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10.1073/pnas.2204141119

http://scihub22266oqcxt.onion/10.1073/pnas.2204141119
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35895714!9388132!35895714
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suck abstract from ncbi


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pmid35895714      Proc+Natl+Acad+Sci+U+S+A 2022 ; 119 (33): e2204141119
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  • Risk of severe COVID-19 infection among adults with prior exposure to children #MMPMID35895714
  • Solomon MD; Escobar GJ; Lu Y; Schlessinger D; Steinman JB; Steinman L; Lee C; Liu VX
  • Proc Natl Acad Sci U S A 2022[Aug]; 119 (33): e2204141119 PMID35895714show ga
  • Susceptibility and severity of COVID-19 infection vary widely. Prior exposure to endemic coronaviruses, common in young children, may protect against SARS-CoV-2. We evaluated risk of severe COVID-19 among adults with and without exposure to young children in a large, integrated healthcare system. Adults with children 0-5 years were matched 1:1 to adults with children 6-11 years, 12-18 years, and those without children based upon a COVID-19 propensity score and risk factors for severe COVID-19. COVID-19 infections, hospitalizations, and need for intensive care unit (ICU) were assessed in 3,126,427 adults, of whom 24% (N = 743,814) had children 18 years or younger, and 8.8% (N = 274,316) had a youngest child 0-5 years. After 1:1 matching, propensity for COVID-19 infection and risk factors for severe COVID-19 were well balanced between groups. Rates of COVID-19 infection were slightly higher for adults with exposure to older children (incident risk ratio, 1.09, 95% confidence interval, [1.05-1.12] and IRR 1.09 [1.05-1.13] for adults with children 6-11 and 12-18, respectively), compared to those with children 0-5 years, although no difference in rates of COVID-19 illness requiring hospitalization or ICU admission was observed. However, adults without exposure to children had lower rates of COVID-19 infection (IRR 0.85, [0.83-0.87]) but significantly higher rates of COVID-19 hospitalization (IRR 1.49, [1.29-1.73]) and hospitalization requiring ICU admission (IRR 1.76, [1.19-2.58]) compared to those with children aged 0-5. In a large, real-world population, exposure to young children was associated with less severe COVID-19 illness. Endemic coronavirus cross-immunity may play a role in protection against severe COVID-19.
  • |*COVID-19/epidemiology/transmission[MESH]
  • |*Patient Acuity[MESH]
  • |*SARS-CoV-2[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Intensive Care Units/statistics & numerical data[MESH]


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