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Table 2 Main reasons for hospitalization of children with SARS-CoV-2 infection, according to admission criteria

From: Health-care organization for the management and surveillance of SARS-CoV-2 infection in children during pandemic in Campania region, Italy

Indications for hospital admission Admitted children
N, (%)
Absolute  
Fever < 3 months of age 2 (6.6)
Persistence of high-grade fever (> 38.5°) beyond 5 days 1 (3.3)
Oxygen saturation < 92% OR signs of respiratory distress or tachypnoea 2 (6.6)
• 0–2 months = 60 breaths/min  
• 2–12 months = 50 breaths/min  
• 1–5 years = 40 breaths/min  
• > 5 years = 20 breaths/min  
Seizures or neurological symptoms 3 (10)
Lethargy, alteration in consciousness 0 (0)
Need for parenteral rehydration 1 (3.3)
Surgical condition and/or acute pain (es. renal colic, head trauma) 3 (10)
Congenital cyanotic heart diseases 0 (0)
Myocardial enzymes, coagulation, liver indices, or lactate dehydrogenase alteration 0 (0)
Relative  
Aged < 12 months OR pre-existing conditionsa AND at least one of the following:  
• Persistent fever for 3–5 days 7 (23.3)
• Oxygen saturation < 94% or mild respiratory distress 2 (6.6)
• Extra-pulmonary complications 1 (3.3)
• Co-infections 2 (6.6)
• Prematurity < 34 weeks or small for Gestational Age (< 2000 g) 1 (3.3)
• Reactivation of underlying chronic condition needed hospital procedures (i.e acidosis) 1 (3.3)
Biocontainment (risk of spreading SARS-CoV-2 infection to at-risk cohabitants in the absence of other isolation/quarantine measures) 4 (13.3)
  1. aPre-existing medical conditions include chronic diseases in which an acute infection may trigger reacutization or rapid clinical impairment: diabetes mellitus, metabolic diseases, adrenal insufficiency, renal insufficiency, hepatic insufficiency, cystic fibrosis, immune disorders and ongoing immunosuppressive therapy