Retrospective cohort of children and adolescents hospitalized by COVID-19 in Brazil from the beginning of the pandemic to August 1st, 2020
Keywords:Children and Adolescents, Hospitalization, COVID-19, SARS
Objectives: To characterize the study population, estimating the in-hospital lethality rate by state and analysing associated factors with COVID-19-related deaths. Methods: a retrospective cohort study was carried out of hospitalised children and adolescents diagnosed with COVID-19, confirmed by RT-PCR, whose outcome was death by COVID-19 or recovery, from 2020 March 1 to August 1. The data source was the Influenza Epidemiological Surveillance Information System (SIVEP-Gripe in Brazilian acronym), where patients with Severe Acute Respiratory Syndrome (SARS) are notified. Children were defined as those between the ages of 0 and 11, and adolescents those between 12 and 18. A bi and multivariate analysis were performed using Poisson Regression with robust variance, with adjusted Relative Risk as the final association measure. Results: A total of 4,930 cases were analysed; 2,553 (51.8%) were males, 2,335 (47.4%) were brown-skinned. The Federative Unit of Roraima presented the highest in-hospital case-fatality rate, with 68.8% (n=11/16). Multivariate analysis showed that belonging to the age group adolescent (RR = 1.59; 95% CI 1.12 - 2.25; p=0.009), SARS-critical patient (RR = 4.56; 95% CI 2, 77 - 7.51; p<0.001) and presenting immunological disorders (RR = 2.24; 95% CI 1.58 - 3.17; p<0.001) as comorbidities, were associated factors with death by COVID-19. Conclusion: it was observed that adolescents, SARS-critical patients, and presence of immunological disorders were important factors associated with death. Active surveillance and differentiated care are recommended for patients with chronic diseases and special immunological conditions.
Copyright (c) 2021 Nivreanes Tcherno Nulle Gomes, Maria Isabella Claudino Haslett, Ana Julia Silva e Alves, Jadher Percio, Magda Machado Saraiva Duarte, Juliane Maria Alves Siqueira Malta, Felipe Cotrim de Carvalho, Walquiria Aparecida Ferreira de Almeida, Caroline Gava, Libia Roberta de Oliveira Souza, Francieli Fontana Sutile Tardetti Fantinato, Elizabeth David dos Santos
This work is licensed under a Creative Commons Attribution 4.0 International License.