Table. Hospitalizations of Children Aged 5 to 11 Years by Viral Infection Across 11 Statesa.
Variable | No. (95% CI) | |||
---|---|---|---|---|
January-March 2021 | January-March 2017 | |||
MIS-C | SARS-CoV-2 without MIS-C | Influenza | RSV | |
Total, No. | 379 | 343 | 1134 | 413 |
Total, No. per 100 000 kids | 5.7 | 5.1 | 17.0 | 6.2 |
Demographic characteristics | ||||
Age, median (IQR), y | 8 (7-10) | 8 (7-10) | 7 (6-9)b | 6 (5-8)b |
Proportion of female children | 0.406 (0.357-0.456) | 0.458 (0.405-0.511) | 0.415 (0.387-0.444) | 0.525 (0.477-0.574)b |
Proportion of male children | 0.594 (0.544-0.643) | 0.542 (0.489-0.595) | 0.585 (0.556-0.613) | 0.475 (0.426-0.523)b |
Proportion of each race and ethnicity | ||||
Asian or Pacific Islander | 0.029 (0.009-0.049) | 0.015 (0-0.029) | 0.026 (0.016-0.035) | 0.011 (0-0.022) |
Black | 0.101 (0.065-0.136) | 0.158 (0.114-0.202)e | 0.105 (0.086-0.124) | 0.129 (0.094-0.164) |
Hispanic | 0.381 (0.324-0.439) | 0.239 (0.188-0.290)b | 0.243 (0.216-0.270)b | 0.090 (0.060-0.120)b |
Non-Hispanic White | 0.432 (0.373-0.490) | 0.551 (0.492-0.611)b | 0.579 (0.548-0.610)b | 0.716 (0.669-0.763)b |
Otherc | 0.058 (0.030-0.085) | 0.037 (0.014-0.059) | 0.047 (0.034-0.060) | 0.053 (0.030-0.077) |
Outcomes | ||||
Inpatient death | <11d | <11d | <11d | <11d |
No. of body systems affected | 1.913 (1.775-2.050) | 0.866 (0.763-0.969)b | 0.981 (0.930-1.032)b | 1.266 (1.185-1.348)b |
Complications | ||||
Cardiovascular | 0.298 (0.252-0.344) | 0.032 (0.013-0.051)b | 0.020 (0.012-0.028)b | 0.029 (0.013-0.045)b |
Myocarditis/pericarditis | 0.111 (.079-.143) | <11d | <11d | <11d |
Respiratory | 0.282 (0.237-0.328) | 0.210 (0.167-0.253)e | 0.306 (0.279-0.333) | 0.758 (0.716-0.799)b |
Neurologic | 0.050 (0.028-0.072) | 0.096 (0.065-0.128)e | 0.063 (0.048-0.077) | 0.063 (0.039-0.086) |
Hematologic | 0.554 (0.504-0.604) | 0.134 (0.098-0.170)b | 0.099 (0.081-0.116)b | 0.126 (0.094-0.158)b |
Sepsis | 0.108 (0.077-0.140) | 0.050 (0.026-0.073)b | 0.034 (0.023-0.044)b | 0.065 (0.041-0.089)b |
Shock | 0.142 (0.107-0.178) | <11d | 0.017 (0.009-0.024)b | 0.031 (0.015-0.048)b |
Kidney failure | 0.219 (0.177-0.261) | 0.067 (0.040-0.094)b | 0.036 (0.025-0.047)b | 0.034 (0.016-0.051)b |
Gastrointestinal | 0.472 (0.422-0.523) | 0.312 (0.263-0.361)b | 0.364 (0.336-0.392)b | 0.252 (0.210-0.294)b |
Musculoskeletal | 0.037 (0.018-0.056) | <11d | 0.095 (0.078-0.112)b | <11d |
Utilization, median (IQR), No. | ||||
Length of stay, d | 5 (3-7) | 3 (2-6)b | 2 (1-4)b | 3 (2-6)b |
Hospital costs, $ | 23 585 (15 040-39 122) | 10 399 (5314-23 546)b | 5200 (2959-9449)b | 9080 (4648-21 075)b |
Hospital charges, $ | 78 208 (52 896-114 562) | 34 946 (20 231-73 689)b | 17 696 (10 579-31 032)b | 29 166 (15 335-63 780)b |
Abbreviations: MIS-C, multisystem inflammatory syndrome for children; RSV, respiratory syncytial virus.
Includes data from the first quarter of 2021 (January-March) from 1333 hospitals in Colorado, Georgia, Iowa, Kentucky, Michigan, Missouri, Mississippi, New Jersey, Ohio, Washington, and Wisconsin. Complications are defined in the eMethods in the Supplement.
Significantly different compared with MIS-C: P < .01.
Other includes Native American or other as reported by the Healthcare Cost and Utilization Project.
Values masked owing to a patient number less than 11.
Significantly different compared with MIS-C: P < .05.