Prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic
J. pediatr. (Rio J.)
;
98(5): 484-489, Sept.-Oct. 2022. tab
Artículo
en Inglés
|
LILACS-Express
| LILACS
| ID: biblio-1405476
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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Tipo de estudio:
Estudio observacional
/
Estudio de prevalencia
/
Factores de riesgo
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
J. pediatr. (Rio J.)
Asunto de la revista:
Pediatría
Año:
2022
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Hospital Aliança/BR
/
Hospital Assunção Rede DOr São Luiz/BR
/
Hospital Infantil Sabará/BR
/
Hospital Sírio-Libanês/BR
/
Instituto DOr de Pesquisa e Ensino/BR
/
Instituto de Oncologia Pediátrica (GRAACC)/BR
/
Pontifícia Universidade Católica do Rio Grande do Sul/BR
/
Universidade de São Paulo/BR
Similares
MEDLINE
...
LILACS
LIS