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Prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic
Colleti Junior, José; Prata-Barbosa, Arnaldo; Lima-Setta, Fernanda; Araujo, Orlei Ribeiro de; Horigoshi, Nelson K.; Cesar, Regina Grigolli; Souza, Andreia Aparecida Freitas; Foronda, Flávia Andrea Krepel; Almeida, Carlos Gustavo de; Torreão, Lara de Araujo; Crestani, Francielly; Carlotti, Ana Paula de Carvalho Panzeri; Garcia, Pedro Celiny Ramos.
Afiliación
  • Colleti Junior, José; Hospital Assunção Rede DOr São Luiz. São Bernardo do Campo. BR
  • Prata-Barbosa, Arnaldo; Instituto DOr de Pesquisa e Ensino. Rio de Janeiro. BR
  • Lima-Setta, Fernanda; Instituto DOr de Pesquisa e Ensino. Rio de Janeiro. BR
  • Araujo, Orlei Ribeiro de; Instituto de Oncologia Pediátrica (GRAACC). São Paulo. BR
  • Horigoshi, Nelson K.; Hospital Infantil Sabará. São Paulo. BR
  • Cesar, Regina Grigolli; Hospital Infantil Sabará. São Paulo. BR
  • Souza, Andreia Aparecida Freitas; Hospital Infantil Sabará. São Paulo. BR
  • Foronda, Flávia Andrea Krepel; Hospital Sírio-Libanês. São Paulo. BR
  • Almeida, Carlos Gustavo de; Hospital Assunção Rede DOr São Luiz. São Bernardo do Campo. BR
  • Torreão, Lara de Araujo; Hospital Aliança. Salvador. BR
  • Crestani, Francielly; Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre. BR
  • Carlotti, Ana Paula de Carvalho Panzeri; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Hospital das Clínicas. Ribeirão Preto. BR
  • Garcia, Pedro Celiny Ramos; Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre. BR
J. pediatr. (Rio J.) ; J. pediatr. (Rio J.);98(5): 484-489, Sept.-Oct. 2022. tab
Article en En | LILACS-Express | LILACS | ID: biblio-1405476
Biblioteca responsable: BR1.1
ABSTRACT
Abstract Objective The proportion of children with complex chronic conditions is increasing in PICUs around the world. We determined the prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic. Methods The authors conducted a point prevalence cross-sectional study among fifteen Brazilian PICUs during the COVID-19 pandemic. The authors enrolled all children admitted to the participating PICUs with complex chronic conditions on three different days, four weeks apart, starting on April 4th, 2020. The authors recorded the patient's characteristics and functional status at admission and discharge days. Results During the 3 study days from March to June 2020, the authors enrolled 248 patients admitted to the 15 PICUs; 148 had CCC (prevalence of 59.7%). Patients had a median of 1 acute diagnosis and 2 chronic diagnoses. The use of resources/devices was extensive. The main mode of respiratory support was conventional mechanical ventilation. Most patients had a peripherally inserted central catheter (63.1%), followed by a central venous line (52.5%), and 33.3% had gastrostomy or/and tracheostomy. The functional status score was significantly better at discharge compared to admission day due to the respiratory status improvement. Conclusions The prevalence of children with CCC admitted to the Brazilian PICUs represented 59.7% of patients during the COVID-19 pandemic. The functional status of these children improved during hospitalization, mainly due to the respiratory component.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies País/Región como asunto: America do sul / Brasil Idioma: En Revista: J. pediatr. (Rio J.) Asunto de la revista: PEDIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies País/Región como asunto: America do sul / Brasil Idioma: En Revista: J. pediatr. (Rio J.) Asunto de la revista: PEDIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil