ICU Admission, Invasive Mechanical Ventilation, and Mortality among Children and Adolescents Hospitalized for COVID-19 in a Private Healthcare System
Aim. The COVID-19 pandemic devastated healthcare around the world. Data about the COVID-19 outcomes among young people are still scarce. We aim to identify factors associated with the composite outcome among children and adolescents hospitalized due to COVID-19. Methods. We performed a search in the...
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| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2023/1698407 |
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| author | Maria da Gloria Cruvinel Horta Geraldo Jose Coelho Ribeiro Nelson Otavio Beltrao Campos Douglas Ribeiro de Oliveira Lelia Maria de Almeida Carvalho Karina de Castro Zocrato Daniel Pitchon dos Reis Mariana Ribeiro Fernandes Ricardo Mesquita Camelo Fernando Martin Biscione Silvana Marcia Bruschi Kelles |
| author_facet | Maria da Gloria Cruvinel Horta Geraldo Jose Coelho Ribeiro Nelson Otavio Beltrao Campos Douglas Ribeiro de Oliveira Lelia Maria de Almeida Carvalho Karina de Castro Zocrato Daniel Pitchon dos Reis Mariana Ribeiro Fernandes Ricardo Mesquita Camelo Fernando Martin Biscione Silvana Marcia Bruschi Kelles |
| author_sort | Maria da Gloria Cruvinel Horta |
| collection | DOAJ |
| description | Aim. The COVID-19 pandemic devastated healthcare around the world. Data about the COVID-19 outcomes among young people are still scarce. We aim to identify factors associated with the composite outcome among children and adolescents hospitalized due to COVID-19. Methods. We performed a search in the database of a large Brazilian private healthcare system. Insured people aged 21 years or younger who were hospitalized due to COVID-19 from Feb/28th/2020 to Nov/1st/2021 were included. The primary endpoint was the composite outcome consisting of ICU admission, need for invasive mechanical ventilation, or death. Results. We evaluated 199 patients who had an index hospitalization due to COVID-19. The median monthly rate of index hospitalization was 2.7 (interquartile range [IQR], 1.6-3.9) per 100,000 clients aged 21 years or less. The median age of the patients was 4.5 years (IQR, 1.4-14.1). At the index hospitalization, the composite outcome rate was 26.6%. The composite outcome was associated with all the previous coexisting morbidities evaluated. The median follow-up was 249.0 days (IQR, 152.0-438.5). There were 27 readmissions (16 patients) within 30 days after the discharge. Conclusions. In conclusion, hospitalized children and adolescents had a composite outcome rate of 26.6% at the index hospitalization. Having previous chronic morbidity was associated with the composite. |
| format | Article |
| id | doaj-art-8deb28b36b0f4337a4250d4b8b6f467c |
| institution | Kabale University |
| issn | 1687-9759 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-8deb28b36b0f4337a4250d4b8b6f467c2025-02-03T06:42:39ZengWileyInternational Journal of Pediatrics1687-97592023-01-01202310.1155/2023/1698407ICU Admission, Invasive Mechanical Ventilation, and Mortality among Children and Adolescents Hospitalized for COVID-19 in a Private Healthcare SystemMaria da Gloria Cruvinel Horta0Geraldo Jose Coelho Ribeiro1Nelson Otavio Beltrao Campos2Douglas Ribeiro de Oliveira3Lelia Maria de Almeida Carvalho4Karina de Castro Zocrato5Daniel Pitchon dos Reis6Mariana Ribeiro Fernandes7Ricardo Mesquita Camelo8Fernando Martin Biscione9Silvana Marcia Bruschi Kelles10Research and Health Care Management (Gerencia de Pesquisa e Atençao a SaudeResearch and Health Care Management (Gerencia de Pesquisa e Atençao a SaudeHealth Data Science Management (Gerencia de Ciencia de Dados em SaudeHealth Data Science Management (Gerencia de Ciencia de Dados em SaudeResearch and Health Care Management (Gerencia de Pesquisa e Atençao a SaudeResearch and Health Care Management (Gerencia de Pesquisa e Atençao a SaudeResearch and Health Care Management (Gerencia de Pesquisa e Atençao a SaudeResearch and Health Care Management (Gerencia de Pesquisa e Atençao a SaudeResearch and Health Care Management (Gerencia de Pesquisa e Atençao a SaudeHealth Data Science Management (Gerencia de Ciencia de Dados em SaudeResearch and Health Care Management (Gerencia de Pesquisa e Atençao a SaudeAim. The COVID-19 pandemic devastated healthcare around the world. Data about the COVID-19 outcomes among young people are still scarce. We aim to identify factors associated with the composite outcome among children and adolescents hospitalized due to COVID-19. Methods. We performed a search in the database of a large Brazilian private healthcare system. Insured people aged 21 years or younger who were hospitalized due to COVID-19 from Feb/28th/2020 to Nov/1st/2021 were included. The primary endpoint was the composite outcome consisting of ICU admission, need for invasive mechanical ventilation, or death. Results. We evaluated 199 patients who had an index hospitalization due to COVID-19. The median monthly rate of index hospitalization was 2.7 (interquartile range [IQR], 1.6-3.9) per 100,000 clients aged 21 years or less. The median age of the patients was 4.5 years (IQR, 1.4-14.1). At the index hospitalization, the composite outcome rate was 26.6%. The composite outcome was associated with all the previous coexisting morbidities evaluated. The median follow-up was 249.0 days (IQR, 152.0-438.5). There were 27 readmissions (16 patients) within 30 days after the discharge. Conclusions. In conclusion, hospitalized children and adolescents had a composite outcome rate of 26.6% at the index hospitalization. Having previous chronic morbidity was associated with the composite.http://dx.doi.org/10.1155/2023/1698407 |
| spellingShingle | Maria da Gloria Cruvinel Horta Geraldo Jose Coelho Ribeiro Nelson Otavio Beltrao Campos Douglas Ribeiro de Oliveira Lelia Maria de Almeida Carvalho Karina de Castro Zocrato Daniel Pitchon dos Reis Mariana Ribeiro Fernandes Ricardo Mesquita Camelo Fernando Martin Biscione Silvana Marcia Bruschi Kelles ICU Admission, Invasive Mechanical Ventilation, and Mortality among Children and Adolescents Hospitalized for COVID-19 in a Private Healthcare System International Journal of Pediatrics |
| title | ICU Admission, Invasive Mechanical Ventilation, and Mortality among Children and Adolescents Hospitalized for COVID-19 in a Private Healthcare System |
| title_full | ICU Admission, Invasive Mechanical Ventilation, and Mortality among Children and Adolescents Hospitalized for COVID-19 in a Private Healthcare System |
| title_fullStr | ICU Admission, Invasive Mechanical Ventilation, and Mortality among Children and Adolescents Hospitalized for COVID-19 in a Private Healthcare System |
| title_full_unstemmed | ICU Admission, Invasive Mechanical Ventilation, and Mortality among Children and Adolescents Hospitalized for COVID-19 in a Private Healthcare System |
| title_short | ICU Admission, Invasive Mechanical Ventilation, and Mortality among Children and Adolescents Hospitalized for COVID-19 in a Private Healthcare System |
| title_sort | icu admission invasive mechanical ventilation and mortality among children and adolescents hospitalized for covid 19 in a private healthcare system |
| url | http://dx.doi.org/10.1155/2023/1698407 |
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