COVID-19 in Portugal
| Autor(a) principal: | |
|---|---|
| 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/10362/148028 |
Resumo: | Publisher Copyright: © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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7160 |
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COVID-19 in Portugala retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic yearCOVID-19EpidemiologyMortalityPediatrics, Perinatology, and Child HealthSDG 3 - Good Health and Well-beingPublisher Copyright: © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.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 <1% of cases required hospital admission. MIS-C was more frequent in patients with no comorbidities and males. Mortality and case fatality rates were low. Geographic adapted strategies, and information systems to facilitate surveillance are required to improve surveillance data quality.Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNElias, CeciliaFeteira-Santos, RodrigoCamarinha, CatarinaDe Araújo Nobre, MiguelCosta, Andreia SilvaBacelar-Nicolau, LeonorFurtado, CristinaNogueira, Paulo Jorge2023-01-23T22:16:19Z2022-08-292022-08-29T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/148028eng2399-9772PURE: 51401920https://doi.org/10.1136/bmjpo-2022-001499info: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:RCAAP2024-03-11T05:29:18Zoai:run.unl.pt:10362/148028Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:09.659624Repositório 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 |
| spellingShingle |
COVID-19 in Portugal Elias, Cecilia COVID-19 Epidemiology Mortality Pediatrics, Perinatology, and Child Health SDG 3 - Good Health and Well-being |
| title_short |
COVID-19 in Portugal |
| title_full |
COVID-19 in Portugal |
| title_fullStr |
COVID-19 in Portugal |
| title_full_unstemmed |
COVID-19 in Portugal |
| title_sort |
COVID-19 in Portugal |
| author |
Elias, Cecilia |
| author_facet |
Elias, Cecilia Feteira-Santos, Rodrigo Camarinha, Catarina De Araújo Nobre, Miguel Costa, Andreia Silva Bacelar-Nicolau, Leonor Furtado, Cristina Nogueira, Paulo Jorge |
| author_role |
author |
| author2 |
Feteira-Santos, Rodrigo Camarinha, Catarina De Araújo Nobre, Miguel 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 |
Comprehensive Health Research Centre (CHRC) - Pólo ENSP Centro de Investigação em Saúde Pública (CISP/PHRC) Escola Nacional de Saúde Pública (ENSP) RUN |
| dc.contributor.author.fl_str_mv |
Elias, Cecilia Feteira-Santos, Rodrigo Camarinha, Catarina De Araújo Nobre, Miguel Costa, Andreia Silva Bacelar-Nicolau, Leonor Furtado, Cristina Nogueira, Paulo Jorge |
| dc.subject.por.fl_str_mv |
COVID-19 Epidemiology Mortality Pediatrics, Perinatology, and Child Health SDG 3 - Good Health and Well-being |
| topic |
COVID-19 Epidemiology Mortality Pediatrics, Perinatology, and Child Health SDG 3 - Good Health and Well-being |
| description |
Publisher Copyright: © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022-08-29 2022-08-29T00:00:00Z 2023-01-23T22:16:19Z |
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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 |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/148028 |
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http://hdl.handle.net/10362/148028 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
2399-9772 PURE: 51401920 https://doi.org/10.1136/bmjpo-2022-001499 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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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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