tetano
Editor, Senior Moderator
An Pediatr (Barc)
. 2021 Sep 27.
doi: 10.1016/j.anpedi.2021.07.014. Online ahead of print.
[Clinical Characteristics And Mortality Risk Factors In Patients Aged Less Than 18 Years With Covid-19 In Mexico And Mexico City]
[Article in Spanish]
Rosa María Wong-Chew[SUP] 1 [/SUP], Daniel Ernesto Noyola[SUP] 2 [/SUP], Antonio Rafael Villa[SUP] 1 [/SUP]
Affiliations
Abstract
in English, Spanish
Introduction: In the paediatric population, coronavirus disease (COVID-19) is usually asymptomatic or mild, but there are also severe and fatal cases.
Methods: We analysed data on COVID-19 cases from the national and state-level databases of the Federal Ministry of Health of Mexico and the Department of Health of Mexico City to determine the clinical characteristics and risk factors for mortality in children. We used Cox proportional hazards regression analysis to calculate the risk of death.
Results: The national and Mexico City databases had recorded a total of 18 465 (2.8%) and 5733 (4.2%) confirmed cases of COVID-19, respectively, in individuals aged less than 18 years as of September 2020. The median age at diagnosis was 12 years (range, 0-17). The differences between cases in the national vs Mexico City databases were: 12.5% vs 8.2% of patients were hospitalized; 6% vs 3.5% had pneumonia; 2.4% vs 1.9% were admitted to the intensive care unit (ICU), and 1.3% vs 0.7% died. The independent risk factors significantly associated with a higher probability of death were pneumonia, hypertension, obesity, immunosuppression and intubation.
Conclusion: In Mexico, 2.8% of all confirmed cases of COVID-19 occurred in individuals under 18 years, with a median age of 12 years and a mortality of 1.3%. The identified predictors of mortality were pneumonia, admission to the ICU, obesity, hypertension, immunosuppression, diabetes, chronic lung disease and renal disease.
Keywords: COVID-19; Mexico; children; mortality; risk factors.
. 2021 Sep 27.
doi: 10.1016/j.anpedi.2021.07.014. Online ahead of print.
[Clinical Characteristics And Mortality Risk Factors In Patients Aged Less Than 18 Years With Covid-19 In Mexico And Mexico City]
[Article in Spanish]
Rosa María Wong-Chew[SUP] 1 [/SUP], Daniel Ernesto Noyola[SUP] 2 [/SUP], Antonio Rafael Villa[SUP] 1 [/SUP]
Affiliations
- PMID: 34603458
- PMCID: PMC8469217
- DOI: 10.1016/j.anpedi.2021.07.014
Abstract
in English, Spanish
Introduction: In the paediatric population, coronavirus disease (COVID-19) is usually asymptomatic or mild, but there are also severe and fatal cases.
Methods: We analysed data on COVID-19 cases from the national and state-level databases of the Federal Ministry of Health of Mexico and the Department of Health of Mexico City to determine the clinical characteristics and risk factors for mortality in children. We used Cox proportional hazards regression analysis to calculate the risk of death.
Results: The national and Mexico City databases had recorded a total of 18 465 (2.8%) and 5733 (4.2%) confirmed cases of COVID-19, respectively, in individuals aged less than 18 years as of September 2020. The median age at diagnosis was 12 years (range, 0-17). The differences between cases in the national vs Mexico City databases were: 12.5% vs 8.2% of patients were hospitalized; 6% vs 3.5% had pneumonia; 2.4% vs 1.9% were admitted to the intensive care unit (ICU), and 1.3% vs 0.7% died. The independent risk factors significantly associated with a higher probability of death were pneumonia, hypertension, obesity, immunosuppression and intubation.
Conclusion: In Mexico, 2.8% of all confirmed cases of COVID-19 occurred in individuals under 18 years, with a median age of 12 years and a mortality of 1.3%. The identified predictors of mortality were pneumonia, admission to the ICU, obesity, hypertension, immunosuppression, diabetes, chronic lung disease and renal disease.
Keywords: COVID-19; Mexico; children; mortality; risk factors.