The coronavirus disease 2019 (COVID-19) pandemic continues to spread, with more than 4.6 million confirmed cases worldwide as of May 19, 2020. Children appear less susceptible, with the Chinese Center for Disease Control and Prevention reporting that children constitute only 2.16% of confirmed cases.1 This may underestimate the true incidence of COVID-19 in children. Children are more likely to be asymptomatic or mildly symptomatic and thus less likely to be tested. The purpose of this study was to determine the incidence of COVID-19 in pediatric patients presenting for surgery at 3 tertiary care children’s hospitals across the United States.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Apurva S. Shah, MD, MBA, Division of Orthopaedic Surgery, 3401 Civic Center Blvd, 2nd Floor Wood Center, Philadelphia, PA 19104 (email@example.com).
Published Online: June 4, 2020. doi:10.1001/jamasurg.2020.2588
Author Contributions: Drs Lin and Shah had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Lin, Blumberg, Shah.
Acquisition, analysis, or interpretation of data: All authors.
Drafting of the manuscript: Lin, Shah.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Talwar.
Administrative, technical, or material support: All authors.
Supervision: Lin, Blumberg, Shah.
Conflict of Interest Disclosures: None reported.
Additional Contributions: We acknowledge Philip D. Bailey, DO; David E. Cohen, MD; and Charles Dean Kurth, MD, for their role in developing a universal screening program for severe acute respiratory syndrome coronavirus 2 in children undergoing surgery at the Children’s Hospital of Philadelphia in Philadelphia, Pennsylvania. No compensation was received for their role in this investigation.
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