Multisystem Inflammatory Syndrome in Children: sectional study of cases and factors associated with deaths during COVID-19 pandemic in Brazil, 2020 / Síndrome inflamatorio multisistémico pediátrico: estudio seccional de casos y factores asociados a las muertes durante la pandemia COVID-19 en Brasil, 2020 / Síndrome inflamatória multissistêmica pediátrica: estudo seccional dos casos e fatores associados aos óbitos durante a pandemia de COVID-19 no Brasil, 2020
Preprint
en Portugués
| PREPRINT-SCIELO | ID: pps-2968
Objective:
To describe the clinical-epidemiological profile of Multisystem Inflammatory Syndrome in Children (MIS-C) cases and to identify factors associated with MIS-C deaths in Brazil, 2020.
The median age of cases (n=652) was 5 years, 57.1% were male, 52.0% were brown race/color and 6.4% died. The odds of death was greater among those who presented O2 saturation <95% (ORa=4.35 95%CI 1.69;11.20) and altered result of urea (ORa=5.18 95%CI 1.91;14.04); lower in the absence of cutaneous lesion such as rash (ORa=0.23 95%CI 0.09;0.62), with the use of anticoagulants (ORa=0.32 95%CI 0.12;0.89) and of immunoglobulins (ORa=0.38 95%CI 0.15;1.01).
Conclusion:
Fatality rates was higher among cases that presented O2 saturation<95% and altered urea, and lower among those with cutaneous lesion, who used immunoglobulins and anticoagulants.
Objetivo:
Caracterizar o perfil clínico-epidemiológico da síndrome inflamatória multissistêmica pediátrica temporalmente associada à COVID-19 (SIM-P) e identificar fatores associados aos óbitos de SIM-P no Brasil, 2020.
Métodos:
Estudo seccional, utilizando dados do monitoramento nacional da SIM-P. Empregou-se regressão logística para estimar razões de chances (ORs, odds ratios) brutas e ajustadas.
Resultados:
Os casos (n=652) apresentaram idade mediana de 5 anos; 57,1% eram do sexomasculino e 52,0% de raça/cor da pele parda; 6,4% evoluíram a óbito. A chance de óbito foi significativamente maior nos que apresentaram saturação de O2<95% (ORa=4,35 IC95% 1,69;11,20) e resultado alterado de ureia (ORa=5,18 IC95% 1,91;14,04); e menor na ausência de manchas vermelhas pelo corpo (ORa=0,23 IC95% 0,09;0,62), com uso de anticoagulantes (ORa=0,32 IC95% 0,12;0,89) e imunoglobulinas (ORa=0,38 IC95% 0,15;1,01).