{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T11:21:58Z","timestamp":1793013718100,"version":"4.5.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T00:00:00Z","timestamp":1653004800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers of Disease Control and Prevention","doi-asserted-by":"crossref","award":["CK17\u20131701"],"award-info":[{"award-number":["CK17\u20131701"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100005663","name":"Council of State and Territorial Epidemiologists","doi-asserted-by":"crossref","award":["NU38OT000297\u201302\u201300"],"award-info":[{"award-number":["NU38OT000297\u201302\u201300"]}],"id":[{"id":"10.13039\/100005663","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Michigan Department of Health and Human Services"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Influenza virus and SARS-CoV-2 are significant causes of respiratory illness in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Influenza- and COVID-19\u2013associated hospitalizations among children &amp;lt;18 years old were analyzed from FluSurv-NET and COVID-NET, 2 population-based surveillance systems with similar catchment areas and methodology. The annual COVID-19\u2013associated hospitalization rate per 100 000 during the ongoing COVID-19 pandemic (1 October 2020\u201330 September 2021) was compared with influenza-associated hospitalization rates during the 2017\u20132018 through 2019\u20132020 influenza seasons. In-hospital outcomes, including intensive care unit (ICU) admission and death, were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among children &amp;lt;18 years, the COVID-19\u2013associated hospitalization rate (48.2) was higher than influenza-associated hospitalization rates: 2017\u20132018 (33.5), 2018\u20132019 (33.8), and 2019\u20132020 (41.7). The COVID-19\u2013associated hospitalization rate was higher among adolescents 12\u201317 years old (COVID-19: 59.9; influenza range: 12.2\u201314.1), but similar or lower among children 5\u201311 (COVID-19: 25.0; influenza range: 24.3\u201331.7) and 0\u20134 (COVID-19: 66.8; influenza range: 70.9\u201391.5) years old. Among children &amp;lt;18 years, a higher proportion with COVID-19 required ICU admission compared with influenza (26.4% vs 21.6%; P &amp;lt; .01). Pediatric deaths were uncommon during both COVID-19\u2013 and influenza-associated hospitalizations (0.7% vs 0.5%; P = .28).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In the setting of extensive mitigation measures during the COVID-19 pandemic, the annual COVID-19\u2013associated hospitalization rate during 2020\u20132021 was higher among adolescents and similar or lower among children &amp;lt;12 years compared with influenza during the 3 seasons before the COVID-19 pandemic. COVID-19 adds substantially to the existing burden of pediatric hospitalizations and severe outcomes caused by influenza and other respiratory viruses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/cid\/ciac388","type":"journal-article","created":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T17:27:18Z","timestamp":1653067638000},"page":"e450-e459","source":"Crossref","is-referenced-by-count":52,"title":["Comparison of Influenza and Coronavirus Disease 2019\u2013Associated Hospitalizations Among Children Younger Than 18 Years Old in the United States: FluSurv-NET (October\u2013April 2017\u20132021) and COVID-NET (October 2020\u2013September 2021)"],"prefix":"10.1093","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4074-1367","authenticated-orcid":false,"given":"Miranda J","family":"Delahoy","sequence":"first","affiliation":[{"name":"CDC COVID-19 Response Team, Centers for Disease Control and Prevention , Atlanta, Georgia , USA"},{"name":"Influenza 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