Children and youth with diabetes are not at increased risk for hospitalization due to COVID-19.
Identifieur interne : 000700 ( Main/Exploration ); précédent : 000699; suivant : 000701Children and youth with diabetes are not at increased risk for hospitalization due to COVID-19.
Auteurs : Roque Cardona-Hernandez [Espagne] ; Valentino Cherubini [Italie] ; Dario Iafusco [Italie] ; Riccardo Schiaffini [Italie] ; Xiaoping Luo [République populaire de Chine] ; David M. Maahs [États-Unis]Source :
- Pediatric diabetes [ 1399-5448 ] ; 2020.
Abstract
The severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2), responsible for the coronavirus disease COVID-19, was first identified in Wuhan, China in December 2019. Diabetes, as well as other cardiovascular comorbidities, has been recognized as a major risk factor for outcomes and mortality in adults with COVID-19, particularly in the elderly with type 2 diabetes. Based on these conclusions, COVID-19 data on adults have been generalized to youth with diabetes. Nevertheless, experience from pediatric diabetes practices in China (Wuhan), Italy, Spain (Catalonia), and the United States (San Francisco Bay Area) consistently report only a single severe case of COVID-19 in a 20-year-old female youth with type 1 diabetes (T1D) that was hospitalized for bilateral pneumonia and was subsequently discharged without complications. In Italy, information on COVID-19 in all children with diabetes is collected on a weekly basis and those with positive swab test or infection-related symptoms reported to a dedicated national registry. Of a total of 15 500 children tested, 11 subjects with T1D (age 8-17y) tested positive for COVID-19; 6/11 were asymptomatic and the rest presented with mild symptoms. In the rest of locations, youths with T1D diagnosed with COVID-19 were based on clinical suspicion and a confirmatory PCR test (Wuhan:0; Catalonia-HSJD:3; California-Stanford:2). All of them were asymptomatic or had a mild course. We suggest that COVID-19 data from adults should not be generalized to children, adolescents, and youth with diabetes as their outcomes and prognosis seem to be similar to their non-diabetic-peers and consistently milder than adults with diabetes.
DOI: 10.1111/pedi.13158
PubMed: 33205546
PubMed Central: PMC7753354
Affiliations:
- Espagne, Italie, République populaire de Chine, États-Unis
- Californie, Catalogne, Hubei, Latium
- Barcelone, Rome, Stanford (Californie), Wuhan
- Université Stanford
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Salesi Children's Hospital, Azienda Ospedaliero - Universitaria Ospedali Riuniti, Ancona, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pediatric Diabetology, Department of Women's and Children's Health, G. Salesi Children's Hospital, Azienda Ospedaliero - Universitaria Ospedali Riuniti, Ancona</wicri:regionArea><wicri:noRegion>Ancona</wicri:noRegion></affiliation></author><author><name sortKey="Iafusco, Dario" sort="Iafusco, Dario" uniqKey="Iafusco D" first="Dario" last="Iafusco">Dario Iafusco</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, University of Campania Luigi Vanvitelli, Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Pediatrics, University of Campania Luigi Vanvitelli, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Schiaffini, Riccardo" sort="Schiaffini, Riccardo" uniqKey="Schiaffini R" first="Riccardo" last="Schiaffini">Riccardo Schiaffini</name><affiliation wicri:level="3"><nlm:affiliation>Endocrinology and Diabetes Unit, Bambino Gesù Hospital, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Endocrinology and Diabetes Unit, Bambino Gesù Hospital, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Luo, Xiaoping" sort="Luo, Xiaoping" uniqKey="Luo X" first="Xiaoping" last="Luo">Xiaoping Luo</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Maahs, David M" sort="Maahs, David M" uniqKey="Maahs D" first="David M" last="Maahs">David M. Maahs</name><affiliation wicri:level="4"><nlm:affiliation>Division of Endocrinology, Department of Pediatrics, Stanford University, Stanford, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Endocrinology, Department of Pediatrics, Stanford University, Stanford, California</wicri:regionArea><placeName><region type="state">Californie</region><settlement type="city">Stanford (Californie)</settlement></placeName><orgName type="university">Université Stanford</orgName></affiliation></author></analytic><series><title level="j">Pediatric diabetes</title><idno type="eISSN">1399-5448</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2), responsible for the coronavirus disease COVID-19, was first identified in Wuhan, China in December 2019. Diabetes, as well as other cardiovascular comorbidities, has been recognized as a major risk factor for outcomes and mortality in adults with COVID-19, particularly in the elderly with type 2 diabetes. Based on these conclusions, COVID-19 data on adults have been generalized to youth with diabetes. Nevertheless, experience from pediatric diabetes practices in China (Wuhan), Italy, Spain (Catalonia), and the United States (San Francisco Bay Area) consistently report only a single severe case of COVID-19 in a 20-year-old female youth with type 1 diabetes (T1D) that was hospitalized for bilateral pneumonia and was subsequently discharged without complications. In Italy, information on COVID-19 in all children with diabetes is collected on a weekly basis and those with positive swab test or infection-related symptoms reported to a dedicated national registry. Of a total of 15 500 children tested, 11 subjects with T1D (age 8-17y) tested positive for COVID-19; 6/11 were asymptomatic and the rest presented with mild symptoms. In the rest of locations, youths with T1D diagnosed with COVID-19 were based on clinical suspicion and a confirmatory PCR test (Wuhan:0; Catalonia-HSJD:3; California-Stanford:2). All of them were asymptomatic or had a mild course. We suggest that COVID-19 data from adults should not be generalized to children, adolescents, and youth with diabetes as their outcomes and prognosis seem to be similar to their non-diabetic-peers and consistently milder than adults with diabetes.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33205546</PMID><DateRevised><Year>2020</Year><Month>12</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1399-5448</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Nov</Month><Day>17</Day></PubDate></JournalIssue><Title>Pediatric diabetes</Title><ISOAbbreviation>Pediatr Diabetes</ISOAbbreviation></Journal><ArticleTitle>Children and youth with diabetes are not at increased risk for hospitalization due to COVID-19.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1111/pedi.13158</ELocationID><Abstract><AbstractText>The severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2), responsible for the coronavirus disease COVID-19, was first identified in Wuhan, China in December 2019. Diabetes, as well as other cardiovascular comorbidities, has been recognized as a major risk factor for outcomes and mortality in adults with COVID-19, particularly in the elderly with type 2 diabetes. Based on these conclusions, COVID-19 data on adults have been generalized to youth with diabetes. Nevertheless, experience from pediatric diabetes practices in China (Wuhan), Italy, Spain (Catalonia), and the United States (San Francisco Bay Area) consistently report only a single severe case of COVID-19 in a 20-year-old female youth with type 1 diabetes (T1D) that was hospitalized for bilateral pneumonia and was subsequently discharged without complications. In Italy, information on COVID-19 in all children with diabetes is collected on a weekly basis and those with positive swab test or infection-related symptoms reported to a dedicated national registry. Of a total of 15 500 children tested, 11 subjects with T1D (age 8-17y) tested positive for COVID-19; 6/11 were asymptomatic and the rest presented with mild symptoms. In the rest of locations, youths with T1D diagnosed with COVID-19 were based on clinical suspicion and a confirmatory PCR test (Wuhan:0; Catalonia-HSJD:3; California-Stanford:2). All of them were asymptomatic or had a mild course. We suggest that COVID-19 data from adults should not be generalized to children, adolescents, and youth with diabetes as their outcomes and prognosis seem to be similar to their non-diabetic-peers and consistently milder than adults with diabetes.</AbstractText><CopyrightInformation>© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cardona-Hernandez</LastName><ForeName>Roque</ForeName><Initials>R</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-7067-1657</Identifier><AffiliationInfo><Affiliation>Division of Pediatric Endocrinology, Hospital Sant Joan de Déu, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cherubini</LastName><ForeName>Valentino</ForeName><Initials>V</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-7664-1475</Identifier><AffiliationInfo><Affiliation>Division of Pediatric Diabetology, Department of Women's and Children's Health, G. Salesi Children's Hospital, Azienda Ospedaliero - Universitaria Ospedali Riuniti, Ancona, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Iafusco</LastName><ForeName>Dario</ForeName><Initials>D</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-9398-3856</Identifier><AffiliationInfo><Affiliation>Department of Pediatrics, University of Campania Luigi Vanvitelli, Naples, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schiaffini</LastName><ForeName>Riccardo</ForeName><Initials>R</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-9527-2353</Identifier><AffiliationInfo><Affiliation>Endocrinology and Diabetes Unit, Bambino Gesù Hospital, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Luo</LastName><ForeName>Xiaoping</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maahs</LastName><ForeName>David M</ForeName><Initials>DM</Initials><AffiliationInfo><Affiliation>Division of Endocrinology, Department of Pediatrics, Stanford University, Stanford, California, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>11</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>Denmark</Country><MedlineTA>Pediatr Diabetes</MedlineTA><NlmUniqueID>100939345</NlmUniqueID><ISSNLinking>1399-543X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">children</Keyword><Keyword MajorTopicYN="N">diabetes</Keyword><Keyword MajorTopicYN="N">outcome</Keyword><Keyword MajorTopicYN="N">prognosis</Keyword><Keyword MajorTopicYN="N">type 1 diabetes</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>07</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>10</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>11</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>11</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>11</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>11</Month><Day>18</Day><Hour>6</Hour><Minute>5</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33205546</ArticleId><ArticleId 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Nov;43(11):2631-2634</Citation><ArticleIdList><ArticleId IdType="pubmed">32887703</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li><li>Italie</li><li>République populaire de Chine</li><li>États-Unis</li></country><region><li>Californie</li><li>Catalogne</li><li>Hubei</li><li>Latium</li></region><settlement><li>Barcelone</li><li>Rome</li><li>Stanford (Californie)</li><li>Wuhan</li></settlement><orgName><li>Université Stanford</li></orgName></list><tree><country name="Espagne"><region name="Catalogne"><name sortKey="Cardona Hernandez, Roque" sort="Cardona Hernandez, Roque" uniqKey="Cardona Hernandez R" first="Roque" last="Cardona-Hernandez">Roque Cardona-Hernandez</name></region></country><country name="Italie"><noRegion><name sortKey="Cherubini, Valentino" sort="Cherubini, Valentino" uniqKey="Cherubini V" first="Valentino" last="Cherubini">Valentino Cherubini</name></noRegion><name sortKey="Iafusco, Dario" sort="Iafusco, Dario" uniqKey="Iafusco D" first="Dario" last="Iafusco">Dario Iafusco</name><name sortKey="Schiaffini, Riccardo" sort="Schiaffini, Riccardo" uniqKey="Schiaffini R" first="Riccardo" last="Schiaffini">Riccardo Schiaffini</name></country><country name="République populaire de Chine"><region name="Hubei"><name sortKey="Luo, Xiaoping" sort="Luo, Xiaoping" uniqKey="Luo X" first="Xiaoping" last="Luo">Xiaoping Luo</name></region></country><country name="États-Unis"><region name="Californie"><name sortKey="Maahs, David M" sort="Maahs, David M" uniqKey="Maahs D" first="David M" last="Maahs">David M. 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