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1.
Critical Care Medicine ; 50(1 SUPPL):251, 2022.
Article in English | EMBASE | ID: covidwho-1691880

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. METHODS: We conducted a point prevalence crosssectional study among fifteen Brazilian PICUs during the COVID-19 pandemic. The study had IRB consent. We enrolled all children admitted to the participating PICUs with complex chronic conditions on 3 different days, 4 weeks apart, starting on April 4th, 2020. We recorded the patient's characteristics and functional status at the admission and discharge days. RESULTS: During the 3 study days from March to June 2020, we 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 during the COVID-19 pandemic was higher than studies in other countries, representing 59.7% of patients in the PICUs. The functional status of these children improved during hospitalization, mainly due to the respiratory component.

2.
*covid-19 Child Humans Magnetic Resonance Imaging *Muscular Diseases/diagnosis SARS-CoV-2 Syndrome Systemic Inflammatory Response Syndrome ; 2021(Rev Soc Bras Med Trop)
Article in English | WHO COVID | ID: covidwho-1154123

ABSTRACT

This report describes a case of multisystem inflammatory syndrome in a child that evolved with a pattern of toxic shock syndrome with coronary artery ectasia and neurological involvement, documented by magnetic resonance imaging, with changes in the corpus callosum and myopathy in the pelvic girdle and paravertebral musculature.

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