Introduction: Most children affected by SARS-CoV-2 are reported to be asymptomatic, and COVID-19-related mortality in them is low; in Mexico, there is a lack of information on the subject in this population group. Objective: To assess the risk factors associated with mortality in Mexican children with COVID-19. Method: Secondary analysis of the General Directorate of Epidemiology database. Children younger than 19 years, in whom SARS-CoV-2 infection was confirmed by RT-PCR, were included. Results: 1443 children were included. Median age was eight years; 3.3 % were admitted to the intensive care unit, 1.8 % required assisted mechanical ventilation, and mortality was 1.9 %. In multivariate models, the development of pneumonia was the main risk factor for mortality, with an odds ratio (OR) of 6.45 (95 % CI 1.99, 20.89); patients who required intubation had an OR of 8.75 (95 % CI 3.23, 23.7). Conclusions: Children with COVID-19 exhibit high mortality in Mexico, and avoiding pneumonia should therefore be tried in them, especially in children younger than four years with cardiovascular risk or immu-nosuppression.
CITATION STYLE
Rivas-Ruiz, R., Roy-García, I. A., Ureña-Wong, K. R., Aguilar-Ituarte, F., Vázquez-De Anda, G. F., Gutiérrez-Castrellón, P., … Moreno-Espinosa, S. (2020). Mortality risk factors in mexican children with covid-19. Gaceta Medica de Mexico, 156(6), 526–532. https://doi.org/10.24875/GMM.20000478
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