Comparative Analysis of Pediatric COVID-19 Infection in Southeast Asia, South Asia, Japan, and China

Wong Judith Ju Ming; Abbas Qalab; Chuah Soo LinMalisie Ririe FachrinaPon Kah MinKatsuta TomohiroDang HongxingLee Pei ChuenJayashree MuralidharanSultana RehenaMaha QuratulainGan Chin SengShimizu NaokiXu FengTang Swee FongShi LumingLee Jan HauThoon Koh ChengYung Chee Fu

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Comparative Analysis of Pediatric COVID-19 Infection in Southeast Asia, South Asia, Japan, and China

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There is a scarcity of data regarding coronavirus disease 2019 (COVID-19) infection in children from southeast and south Asia. This study aims to identify risk factors for severe COVID-19 disease among children in the region. This is an observational study of children with COVID-19 infection in hospitals contributing data to the Pediatric Acute and Critical Care COVID-19 Registry of Asia. Laboratory-confirmed COVID-19 cases were included in this registry. The primary outcome was severity of COVID-19 infection as defined by the World Health Organization (WHO) (mild, moderate, severe, or critical). Epidemiology, clinical and laboratory features, and outcomes of children with COVID-19 are described. Univariate and multivariable logistic regression models were used to identify risk factors for severe/critical disease. A total of 260 COVID-19 cases from eight hospitals across seven countries (China, Japan, Singapore, Malaysia, Indonesia, India, and Pakistan) were included. The common clinical manifestations were similar across countries: fever (64), cough (39), and coryza (23). Approximately 40 of children were asymptomatic, and overall mortality was 2.3, with all deaths reported from India and Pakistan. Using the multivariable model, the infant age group, presence of comorbidities, and cough on presentation were associated with severe/critical COVID-19. This epidemiological study of pediatric COVID-19 infection demonstrated similar clinical presentations of COVID-19 in children across Asia. Risk factors for severe disease in children were age younger than 12 months, presence of comorbidities, and cough at presentation. Further studies are needed to determine whether differences in mortality are the result of genetic factors, cultural practices, or environmental exposures.

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《The American Journal of Tropical Medicine and Hygiene》 |2021年第2期|413-420|共8页
作者
Wong Judith Ju Ming; Abbas Qalab; Chuah Soo LinMalisie Ririe FachrinaPon Kah MinKatsuta TomohiroDang HongxingLee Pei ChuenJayashree MuralidharanSultana RehenaMaha QuratulainGan Chin SengShimizu NaokiXu FengTang Swee FongShi LumingLee Jan HauThoon Koh ChengYung Chee Fu;
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KK Womens & Childrens Hosp, Childrens Intens Care Unit, Dept Pediat Subspecialties, 100 Bukit Timah;

Aga Khan Univ, Pediatr Crit Care Med, Karachi, Pakistan;

Univ Malaya, Univ Malaya Med Ctr, Dept Pediat, Kuala Lumpur, MalaysiaMurni Teguh Mem Hosp, Medan, IndonesiaHosp Pulau Pinang, Pediatr Intens Care Unit, George Town, MalaysiaSt Marianna Univ, Sch Med, Infectious Dis Serv, Dept Pediat, Kawasaki, Kanagawa, JapanChongqing Med Univ, Childrens Hosp, Crit Care Treatment Ctr & Intens Care Med, Chongqing, Peoples RHosp Canselor Tuanku Muhriz, Pediatr Intens Care Unit, Kuala Lumpur, MalaysiaPostgrad Inst Med Educ & Res, Adv Pediat Ctr, Pediatr Intens Care & Emergency, Chandigarh, IndiaDuke NUS Med Sch, Ctr Quantitat Med, Singapore, SingaporeAga Khan Univ, Med Coll, Karachi, PakistanSt Marianna Univ, Sch Med, Dept Pediat, Pediat Intens Care Unit, Kawasaki, Kanagawa, JapanDuke NUS Med Sch, Singapore, Singapore;

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Comparative Analysis of Pediatric COVID-19 Infection in Southeast Asia, South Asia, Japan, and China

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