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During the 2009 H1N1 pandemic, influenza incidence and illness severity were higher in children than in adults. However, the epidemiology of severe influenza-related illness in children has remained unclear because of the small sample sizes in previously published studies. To amass data on a large cohort, researchers established a registry of patients aged <21 years who were admitted with confirmed or probable pandemic H1N1 (pH1N1) influenza to a pediatric intensive care unit (PICU) at any of 35 major U.S. pediatric hospitals.
A total of 838 children admitted between April 2009 and April 2010 were included in the study: 545 (65%) with pH1N1 confirmed by polymerase chain reaction or viral culture, and 293 (35%) who tested positive for influen…