Covid-19 in brazilian children and adolescents: findings from 21 hospitals

• Autor(a) principal: Priscila Menezes Ferriliu
• Data de Publicação: 2021
• Outros Autores: Guilherme Fagundes Nascimento, Helena Duani, Jamille Hemétrio Salles Martins Costa, Karen Brasil Ruschel, Matheus Carvalho Alves Nogueira, Neimy Ramos de Oliveira, Roberta Pozza, Saionara Cristina Francisco, Thalita Martins Lage, Yuri Carlotto Ramires, Maria do Carmo Barros de Melo, Daniella Nunes Pereira, Zilma Silveira Nogueira Reis, José Miguel Chatkin, Milena Soriano Marcolino, Lilian Martins Oliveira Diniz, Cristiane Dos Santos Dias, André Soares de Moura Costa, Bárbara Lopes Farace, Carla Thais Candida Alves da Silva, Fernando Anschau, Fernando Graça Aranha
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: http://hdl.handle.net/1843/54883; https://orcid.org/0000-0001-9755-0364
• topic: Pandemic; Covid-19; Children; Adolescent; Pandemias; Covid-19; Crianças; Adolescentes

Introduction:Children and adolescents with Covid-19 have been shown lower mortality less intense symptoms when compared to adults, but studies in Brazil have been based on the compulsory notifying system only. Objective: To analyse clinical, laboratory, radiological characteristics and outcomes of hospitalized patients under 20 years with Covid-19. Methods: Cases series of hospitalized patients with confirmed Covid-19 under 20 years, obtained from a cohort study in 21 hospitals from five states of Brazil.Results: From 36 patients, 20 (55.5%) were adolescentes, 20 (55.5%) were male, 18 (50.0%) had comorbidities, 2 were pregnant and in 7 (19.4%), initial symptoms occurred during hospitalization for other causes, of whom 3 were possibly infected in the hospital. Fever (61.1%), dyspnea (33.3%) and neurological symptoms (33.0%) were the most common complaints. C-reactive protein was higher than 50mg/L in 16.7% and D-dimer was above the reference limit in 22.2%. Chest X-rays were performed in 20 (55.5%) patients, 9 had abnormalities, and chest tomography in 5. Hospital length of stay ranged from 1-40 days (median 5 [interquartile range 3-10]), 16 (44.4%) needed intensive therapy, 6 (16.7%) required mechanical ventilation and one patient (2.8%) died. Conclusion: In case series patients under 20 years from hospitals from 5 states of Brazil, comorbidities were frequent, and most common symptoms were fever, dyspnea and neurological symptoms. Forty-four percent required intensive therapy, showing that the disease was not as mild as it was expected, and one patient died.