Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study

Detalhes bibliográficos
Autor(a) principal: Prata-Barbosa, Arnaldo
Data de Publicação: 2020
Outros Autores: Lima-Setta, Fernanda, Santos, Gustavo Rodrigues dos, Lanziotti, Vanessa Soares, Castro, Roberta Esteves Vieira de, Souza, Daniela Carla de, Raymundo, Carlos Eduardo, Oliveira, Felipe Rezende Caino de, Lima, Lucio Flavio Peixoto de, Tonial, Cristian Tedesco, Colleti, José, Bellinat, Ana Paula Novaes, Lorenzo, Vivian Botelho, Zeitel, Raquel de Seixas, Pulcheri, Lucas, Costa, Fernanda Ciuffo Monte da, La Torre, Fabíola Peixoto Ferreira, Figueiredo, Elaine Augusta das Neves, Silva, Thiago Peres da, Riveiro, Paula Marins, Mota, Isabele Coelho Fonseca da, Brandão, Igor Bromonschenkel, Azevedo, Zina Maria Almeida de, Gregory, Simone Camera, Boedo, Fernanda Raquel Oliveira, Carvalho, Rosana Novais de, Castro, Natália Almeida de Arnaldo Silva Rodriguez, Genu, Daniel Hilário Santos, Foronda, Flavia Andrea Krepel, Cunha, Antonio José Ledo A., Magalhães-Barbosa, Maria Clara de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/44322
Resumo: Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
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spelling Prata-Barbosa, ArnaldoLima-Setta, FernandaSantos, Gustavo Rodrigues dosLanziotti, Vanessa SoaresCastro, Roberta Esteves Vieira deSouza, Daniela Carla deRaymundo, Carlos EduardoOliveira, Felipe Rezende Caino deLima, Lucio Flavio Peixoto deTonial, Cristian TedescoColleti, JoséBellinat, Ana Paula NovaesLorenzo, Vivian BotelhoZeitel, Raquel de SeixasPulcheri, LucasCosta, Fernanda Ciuffo Monte daLa Torre, Fabíola Peixoto FerreiraFigueiredo, Elaine Augusta das NevesSilva, Thiago Peres daRiveiro, Paula MarinsMota, Isabele Coelho Fonseca daBrandão, Igor BromonschenkelAzevedo, Zina Maria Almeida deGregory, Simone CameraBoedo, Fernanda Raquel OliveiraCarvalho, Rosana Novais deCastro, Natália Almeida de Arnaldo Silva RodriguezGenu, Daniel Hilário SantosForonda, Flavia Andrea KrepelCunha, Antonio José Ledo A.Magalhães-Barbosa, Maria Clara de2020-11-05T21:19:03Z2020-11-05T21:19:03Z2020PRATA-BARBOSA, Arnaldo et al. Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study. Jornal de Pediatria, v. 96, n. 5, 582-592, 2020.0021-7557https://www.arca.fiocruz.br/handle/icict/4432210.1016/j.jped.2020.07.002Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.Instituto D'Or de Pesquisa e Ensino. 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.Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Universidade do Estado do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Hospital Sírio Libanês. São Paulo, SP. Brasil.Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ. Brasil.Hospital Alvorada Moema. São Paulo, SP. Brasil.Hospital SEPACO. São Paulo, SP. Brasil.Pontifícia Universidade Católica. Porto Alegre, RS. Brasil.Hospital Assunção. São Bernardo do Campo, SP. Brasil.Hospital Martagão Gesteira. Salvador, BA. Brasil.Hospital Couto Maia. Salvador, BA. Brasil.Universidade do Estado do Rio de Janeiro. Hospital Pedro Ernesto. Rio de Janeiro, RJ. Brasil.Hospital Rios D'Or. Rio de Janeiro, RJ. Brasil.Hospital Quinta D'Or. Rio de Janeiro, RJ. Brasil.Hospital Sino Brasileiro. Osasco, SP. Brasil.Hospital Pediátrico Unimed. Belém, PA. Brasil.Hospital Real D'Or. Rio de Janeiro, RJ. Brasil.Hospital Caxias D'Or. Duque de Caxias, RJ. BrasilHospital Jutta Batista. Rio de Janeiro, RJ. BrasilHospital Niteroi D'Or. Rio de Janeiro, RJ. Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, BrasilHospital Estadual da Criança. Rio de Janeiro, RJ. Brasil.Hospital Norte D'Or. Rio de Janeiro, RJ. Brasil.Hospital Santa Izabel. Santa Casa da Misericórdia. Salvador, BA. Brasil.Hospital da Criança. Faculdade de Medicina. São José do Rio Preto, SP. Brasil.Hospital Estadual Getúlio Vargas. Rio de Janeiro, RJ. Brasil.Hospital Sírio Libanês. São Paulo, SP. Brasil.Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, BrasilInstituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ. Brasil.Brazilian Research Network in Pediatric Intensive CareObjective: To describe the clinical characteristics of children and adolescents admitted to intensive care with confirmed COVID-19. Method: Prospective, multicenter, observational study, in 19 pediatric intensive care units. Patients aged 1 month to 19 years admitted consecutively (March-May 2020) were included. Demographic, clinical-epidemiological features, treatment, and outcomes were collected. Subgroups were compared according to comorbidities, age < 1 year, and need for invasive mechanical ventilation. A multivariable logistic regression model was used for predictors of severity. Results: Seventy-nine patients were included (ten with multisystemic inflammatory syndrome). Median age 4 years; 54% male (multisystemic inflammatory syndrome, 80%); 41% had comorbidities (multisystemic inflammatory syndrome, 20%). Fever (76%), cough (51%), and tachypnea (50%) were common in both groups. Severe symptoms, gastrointestinal symptoms, and higher inflammatory markers were more frequent in multisystemic inflammatory syndrome. Interstitial lung infiltrates were common in both groups, but pleural effusion was more prevalent in the multisystemic inflammatory syndrome group (43% vs. 14%). Invasive mechanical ventilation was used in 18% (median 7.5 days); antibiotics, oseltamivir, and corticosteroids were used in 76%, 43%, and 23%, respectively, but not hydroxychloroquine. The median pediatric intensive care unit length-of-stay was five days; there were two deaths (3%) in the non- multisystemic inflammatory syndrome group. Patients with comorbidities were older and comorbidities were independently associated with the need for invasive mechanical ventilation (OR 5.5; 95% CI, 1.43-21.12; p = 0.01). Conclusions: In Brazilian pediatric intensive care units, COVID-19 had low mortality, age less than 1 year was not associated with a worse prognosis, and patients with multisystemic inflammatory syndrome had more severe symptoms, higher inflammatory biomarkers, and a greater predominance of males, but only comorbidities and chronic diseases were independent predictors of severity.engSociedade Brasileira de Pediatriahttps://www.arca.fiocruz.br/handle/icict/42737AdolescentBetacoronavirusBrazilChildChild, PreschoolCoronavirus Infections / epidemiologyCoronavirus Infections / therapyFemaleHospitalizationHumansInfantInfant, NewbornIntensive Care Units, Pediatric / statistics & numerical dataLength of Stay / statistics & numerical dataMalePandemicsPneumonia, Viral / epidemiologyPneumonia, Viral / therapyProspective StudiesRespiration, Artificial / methodsRespiration, Artificial / statistics & numerical dataSystemic Inflammatory Response SyndromeCOVID-19severe acute respiratory syndrome 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dc.title.pt_BR.fl_str_mv Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study
title Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study
spellingShingle Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study
Prata-Barbosa, Arnaldo
Adolescent
Betacoronavirus
Brazil
Child
Child, Preschool
Coronavirus Infections / epidemiology
Coronavirus Infections / therapy
Female
Hospitalization
Humans
Infant
Infant, Newborn
Intensive Care Units, Pediatric / statistics & numerical data
Length of Stay / statistics & numerical data
Male
Pandemics
Pneumonia, Viral / epidemiology
Pneumonia, Viral / therapy
Prospective Studies
Respiration, Artificial / methods
Respiration, Artificial / statistics & numerical data
Systemic Inflammatory Response Syndrome
COVID-19
severe acute respiratory syndrome coronavirus
COVID-19
SARS-CoV-2
Pediatric intensive care
Pediatrics
Brazil
title_short Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study
title_full Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study
title_fullStr Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study
title_full_unstemmed Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study
title_sort Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study
author Prata-Barbosa, Arnaldo
author_facet Prata-Barbosa, Arnaldo
Lima-Setta, Fernanda
Santos, Gustavo Rodrigues dos
Lanziotti, Vanessa Soares
Castro, Roberta Esteves Vieira de
Souza, Daniela Carla de
Raymundo, Carlos Eduardo
Oliveira, Felipe Rezende Caino de
Lima, Lucio Flavio Peixoto de
Tonial, Cristian Tedesco
Colleti, José
Bellinat, Ana Paula Novaes
Lorenzo, Vivian Botelho
Zeitel, Raquel de Seixas
Pulcheri, Lucas
Costa, Fernanda Ciuffo Monte da
La Torre, Fabíola Peixoto Ferreira
Figueiredo, Elaine Augusta das Neves
Silva, Thiago Peres da
Riveiro, Paula Marins
Mota, Isabele Coelho Fonseca da
Brandão, Igor Bromonschenkel
Azevedo, Zina Maria Almeida de
Gregory, Simone Camera
Boedo, Fernanda Raquel Oliveira
Carvalho, Rosana Novais de
Castro, Natália Almeida de Arnaldo Silva Rodriguez
Genu, Daniel Hilário Santos
Foronda, Flavia Andrea Krepel
Cunha, Antonio José Ledo A.
Magalhães-Barbosa, Maria Clara de
author_role author
author2 Lima-Setta, Fernanda
Santos, Gustavo Rodrigues dos
Lanziotti, Vanessa Soares
Castro, Roberta Esteves Vieira de
Souza, Daniela Carla de
Raymundo, Carlos Eduardo
Oliveira, Felipe Rezende Caino de
Lima, Lucio Flavio Peixoto de
Tonial, Cristian Tedesco
Colleti, José
Bellinat, Ana Paula Novaes
Lorenzo, Vivian Botelho
Zeitel, Raquel de Seixas
Pulcheri, Lucas
Costa, Fernanda Ciuffo Monte da
La Torre, Fabíola Peixoto Ferreira
Figueiredo, Elaine Augusta das Neves
Silva, Thiago Peres da
Riveiro, Paula Marins
Mota, Isabele Coelho Fonseca da
Brandão, Igor Bromonschenkel
Azevedo, Zina Maria Almeida de
Gregory, Simone Camera
Boedo, Fernanda Raquel Oliveira
Carvalho, Rosana Novais de
Castro, Natália Almeida de Arnaldo Silva Rodriguez
Genu, Daniel Hilário Santos
Foronda, Flavia Andrea Krepel
Cunha, Antonio José Ledo A.
Magalhães-Barbosa, Maria Clara de
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Prata-Barbosa, Arnaldo
Lima-Setta, Fernanda
Santos, Gustavo Rodrigues dos
Lanziotti, Vanessa Soares
Castro, Roberta Esteves Vieira de
Souza, Daniela Carla de
Raymundo, Carlos Eduardo
Oliveira, Felipe Rezende Caino de
Lima, Lucio Flavio Peixoto de
Tonial, Cristian Tedesco
Colleti, José
Bellinat, Ana Paula Novaes
Lorenzo, Vivian Botelho
Zeitel, Raquel de Seixas
Pulcheri, Lucas
Costa, Fernanda Ciuffo Monte da
La Torre, Fabíola Peixoto Ferreira
Figueiredo, Elaine Augusta das Neves
Silva, Thiago Peres da
Riveiro, Paula Marins
Mota, Isabele Coelho Fonseca da
Brandão, Igor Bromonschenkel
Azevedo, Zina Maria Almeida de
Gregory, Simone Camera
Boedo, Fernanda Raquel Oliveira
Carvalho, Rosana Novais de
Castro, Natália Almeida de Arnaldo Silva Rodriguez
Genu, Daniel Hilário Santos
Foronda, Flavia Andrea Krepel
Cunha, Antonio José Ledo A.
Magalhães-Barbosa, Maria Clara de
dc.subject.mesh.pt_BR.fl_str_mv Adolescent
Betacoronavirus
Brazil
Child
Child, Preschool
Coronavirus Infections / epidemiology
Coronavirus Infections / therapy
Female
Hospitalization
Humans
Infant
Infant, Newborn
Intensive Care Units, Pediatric / statistics & numerical data
Length of Stay / statistics & numerical data
Male
Pandemics
Pneumonia, Viral / epidemiology
Pneumonia, Viral / therapy
Prospective Studies
Respiration, Artificial / methods
Respiration, Artificial / statistics & numerical data
Systemic Inflammatory Response Syndrome
COVID-19
severe acute respiratory syndrome coronavirus
topic Adolescent
Betacoronavirus
Brazil
Child
Child, Preschool
Coronavirus Infections / epidemiology
Coronavirus Infections / therapy
Female
Hospitalization
Humans
Infant
Infant, Newborn
Intensive Care Units, Pediatric / statistics & numerical data
Length of Stay / statistics & numerical data
Male
Pandemics
Pneumonia, Viral / epidemiology
Pneumonia, Viral / therapy
Prospective Studies
Respiration, Artificial / methods
Respiration, Artificial / statistics & numerical data
Systemic Inflammatory Response Syndrome
COVID-19
severe acute respiratory syndrome coronavirus
COVID-19
SARS-CoV-2
Pediatric intensive care
Pediatrics
Brazil
dc.subject.en.pt_BR.fl_str_mv COVID-19
SARS-CoV-2
Pediatric intensive care
Pediatrics
Brazil
description Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
publishDate 2020
dc.date.accessioned.fl_str_mv 2020-11-05T21:19:03Z
dc.date.available.fl_str_mv 2020-11-05T21:19:03Z
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
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status_str publishedVersion
dc.identifier.citation.fl_str_mv PRATA-BARBOSA, Arnaldo et al. Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study. Jornal de Pediatria, v. 96, n. 5, 582-592, 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/44322
dc.identifier.issn.pt_BR.fl_str_mv 0021-7557
dc.identifier.doi.none.fl_str_mv 10.1016/j.jped.2020.07.002
identifier_str_mv PRATA-BARBOSA, Arnaldo et al. Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study. Jornal de Pediatria, v. 96, n. 5, 582-592, 2020.
0021-7557
10.1016/j.jped.2020.07.002
url https://www.arca.fiocruz.br/handle/icict/44322
dc.language.iso.fl_str_mv eng
language eng
dc.relation.isversionof.pt_BR.fl_str_mv https://www.arca.fiocruz.br/handle/icict/42737
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/44322/1/license.txt
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
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