The Impact of the Novel Coronavirus on Brazilian PICUs

Detalhes bibliográficos
Autor(a) principal: Araujo, Orlei Ribeiro de
Data de Publicação: 2020
Outros Autores: Almeida, Carlos Gustavo de, Lima-Setta, Fernanda, Prata-Barbosa, Arnaldo, Colleti Junior, José, Brazilian Research Network in Pediatric Intensive Care (BRnet-PIC)
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.1097/PCC.0000000000002583
Texto Completo: https://www.arca.fiocruz.br/handle/icict/44070
Resumo: Board members of Brazilian Research Network in Pediatric Intensive Care (BRnet-PIC): Executive Committee: Arnaldo Prata-Barbosa, José Colleti Junior, and Cristian Tedesco Tonial. Scientific Committee: Jefferson Pedro Piva, Werther Brunow de Carvalho, and Pedro Celiny Ramos Garcia.
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spelling Araujo, Orlei Ribeiro deAlmeida, Carlos Gustavo deLima-Setta, FernandaPrata-Barbosa, ArnaldoColleti Junior, JoséBrazilian Research Network in Pediatric Intensive Care (BRnet-PIC)2020-10-19T19:01:21Z2020-10-19T19:01:21Z2020ARAUJO, Orlei Ribeiro de et al. The Impact of the Novel Coronavirus on Brazilian PICUs. Pediatric Critical Care Medicine, p. 1-5, Sept. 14, 2020.1529-7535https://www.arca.fiocruz.br/handle/icict/4407010.1097/PCC.0000000000002583Board members of Brazilian Research Network in Pediatric Intensive Care (BRnet-PIC): Executive Committee: Arnaldo Prata-Barbosa, José Colleti Junior, and Cristian Tedesco Tonial. Scientific Committee: Jefferson Pedro Piva, Werther Brunow de Carvalho, and Pedro Celiny Ramos Garcia.Universidade Federal de São Paulo. Instituto de Oncologia Pediátrica. GRAACC. São Paulo, SP, Brasil.Rede D’Or São Luiz. Hospital Assunção. São Bernardo do Campo, SP, BrasilFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil / Instituto D’Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.Instituto D’Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.Rede D’Or São Luiz. Hospital Assunção. Departamento de Pediatria. São Bernardo do Campo, SP, BrasilObjectives: To study the impact of the coronavirus disease 2019 pandemic, considering the physical distancing and schools closing, on the characteristics of admission and epidemiology on Brazilian PICUs. Design: Observational, multicenter, time series analysis, of electronic medical records from 15 PICU in Brazil. Data consisted of all March, April, and May PICU admissions from 2017 to 2020. Setting: Fifteen private PICUs in Brazil. Patients: Pediatric patients admitted to the PICU from March to May since 2017. Interventions: None. Measurements and Main Results: The period from March 11, 2020, to March 17, 2020, was considered the “intervention point” studied, corresponding to the suspension of school activities and the beginning of physical distancing in Brazil. During the pandemic period studied, there were 28 cases of coronavirus disease 2019 (one death). The mean age was higher (p = 0.000), the length of stay was shorter (p = 0.000), but mortality rates were similar among the periods (p = 0.36). The model estimated a reduction of 1,483 PICU admissions from March 2020 to May 2020. At the end of May, there was an estimated drop of 146.6 bronchiolitis admissions (95% CI, –242.8 to –50.3; p = 0.016); –71 asthma admissions (95% CI, –93.6 to –48.63; p = 0.000); and –59 community-acquired pneumonia admissions (95% CI, –74.7 to –43.3; p = 0.000) per period. The model showed no effect of the “intervention” (physical distancing) on hospitalization rates for epilepsy, diarrhea, sepsis, bacterial meningitis, or surgery when analyzed individually. When assessed together, the model estimated a reduction of 73.6 admissions (95% IC, –132 to –15.2; p = 0.43). Conclusions: The coronavirus disease 2019 pandemic strongly affected Brazilian PICUs, reducing admissions, length of stay, and the epidemiological profile. The measures to oppose the coronavirus disease 2019 pandemic may have prevented thousands of PICU hospitalizations across the country.engLippincott, Williams & WilkinsThe Impact of the Novel Coronavirus on Brazilian PICUsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleCoronavirus infectionsCritical careEpidemiologyLength of stayPatient admissionPediatricsCOVID-19Pandemicsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/44070/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALorlei_ribeiro_et_all.pdfapplication/pdf434361https://www.arca.fiocruz.br/bitstream/icict/44070/2/orlei_ribeiro_et_all.pdf6e2c5919223fa6deab52a2333c167982MD52TEXTorlei_ribeiro_et_all.pdf.txtorlei_ribeiro_et_all.pdf.txtExtracted texttext/plain20066https://www.arca.fiocruz.br/bitstream/icict/44070/3/orlei_ribeiro_et_all.pdf.txt5e3ec32492f9ed3b4625e0c3ffbbdf03MD53icict/440702020-10-20 02:14:52.01oai:www.arca.fiocruz.br:icict/44070Tk9URTogUExBQ0UgWU9VUiBPV04gTElDRU5TRSBIRVJFClRoaXMgc2FtcGxlIGxpY2Vuc2UgaXMgcHJvdmlkZWQgZm9yIGluZm9ybWF0aW9uYWwgcHVycG9zZXMgb25seS4KCk5PTi1FWENMVVNJVkUgRElTVFJJQlVUSU9OIExJQ0VOU0UKCkJ5IHNpZ25pbmcgYW5kIHN1Ym1pdHRpbmcgdGhpcyBsaWNlbnNlLCB5b3UgKHRoZSBhdXRob3Iocykgb3IgY29weXJpZ2h0Cm93bmVyKSBncmFudHMgdG8gRFNwYWNlIFVuaXZlcnNpdHkgKERTVSkgdGhlIG5vbi1leGNsdXNpdmUgcmlnaHQgdG8gcmVwcm9kdWNlLAp0cmFuc2xhdGUgKGFzIGRlZmluZWQgYmVsb3cpLCBhbmQvb3IgZGlzdHJpYnV0ZSB5b3VyIHN1Ym1pc3Npb24gKGluY2x1ZGluZwp0aGUgYWJzdHJhY3QpIHdvcmxkd2lkZSBpbiBwcmludCBhbmQgZWxlY3Ryb25pYyBmb3JtYXQgYW5kIGluIGFueSBtZWRpdW0sCmluY2x1ZGluZyBidXQgbm90IGxpbWl0ZWQgdG8gYXVkaW8gb3IgdmlkZW8uCgpZb3UgYWdyZWUgdGhhdCBEU1UgbWF5LCB3aXRob3V0IGNoYW5naW5nIHRoZSBjb250ZW50LCB0cmFuc2xhdGUgdGhlCnN1Ym1pc3Npb24gdG8gYW55IG1lZGl1bSBvciBmb3JtYXQgZm9yIHRoZSBwdXJwb3NlIG9mIHByZXNlcnZhdGlvbi4KCllvdSBhbHNvIGFncmVlIHRoYXQgRFNVIG1heSBrZWVwIG1vcmUgdGhhbiBvbmUgY29weSBvZiB0aGlzIHN1Ym1pc3Npb24gZm9yCnB1cnBvc2VzIG9mIHNlY3VyaXR5LCBiYWNrLXVwIGFuZCBwcmVzZXJ2YXRpb24uCgpZb3UgcmVwcmVzZW50IHRoYXQgdGhlIHN1Ym1pc3Npb24gaXMgeW91ciBvcmlnaW5hbCB3b3JrLCBhbmQgdGhhdCB5b3UgaGF2ZQp0aGUgcmlnaHQgdG8gZ3JhbnQgdGhlIHJpZ2h0cyBjb250YWluZWQgaW4gdGhpcyBsaWNlbnNlLiBZb3UgYWxzbyByZXByZXNlbnQKdGhhdCB5b3VyIHN1Ym1pc3Npb24gZG9lcyBub3QsIHRvIHRoZSBiZXN0IG9mIHlvdXIga25vd2xlZGdlLCBpbmZyaW5nZSB1cG9uCmFueW9uZSdzIGNvcHlyaWdodC4KCklmIHRoZSBzdWJtaXNzaW9uIGNvbnRhaW5zIG1hdGVyaWFsIGZvciB3aGljaCB5b3UgZG8gbm90IGhvbGQgY29weXJpZ2h0LAp5b3UgcmVwcmVzZW50IHRoYXQgeW91IGhhdmUgb2J0YWluZWQgdGhlIHVucmVzdHJpY3RlZCBwZXJtaXNzaW9uIG9mIHRoZQpjb3B5cmlnaHQgb3duZXIgdG8gZ3JhbnQgRFNVIHRoZSByaWdodHMgcmVxdWlyZWQgYnkgdGhpcyBsaWNlbnNlLCBhbmQgdGhhdApzdWNoIHRoaXJkLXBhcnR5IG93bmVkIG1hdGVyaWFsIGlzIGNsZWFybHkgaWRlbnRpZmllZCBhbmQgYWNrbm93bGVkZ2VkCndpdGhpbiB0aGUgdGV4dCBvciBjb250ZW50IG9mIHRoZSBzdWJtaXNzaW9uLgoKSUYgVEhFIFNVQk1JU1NJT04gSVMgQkFTRUQgVVBPTiBXT1JLIFRIQVQgSEFTIEJFRU4gU1BPTlNPUkVEIE9SIFNVUFBPUlRFRApCWSBBTiBBR0VOQ1kgT1IgT1JHQU5JWkFUSU9OIE9USEVSIFRIQU4gRFNVLCBZT1UgUkVQUkVTRU5UIFRIQVQgWU9VIEhBVkUKRlVMRklMTEVEIEFOWSBSSUdIVCBPRiBSRVZJRVcgT1IgT1RIRVIgT0JMSUdBVElPTlMgUkVRVUlSRUQgQlkgU1VDSApDT05UUkFDVCBPUiBBR1JFRU1FTlQuCgpEU1Ugd2lsbCBjbGVhcmx5IGlkZW50aWZ5IHlvdXIgbmFtZShzKSBhcyB0aGUgYXV0aG9yKHMpIG9yIG93bmVyKHMpIG9mIHRoZQpzdWJtaXNzaW9uLCBhbmQgd2lsbCBub3QgbWFrZSBhbnkgYWx0ZXJhdGlvbiwgb3RoZXIgdGhhbiBhcyBhbGxvd2VkIGJ5IHRoaXMKbGljZW5zZSwgdG8geW91ciBzdWJtaXNzaW9uLgo=Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352020-10-20T05:14:52Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv The Impact of the Novel Coronavirus on Brazilian PICUs
title The Impact of the Novel Coronavirus on Brazilian PICUs
spellingShingle The Impact of the Novel Coronavirus on Brazilian PICUs
Araujo, Orlei Ribeiro de
Coronavirus infections
Critical care
Epidemiology
Length of stay
Patient admission
Pediatrics
COVID-19
Pandemics
title_short The Impact of the Novel Coronavirus on Brazilian PICUs
title_full The Impact of the Novel Coronavirus on Brazilian PICUs
title_fullStr The Impact of the Novel Coronavirus on Brazilian PICUs
title_full_unstemmed The Impact of the Novel Coronavirus on Brazilian PICUs
title_sort The Impact of the Novel Coronavirus on Brazilian PICUs
author Araujo, Orlei Ribeiro de
author_facet Araujo, Orlei Ribeiro de
Almeida, Carlos Gustavo de
Lima-Setta, Fernanda
Prata-Barbosa, Arnaldo
Colleti Junior, José
Brazilian Research Network in Pediatric Intensive Care (BRnet-PIC)
author_role author
author2 Almeida, Carlos Gustavo de
Lima-Setta, Fernanda
Prata-Barbosa, Arnaldo
Colleti Junior, José
Brazilian Research Network in Pediatric Intensive Care (BRnet-PIC)
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Araujo, Orlei Ribeiro de
Almeida, Carlos Gustavo de
Lima-Setta, Fernanda
Prata-Barbosa, Arnaldo
Colleti Junior, José
Brazilian Research Network in Pediatric Intensive Care (BRnet-PIC)
dc.subject.en.pt_BR.fl_str_mv Coronavirus infections
Critical care
Epidemiology
Length of stay
Patient admission
Pediatrics
COVID-19
Pandemics
topic Coronavirus infections
Critical care
Epidemiology
Length of stay
Patient admission
Pediatrics
COVID-19
Pandemics
description Board members of Brazilian Research Network in Pediatric Intensive Care (BRnet-PIC): Executive Committee: Arnaldo Prata-Barbosa, José Colleti Junior, and Cristian Tedesco Tonial. Scientific Committee: Jefferson Pedro Piva, Werther Brunow de Carvalho, and Pedro Celiny Ramos Garcia.
publishDate 2020
dc.date.accessioned.fl_str_mv 2020-10-19T19:01:21Z
dc.date.available.fl_str_mv 2020-10-19T19:01:21Z
dc.date.issued.fl_str_mv 2020
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv ARAUJO, Orlei Ribeiro de et al. The Impact of the Novel Coronavirus on Brazilian PICUs. Pediatric Critical Care Medicine, p. 1-5, Sept. 14, 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/44070
dc.identifier.issn.pt_BR.fl_str_mv 1529-7535
dc.identifier.doi.none.fl_str_mv 10.1097/PCC.0000000000002583
identifier_str_mv ARAUJO, Orlei Ribeiro de et al. The Impact of the Novel Coronavirus on Brazilian PICUs. Pediatric Critical Care Medicine, p. 1-5, Sept. 14, 2020.
1529-7535
10.1097/PCC.0000000000002583
url https://www.arca.fiocruz.br/handle/icict/44070
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Lippincott, Williams & Wilkins
publisher.none.fl_str_mv Lippincott, Williams & Wilkins
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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