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Colleti J, Prata-Barbosa A, Lima-Setta F, et al. Prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic. J Pediatr (Rio J). 2021;doi: 10.1016/j.jped.2021.12.004.
Colleti, J., Prata-Barbosa, A., Lima-Setta, F., de Araujo, O. R., Horigoshi, N. K., Cesar, R. G., Souza, A. A. F., Foronda, F. A. K., de Almeida, C. G., Torreão, L. A., Crestani, F., Carlotti, A. P. C. P., Garcia, P. C. R. (2021). Prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic. Jornal de pediatria, . https://doi.org/10.1016/j.jped.2021.12.004
Colleti, José, et al. "Prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic." Jornal de pediatria vol. (2021). doi: https://doi.org/10.1016/j.jped.2021.12.004
Colleti J, Prata-Barbosa A, Lima-Setta F, de Araujo OR, Horigoshi NK, Cesar RG, Souza AAF, Foronda FAK, de Almeida CG, Torreão LA, Crestani F, Carlotti APCP, Garcia PCR. Prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic. J Pediatr (Rio J). 2021 Dec 31; doi: 10.1016/j.jped.2021.12.004. Epub 2021 Dec 31. PMID: 34979135.
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J Pediatr (Rio J). 2021 Dec 31; doi: 10.1016/j.jped.2021.12.004. Epub 2021 Dec 31.

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

Jornal de pediatria

José Colleti, Arnaldo Prata-Barbosa, Fernanda Lima-Setta, Orlei Ribeiro de Araujo, Nelson K Horigoshi, Regina Grigolli Cesar, Andreia Aparecida Freitas Souza, Flávia Andrea Krepel Foronda, Carlos Gustavo de Almeida, Lara de Araujo Torreão, Francielly Crestani, Ana Paula de Carvalho Panzeri Carlotti, Pedro Celiny Ramos Garcia,

Affiliations

  1. Hospital Assunção Rede D'Or São Luiz, São Bernardo do Campo, SP, Brazil; Hospital Alvorada Moema, São Paulo, SP, Brazil. Electronic address: [email protected].
  2. Instituto D'Or de Pesquisa e Ensino (IDOR), Rio de Janeiro, RJ, Brazil.
  3. Instituto de Oncologia Pediátrica (GRAACC), São Paulo, SP, Brazil.
  4. Hospital Infantil Sabará, São Paulo, SP, Brazil.
  5. Hospital Sírio-Libanês, São Paulo, SP, Brazil.
  6. Hospital Assunção Rede D'Or São Luiz, São Bernardo do Campo, SP, Brazil.
  7. Hospital Aliança, Salvador, BA, Brazil.
  8. Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
  9. 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.

PMID: 34979135 DOI: 10.1016/j.jped.2021.12.004

Abstract

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

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.

Copyright © 2021 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

Keywords: COVID-19; Chronic disease; Critical care; Cross-sectional studies; Functional status; Pediatrics

Conflict of interest statement

Conflicts of interest The authors declare no conflicts of interest.

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