. Jane
- Suthar, Amitabh B.
- Lyons, B. Casey
- Mattocks, Linda
- Hartnett, Kathleen
- Adjemian, Jennifer
- Sheppard, Michael
- Martin, Michael
- Idubor, Osatohamwen
- Natarajan, Pavithra
- Sircar, Kanta
- Oyegun, Eghosa
- Perrine, Cria G.
- Peacock, Georgina
- Morris, Sapna Bamrah
- Raizes, Elliot
- Venue
- MMWR. Morbidity and Mortality Weekly Report
- Published
- 2021-09-10
- Volume
- 70
- Issue
- 36
- Pages
- 1249-1254
- ISSN
- 0149-2195 (ISSN-L)
- 1545-861X
- PMC
- PMC8437056
- OpenAlex
- W3198882250
- Cited by
- 147
- References
- 9
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 13 · 2023: 29 · 2022: 74 · 2021: 19
- FWCI
- 10.69
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- MMWR Morbidity and Mortality Weekly Report (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
- Keywords
- COVID-19 pandemic, SARS-CoV-2, children and adolescents, emergency department visits, hospitalization, COVID-19 vaccination coverage, Delta variant, pediatric COVID-19, intensive care unit admission
- MeSH terms
- Vaccination Coverage, Facilities and Services Utilization, COVID-19, COVID-19 Vaccines, Adolescent, Child, Child, Preschool, Emergency Service, Hospital, Hospitalization, Humans, Infant, Infant, Newborn, Severity of Illness Index, United States
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