Risk of admission to the pediatric intensive care unit for SARS-CoV-2 delta and omicron infections. - Université de Lille Accéder directement au contenu
Article Dans Une Revue Journal of the Pediatric Infectious Diseases Society Année : 2023

Risk of admission to the pediatric intensive care unit for SARS-CoV-2 delta and omicron infections.

Résumé

Background The severity of SARS-CoV-2-related diseases in children remains unclear. This study aimed to describe the incidence of French pediatric intensive care units (PICUs) admissions with acute COVID-19, incidental positive SARS-CoV-2 test result, and multisystem inflammatory syndrome in children (MIS-C) during the delta and omicron variant periods. Methods This study used the French PICU registry to obtain data on all patients admitted to 41 French PICUs diagnosed with acute COVID-19, incidental positive SARS-CoV-2 test result, or MIS-C between August 30, 2021 and April 20, 2022. Data regarding the total number of positive SARS-CoV-2 polymerase chain reaction results according to the type of variants were obtained from the French National Public Health Agency. Results Of 745 children, 244 (32.8%) were admitted for acute COVID-19, 246 (33.0%) for incidental positive SARS-CoV-2 test results, and 255 (34.2%) for MIS-C. The incidence of each group was higher with delta than with omicron. The incidence rate ratios with the delta variant were 7.47 (95% CI, 4.22–13.26) for acute COVID-19, 4·78 (95% CI, 2.30–9.94) for incidental positive SARS-CoV-2 test results, and 10.46 (95% CI, 5.98–18.31) for MIS-C compared to the omicron variant. The median age was 66 (7.7–126.8) months; 314 (42%) patients had comorbidities. Patients with acute COVID-19 and incidental positive SARS-CoV-2 test results had similar proportions of comorbidities. No patient with MIS-C died, whereas the mortality rates in the acute COVID-19 and incidental positive SARS-CoV-2 test results groups were 6.8% and 3.8%, respectively. Conclusions The incidence of acute COVID-19, incidental positive SARS-CoV-2 test results, and MIS-C admitted to the PICU were significantly higher with the delta variant than with the omicron variant.

Dates et versions

hal-04547925 , version 1 (16-04-2024)

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Morgan Recher, Stephane Leteurtre, Etienne Javouhey, Luc Morin, Florent Baudin, et al.. Risk of admission to the pediatric intensive care unit for SARS-CoV-2 delta and omicron infections.. Journal of the Pediatric Infectious Diseases Society, 2023, Journal of the Pediatric Infectious Diseases Society, ⟨10.1093/jpids/piad010⟩. ⟨hal-04547925⟩
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