ICU Admission, Invasive Mechanical Ventilation, and Mortality among Children and Adolescents Hospitalized for COVID-19 in a Private Healthcare System.

IF 1.3 Q3 PEDIATRICS International Journal of Pediatrics Pub Date : 2023-01-01 DOI:10.1155/2023/1698407
Maria da Gloria Cruvinel Horta, Geraldo Jose Coelho Ribeiro, Nelson Otavio Beltrao Campos, Douglas Ribeiro de Oliveira, Lelia Maria de Almeida Carvalho, Karina de Castro Zocrato, Daniel Pitchon Dos Reis, Mariana Ribeiro Fernandes, Ricardo Mesquita Camelo, Fernando Martin Biscione, Silvana Marcia Bruschi Kelles
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引用次数: 1

Abstract

Aim: The COVID-19 pandemic devastated healthcare around the world. Data about the COVID-19 outcomes among young people are still scarce. We aim to identify factors associated with the composite outcome among children and adolescents hospitalized due to COVID-19.

Methods: We performed a search in the database of a large Brazilian private healthcare system. Insured people aged 21 years or younger who were hospitalized due to COVID-19 from Feb/28th/2020 to Nov/1st/2021 were included. The primary endpoint was the composite outcome consisting of ICU admission, need for invasive mechanical ventilation, or death.

Results: We evaluated 199 patients who had an index hospitalization due to COVID-19. The median monthly rate of index hospitalization was 2.7 (interquartile range [IQR], 1.6-3.9) per 100,000 clients aged 21 years or less. The median age of the patients was 4.5 years (IQR, 1.4-14.1). At the index hospitalization, the composite outcome rate was 26.6%. The composite outcome was associated with all the previous coexisting morbidities evaluated. The median follow-up was 249.0 days (IQR, 152.0-438.5). There were 27 readmissions (16 patients) within 30 days after the discharge.

Conclusions: In conclusion, hospitalized children and adolescents had a composite outcome rate of 26.6% at the index hospitalization. Having previous chronic morbidity was associated with the composite.

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私立医疗机构COVID-19住院儿童和青少年的ICU入院、有创机械通气和死亡率
目的:COVID-19大流行摧毁了世界各地的医疗保健。关于COVID-19在年轻人中的结果的数据仍然很少。我们的目标是确定与因COVID-19住院的儿童和青少年的综合结局相关的因素。方法:我们在巴西一家大型私人医疗保健系统的数据库中进行了搜索。纳入2020年2月28日至2021年11月1日期间因新冠肺炎住院的21岁及以下参保人员。主要终点是由ICU入院、需要有创机械通气或死亡组成的复合终点。结果:我们评估了199例因COVID-19而住院的患者。每月指数住院率中位数为2.7(四分位数区间[IQR], 1.6-3.9) / 10万名年龄在21岁或以下的患者。患者的中位年龄为4.5岁(IQR, 1.4-14.1)。指数住院时,综合转归率为26.6%。综合结果与先前评估的所有共存的发病率相关。中位随访时间为249.0天(IQR, 152.0-438.5)。出院后30天内再入院27例(16例)。结论:综上所述,住院儿童和青少年在指数住院时的综合转归率为26.6%。既往慢性发病率与该组合有关。
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来源期刊
CiteScore
3.90
自引率
0.00%
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0
审稿时长
4 weeks
期刊介绍: International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.
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