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J Perinatol . Trends in COVID-19 diagnoses and outcomes in infants hospitalized in the neonatal intensive care unit

tetano

Editor, Senior Moderator
J Perinatol


. 2023 Jul 14.
doi: 10.1038/s41372-023-01725-1. Online ahead of print. Trends in COVID-19 diagnoses and outcomes in infants hospitalized in the neonatal intensive care unit

Elizabeth B Heyward[SUP] 1 [/SUP], Reese H Clark[SUP] 2 [/SUP], P Brian Smith[SUP] 1 3 [/SUP], Daniel K Benjamin Jr[SUP] 1 3 [/SUP], Kanecia O Zimmerman[SUP] 1 3 [/SUP], Kaashif A Ahmad[SUP] 2 4 5 [/SUP], Courtney K Blackwell[SUP] 6 [/SUP], Hannah Won[SUP] 3 [/SUP], Rachel Ssengonzi[SUP] 3 [/SUP], Avi Belbase[SUP] 3 [/SUP], Courage O Ndalama[SUP] 3 [/SUP], Jennifer An[SUP] 3 [/SUP], Ogugua Nwaezeigwe[SUP] 3 [/SUP], Rachel G Greenberg[SUP] 7 8 [/SUP]



Affiliations
Abstract

Objective: Characterize the prevalence of coronavirus disease 2019 (COVID-19) diagnosis among mothers with infants hospitalized in 294 neonatal intensive care units (NICUs), and demographics and outcomes of infants with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exposure in utero.
Study design: Cohort study of infants discharged from NICUs 01/2020-09/2021. We defined groups based on infant diagnosis, infant testing, and maternal SARS-CoV-2 infection status. We compared demographics, clinical characteristics, and outcomes.
Results: Of 150,924 infants, 94% had no COVID-related diagnosis or test; 247 (0.2%) infants tested positive for COVID-19 and were more likely to require mechanical ventilation. Infants with unknown maternal status and negative testing were more commonly premature, outborn, and had longer hospitalizations.
Conclusion: In this large cohort of hospitalized infants, most had no known exposure to COVID-19. Adverse outcomes and mortality were rare. Further studies are needed to evaluate the long-term effects of COVID-19 in this population.


 
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