OBJECTIVES This study describes characteristics of children ages 1 to 17 years who died of coronavirus disease 2019 (COVID-19) in 2020 to 2022 and whose deaths were reviewed by child death review (CDR) teams across the United States. METHODS We used data in the National Fatality Review-Case Reporting System to examine children who died of COVID-19. Deaths were determined because of COVID-19 from death certificates or CDR determinations. RESULTS A total of 183 children 1 to 17 years old who died of COVID-19 were reported in the National Fatality Review-Case Reporting System. One-third (33%) were 15- to 17-year-olds, and 26% were 1- to 4-year-olds. Fifty-six percent were reported as male, 54% white, 24% Black, and 18% Hispanic ethnicity. Physicians declared cause of death in at least 82% of deaths. More than two-thirds (68%) had a medical condition (excluding COVID-19) at time of death. The most common conditions were nervous system disorders (19%), congenital disorders (14%), obesity (12%), respiratory disorders (12%), and neurodevelopmental disorders (10%). Of children with an underlying condition, 35% had 3 or more conditions. Less than half (42%) had contact with a health care provider within a month of their death; and three-fourths died within 14 days of exposure. CONCLUSIONS This study describes the demographics, death investigation findings, and medical conditions of children who died of COVID-19. The results highlight the short timeline between COVID-19 exposure and death. Pandemic planning that prioritizes prevention efforts and timely access to effective medical care may result in saving children's lives.

中文翻译：

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1-17 年在美国死于 COVID-19 的 2022-2022 岁儿童的特征。


目的 本研究描述了 2020 年至 2022 年死于 2019 冠状病毒病 （COVID-19） 的 1 至 17 岁儿童的特征，美国各地的儿童死亡审查 （CDR） 团队审查了他们的死亡情况。方法 我们使用国家死亡审查-病例报告系统中的数据来检查死于 COVID-19 的儿童。死亡人数是根据死亡证明或 CDR 确定的 COVID-19 确定的。结果 全国死亡审查病例报告系统共报告了 183 名 1 至 17 岁的 COVID-19 儿童死亡。三分之一 （33%） 是 15 至 17 岁的青少年，26% 是 1 至 4 岁的青少年。据报道，56% 是男性，54% 是白人，24% 是黑人和 18% 是西班牙裔。医生宣布了至少 82% 的死亡原因。超过三分之二 （68%） 的人在死亡时患有疾病（不包括 COVID-19）。最常见的疾病是神经系统疾病 （19%）、先天性疾病 （14%）、肥胖 （12%）、呼吸系统疾病 （12%） 和神经发育障碍 （10%）。在有基础疾病的儿童中，35% 有 3 种或更多疾病。不到一半 （42%） 的人在去世后一个月内与医疗保健提供者有过接触;四分之三的患者在暴露后 14 天内死亡。结论 本研究描述了死于 COVID-19 的儿童的人口统计学、死亡调查结果和医疗状况。结果突出了 COVID-19 暴露和死亡之间的时间很短。优先考虑预防工作和及时获得有效医疗服务的大流行病规划可能会挽救儿童的生命。