Pediatric rheumatology

Risk factors of COVID-19 related hospitalization of paediatric patients with rheumatic diseases: a systematic review and meta-analysis

Rheumatology (Oxford)Published Systematic review and meta-analysis of observational studies

Authors' conclusion

Children with RDs are at risk of severe COVID-19 outcomes, while children with JIA taking TNFα inhibitors might be at a lower risk.

Study context

Population
Paediatric patients with rheumatic diseases and SARS-CoV-2 infection
Participants
1,501 patients8 cohort studies
Comparison
Risk factors (diagnosis, medications) for COVID-19-related hospitalization in children with rheumatic diseases
Outcome
COVID-19-related hospitalization
Methodological detailssearches of MEDLINE, EMBASE, Web of Science and China National Knowledge Infrastructure, 1 December 2019 to 22 January 2024
  • Searches of MEDLINE, EMBASE, Web of Science and China National Knowledge Infrastructure, 1 December 2019 to 22 January 2024

Pooled result

As reported in the abstract

COVID-19-related hospitalization, by risk factor
Juvenile idiopathic arthritis (JIA) diagnosis, OR
0.43 (0.27, 0.68) (95% CI)
sJIA, OR
2.54 (1.01, 6.40) (95% CI)
GC use, OR
5.36 (2.21, 13.04) (95% CI)
RTX use, OR
4.62 (1.87, 11.40) (95% CI)
MMF use, OR
4.17 (1.08, 16.16) (95% CI)
HCQ use, OR
2.97 (1.42, 6.21) (95% CI)
IL-1 inhibitor use, OR
2.28 (1.09, 4.78) (95% CI)
TNFα inhibitor use, OR
0.35 (0.20, 0.66) (95% CI)

Original publication

Risk factors of COVID-19 related hospitalization of paediatric patients with rheumatic diseases: a systematic review and meta-analysis. Rheumatology (Oxford). Published 6 December 2024. doi:10.1093/rheumatology/keae664

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