• Vanessa Denny, Niva Shah, Karolina Petro, Karishma Choksey, Elizabeth DeSantis, Molly Hintz, Shruthi Rethi, Sarah Sanchez, Bernadette Sylla, Stephanie Chiu, Christina Gagliardo, Neeraja Kairam, Eberechi Nwaobasi-Iwuh, and M Cecilia Di Pentima.
• Department of Pediatrics, Goryeb Children's Hospital.
• Medicine (Baltimore). 2021 Feb 26; 100 (8): e24895e24895.

AbstractData regarding COVID-19 in the adult population and hospitalized children is rapidly evolving, but little is known about children infected with severe acute respiratory syndrome coronavirus 2 who do not require hospitalization.In an observational, retrospective study we analyzed risk factors, demographics and clinical course of non-hospitalized patients ≤ 21 years of age with COVID-19 infection.Of the 1,796 patients evaluated, 170 were infected, and 40 participated in a telephone survey. Children older >10 years of age (OR: 2.19), Hispanic ethnicity (OR: 3) and residing in counties with higher rates of poverty (OR: 1.5) were associated with higher risk of infection, while older girls were more likely to experience prolonged duration of symptoms (median: 32 days). Consistent with prior reports, fever and cough were present in most of our patients. Shortness of breath, diarrhea, anosmia, and ageusia were more common in our outpatient population than previously reported.Larger studies addressing the clinical and psychosocial impact of CoVID-19 infection in children living in high-risk environments are warranted.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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