COVID-19 in Portugal: a retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic year
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.14/38954 |
Resumo: | Background COVID-19 is considered by WHO a pandemic with public health emergency repercussions. Children often develop a mild disease with good prognosis and the recognition of children at risk is essential to successfully manage paediatric COVID-19. Quality epidemiological surveillance data are required to characterise and assess the pandemic. Methods Data on all reported paediatric COVID-19 cases, in Portugal, were retrospectively assessed from a fully anonymised dataset provided by the Directorate General for Health (DGS). Paediatric hospital admission results were obtained from the DGS vaccine recommendations and paediatric intensive care unit (PICU) admission results from the EPICENTRE.PT group. Reported cases and PICU admissions from March 2020 to February 2021 and hospital admissions between March and December 2020 were analysed. Results 92 051 COVID-19 cases were studied, 50.5% males, average age of 10.1 years, corresponding to 5.4% of children in Portugal. The most common symptoms were cough and fever, whereas gastrointestinal symptoms were infrequent. The most common comorbidity was asthma. A high rate of missing surveillance data was noticed, on presentation of disease and comorbidity variables, which warrants a cautious interpretation of results. Hospital admission was required in 0.93% of cases and PICU on 3.48 per 10 000 cases. PICU admission for Multisystem Inflammatory Syndrome in Children (MIS-C) was more frequent in children with no comorbidities and males, severe COVID-19 was rarer and occurred mainly in females and infants. Case fatality rate and mortality rates were low, 1.8 per 100 000 cases and 1.2 per 1 000 000 cases, respectively. Conclusions The overall reported case incidence was 5.4 per 100 children and adolescents and |
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COVID-19 in Portugal: a retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic yearBackground COVID-19 is considered by WHO a pandemic with public health emergency repercussions. Children often develop a mild disease with good prognosis and the recognition of children at risk is essential to successfully manage paediatric COVID-19. Quality epidemiological surveillance data are required to characterise and assess the pandemic. Methods Data on all reported paediatric COVID-19 cases, in Portugal, were retrospectively assessed from a fully anonymised dataset provided by the Directorate General for Health (DGS). Paediatric hospital admission results were obtained from the DGS vaccine recommendations and paediatric intensive care unit (PICU) admission results from the EPICENTRE.PT group. Reported cases and PICU admissions from March 2020 to February 2021 and hospital admissions between March and December 2020 were analysed. Results 92 051 COVID-19 cases were studied, 50.5% males, average age of 10.1 years, corresponding to 5.4% of children in Portugal. The most common symptoms were cough and fever, whereas gastrointestinal symptoms were infrequent. The most common comorbidity was asthma. A high rate of missing surveillance data was noticed, on presentation of disease and comorbidity variables, which warrants a cautious interpretation of results. Hospital admission was required in 0.93% of cases and PICU on 3.48 per 10 000 cases. PICU admission for Multisystem Inflammatory Syndrome in Children (MIS-C) was more frequent in children with no comorbidities and males, severe COVID-19 was rarer and occurred mainly in females and infants. Case fatality rate and mortality rates were low, 1.8 per 100 000 cases and 1.2 per 1 000 000 cases, respectively. Conclusions The overall reported case incidence was 5.4 per 100 children and adolescents andVeritati - Repositório Institucional da Universidade Católica PortuguesaElias, CeciliaFeteira-Santos, RodrigoCamarinha, CatarinaNobre, Miguel de AraújoCosta, Andreia SilvaBacelar-Nicolau, LeonorFurtado, CristinaNogueira, Paulo Jorge2022-09-21T09:10:03Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.14/38954eng2399-977210.1136/bmjpo-2022-00149985137940139PMC943801236053592000853050600003info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-16T01:44:43Zoai:repositorio.ucp.pt:10400.14/38954Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:31:49.343198Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
COVID-19 in Portugal: a retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic year |
title |
COVID-19 in Portugal: a retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic year |
spellingShingle |
COVID-19 in Portugal: a retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic year Elias, Cecilia |
title_short |
COVID-19 in Portugal: a retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic year |
title_full |
COVID-19 in Portugal: a retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic year |
title_fullStr |
COVID-19 in Portugal: a retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic year |
title_full_unstemmed |
COVID-19 in Portugal: a retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic year |
title_sort |
COVID-19 in Portugal: a retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic year |
author |
Elias, Cecilia |
author_facet |
Elias, Cecilia Feteira-Santos, Rodrigo Camarinha, Catarina Nobre, Miguel de Araújo Costa, Andreia Silva Bacelar-Nicolau, Leonor Furtado, Cristina Nogueira, Paulo Jorge |
author_role |
author |
author2 |
Feteira-Santos, Rodrigo Camarinha, Catarina Nobre, Miguel de Araújo Costa, Andreia Silva Bacelar-Nicolau, Leonor Furtado, Cristina Nogueira, Paulo Jorge |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
Elias, Cecilia Feteira-Santos, Rodrigo Camarinha, Catarina Nobre, Miguel de Araújo Costa, Andreia Silva Bacelar-Nicolau, Leonor Furtado, Cristina Nogueira, Paulo Jorge |
description |
Background COVID-19 is considered by WHO a pandemic with public health emergency repercussions. Children often develop a mild disease with good prognosis and the recognition of children at risk is essential to successfully manage paediatric COVID-19. Quality epidemiological surveillance data are required to characterise and assess the pandemic. Methods Data on all reported paediatric COVID-19 cases, in Portugal, were retrospectively assessed from a fully anonymised dataset provided by the Directorate General for Health (DGS). Paediatric hospital admission results were obtained from the DGS vaccine recommendations and paediatric intensive care unit (PICU) admission results from the EPICENTRE.PT group. Reported cases and PICU admissions from March 2020 to February 2021 and hospital admissions between March and December 2020 were analysed. Results 92 051 COVID-19 cases were studied, 50.5% males, average age of 10.1 years, corresponding to 5.4% of children in Portugal. The most common symptoms were cough and fever, whereas gastrointestinal symptoms were infrequent. The most common comorbidity was asthma. A high rate of missing surveillance data was noticed, on presentation of disease and comorbidity variables, which warrants a cautious interpretation of results. Hospital admission was required in 0.93% of cases and PICU on 3.48 per 10 000 cases. PICU admission for Multisystem Inflammatory Syndrome in Children (MIS-C) was more frequent in children with no comorbidities and males, severe COVID-19 was rarer and occurred mainly in females and infants. Case fatality rate and mortality rates were low, 1.8 per 100 000 cases and 1.2 per 1 000 000 cases, respectively. Conclusions The overall reported case incidence was 5.4 per 100 children and adolescents and |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-21T09:10:03Z 2022 2022-01-01T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://hdl.handle.net/10400.14/38954 |
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http://hdl.handle.net/10400.14/38954 |
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eng |
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eng |
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2399-9772 10.1136/bmjpo-2022-001499 85137940139 PMC9438012 36053592 000853050600003 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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