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. 2024 Mar 28:12:1352260.
doi: 10.3389/fped.2024.1352260. eCollection 2024.

Pediatric COVID-19 in Argentina: a comprehensive analysis of disease and economic burden through official data and a systematic literature review

Ariel Bardach  1   2 , Silvina Ruvinsky  1   3 , Carolina Moreno  1 , Lucas Perelli  1 , Moe H Kyaw  4 , Julia Spinardi  5 , Carlos Fernando Mendoza  6 , Carolina M Carballo  7 , Macarena Roel  3 , Natalia Espinola  1
Affiliations

Pediatric COVID-19 in Argentina: a comprehensive analysis of disease and economic burden through official data and a systematic literature review

Ariel Bardach et al. Front Pediatr. .

Abstract

Background: Limited data are available on the clinical impact and economic burden of COVID-19 in the pediatric population in Argentina. We aimed to estimate the disease and economic burden of COVID-19 on children and adolescents.

Methods: We analyzed official national databases and conducted a supplemental systematic review of the published literature with meta-analysis in children aged 0-18. The period of interest was from March 2020 to August 2021, before the introduction of vaccination in this age group as a national strategic plan. In addition, we used a cost of illness analysis to estimate the direct medical costs associated with COVID-19. All costs are reported in US dollars 2023.

Results: A total of 450,503 confirmed COVID-19 cases and 180 multisystem inflammatory syndrome (MIS-C) were reported in Argentina in the study period. Fourteen observational clinical studies were identified. The meta-analyses of severity level from hospital patients showed that according to different studies 15%-28% of cases were asymptomatic, 68%-88% were mild or moderate, and 3%-10% were severe or critical. About 28% of children had an underlying disease. In addition, the estimated economic burden associated with COVID-19 was 80 million dollars and 4 million dollars corresponded to MISC.

Conclusion: Significant impact of COVID-19 on the healthcare system and substantial economic implications for the pediatric population in Argentina were identified. The findings should help policymakers to make informed decisions and allocate resources effectively.

Keywords: Argentina; disease burden; economic burden; meta-analysis; multisystem inflammatory syndrome; pediatric COVID-19; systematic review.

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Conflict of interest statement

Financial support for this study was provided by Pfizer Inc. Argentina. The funder had the following involvement in the study: participated in the review and approval of the publication.

Figures

Figure 1
Figure 1
PRISMA 2020 study diagram.
Figure 2
Figure 2
Forest plots showing proportion meta-analyses of clinical severity according to WHO classification in COVID-19 pediatric patients assessed in hospitals. Argentina, 2021.
See this image and copyright information in PMC

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