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10.1186/s12887-020-02316-1

http://scihub22266oqcxt.onion/10.1186/s12887-020-02316-1
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32873269!7459157!32873269
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suck abstract from ncbi


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pmid32873269      BMC+Pediatr 2020 ; 20 (1): 410
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  • Children with COVID-19 behaving milder may challenge the public policies: a systematic review and meta-analysis #MMPMID32873269
  • Liu C; He Y; Liu L; Li F; Shi Y
  • BMC Pediatr 2020[Sep]; 20 (1): 410 PMID32873269show ga
  • BACKGROUND: The emerging virus is rampaging globally. A growing number of pediatric infected cases have been reported. Great efforts are needed to cut down the transmission. METHODS: A single-arm meta-analysis was conducted. We searched PubMed, Google Scholar, Web of Science, and several Chinese databases for studies presenting characteristics of children confirmed with Coronavirus Disease 2019 (COVID-19) from December 12, 2019 to May 10, 2020. Quality Appraisal of Case Series Studies Checklist was used to assess quality and publication bias was analyzed by Egger's test. Random-effect model was used to calculate the pooled incidence rate (IR) or mean difference (MD) with 95% confidence intervals (CI), or a fixed model instead when I(2) < 50%. We conducted subgroup analysis according to geographic region. Additionally, we searched United Nations Educational Scientific and Cultural Organization to see how different countries act to the education disruption in COVID-19. RESULTS: 29 studies with 4300 pediatric patients were included. The mean age was 7.04 (95% CI: 5.06-9.08) years old. 18.9% of children were asymptomatic (95% CI: 0.121-0.266), 37.4% (95% CI: 0.280-0.474) had no radiographic abnormalities. Besides, a proportion of 0.1% patients were admitted to intensive care units (0, 95% CI: 0.000-0.013) and four deaths were reported (0, 95% CI: 0.000-0.000). Up to 159 countries have implemented nationwide school closures, affecting over 70% of the world's students. CONCLUSION: Children were also susceptible to SARS-CoV-2, while critical cases or deaths were rare. Characterized by mild presentation, the dilemma that children may become a potential spreader in the pandemic, while strict managements like prolonged school closures, may undermine their well-beings. Thus, the public policies are facing challenge.
  • |*Betacoronavirus[MESH]
  • |*Clinical Laboratory Techniques[MESH]
  • |*Health Policy[MESH]
  • |*Severity of Illness Index[MESH]
  • |Adolescent[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Coronavirus Infections/*diagnosis/epidemiology/*prevention & control[MESH]
  • |Global Health[MESH]
  • |Humans[MESH]
  • |Models, Statistical[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Pneumonia, Viral/*diagnosis/epidemiology/*prevention & control[MESH]
  • |SARS-CoV-2[MESH]


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