Thread by @MonicaGandhi9

Good to see that 45.7% of adolescents in this study did not have primary reason for admission be related to COVID-19 which is consistent with careful work done by our Stanford & Northern California colleagues that 40% admissions in children not for COVID
cdc.gov/mmwr/volumes/7…

That work is summarized here in a commentary I wrote with @DrAmyBeck - careful chart review find reasons for 40% hospitalizations in children during pandemic linked to other reasons (consistent with 45.7% in this study) hosppeds.aappublications.org/content/early/…

Those carefully done studies with chart review are here so you can look at them for yourself
hosppeds.aappublications.org/content/early/…

here is 2nd paper in same edition, Hospital Pediatrics. Consistent with this CDC data that admissions for COVID for children, 40-45.7% misclassified. Form policy (2nd dose delay?) carefully after ACIP reviews myocarditis cases from UW in young after dose 2
hosppeds.aappublications.org/content/early/…

Always be careful about children: 1) carefully adjudicate reasons for hospitalization in young people & assure if for COVID-19, not due to universal screening with PCR positivity in nose; 2) ACIP- evaluate Seattle myocarditis cases, see if delaying 2nd dose in 12-15 good strategy

Also, one thing I noticed reporters may not know: we do not screen everyone for flu when they enter a hospital in winter for something else. We screened everyone for COVID in their nose when they got admitted for infection control purposes. This is why this CDC study noting 45.7%

of admissions were not for COVID but other reasons (psychiatric in 44%) and the two Hospital Pediatrics studies @DrAmyBeck I reviewed were so important. We do not misclassify flu hospitalizations in children in 2018, 2019; we misclassified COVID admissions in children in 2020

And one final thing & you may have noticed I try to be calm here usually: it is NOT okay for a poorly done CDC MMWR study nor reporters to scare parents. If you report data accurately, people will still follow appropriate precautions when needed; get vaccinated; not ok to scare