Prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic.

Autor:	Colleti J Junior; Hospital Assunção Rede D'Or São Luiz, São Bernardo do Campo, SP, Brazil; Hospital Alvorada Moema, São Paulo, SP, Brazil. Electronic address: colleti@gmail.com., Prata-Barbosa A; Instituto D'Or de Pesquisa e Ensino (IDOR), Rio de Janeiro, RJ, Brazil., Lima-Setta F; Instituto D'Or de Pesquisa e Ensino (IDOR), Rio de Janeiro, RJ, Brazil., de Araujo OR; Instituto de Oncologia Pediátrica (GRAACC), São Paulo, SP, Brazil., Horigoshi NK; Hospital Infantil Sabará, São Paulo, SP, Brazil., Cesar RG; Hospital Infantil Sabará, São Paulo, SP, Brazil., Souza AAF; Hospital Infantil Sabará, São Paulo, SP, Brazil., Foronda FAK; Hospital Sírio-Libanês, São Paulo, SP, Brazil., de Almeida CG; Hospital Assunção Rede D'Or São Luiz, São Bernardo do Campo, SP, Brazil., Torreão LA; Hospital Aliança, Salvador, BA, Brazil., Crestani F; Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil., Carlotti APCP; Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Ribeirão Preto, SP, Brazil; Faculdade de Medicina de Ribeirão Preto, Unidade de Emergência, Ribeirão Preto, SP, Brazil., Garcia PCR; Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Jazyk:	angličtina
Zdroj:	Jornal de pediatria [J Pediatr (Rio J)] 2022 Sep-Oct; Vol. 98 (5), pp. 484-489. Date of Electronic Publication: 2021 Dec 31.
DOI:	10.1016/j.jped.2021.12.004
Abstrakt:	Objective: The proportion of children with complex chronic conditions is increasing in PICUs around the world. We determined the prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic. Methods: The authors conducted a point prevalence cross-sectional study among fifteen Brazilian PICUs during the COVID-19 pandemic. The authors enrolled all children admitted to the participating PICUs with complex chronic conditions on three different days, four weeks apart, starting on April 4 th , 2020. The authors recorded the patient's characteristics and functional status at admission and discharge days. Results: During the 3 study days from March to June 2020, the authors enrolled 248 patients admitted to the 15 PICUs; 148 had CCC (prevalence of 59.7%). Patients had a median of 1 acute diagnosis and 2 chronic diagnoses. The use of resources/devices was extensive. The main mode of respiratory support was conventional mechanical ventilation. Most patients had a peripherally inserted central catheter (63.1%), followed by a central venous line (52.5%), and 33.3% had gastrostomy or/and tracheostomy. The functional status score was significantly better at discharge compared to admission day due to the respiratory status improvement. Conclusions: The prevalence of children with CCC admitted to the Brazilian PICUs represented 59.7% of patients during the COVID-19 pandemic. The functional status of these children improved during hospitalization, mainly due to the respiratory component. Competing Interests: Conflicts of interest The authors declare no conflicts of interest. (Copyright © 2021 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.)
Databáze:	MEDLINE
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