Objective: The COVID pandemic has affected Colombia with a high number of cases and deceases; however, no studies have been published regarding pediatric population. An epidemiologic analysis of the nationwide COVID register, therefore, is necessary to outline and describe the impact in such population. Methods: A retrospective analysis was made of the characteristics of a cohort of 5062 patients <18 years of age, until June 16, 2020, reported at the National Institute of Health—INS (https://www.ins.gov.co/News./Pages/Coronavirus.aspx), through the national public access database, with all subjects confirmed with COVID-19 or severe acute respiratory syndrome-CoV-2. Results: Reviewed on June 16, 2020, a total of 54,971 confirmed cases were reported nationwide for COVID-19, of which 5062 (9.2%) are cases in patients under 18 years of age. There was a statistically significant difference between groups; age was statistically significantly higher in the asymptomatic, compared with: deceased, severe and moderate cases; moreover, age was statistically significantly higher in the mild, compared with: deceased, severe and moderate. Statistically significant difference determined with one-way ANOVA was found between groups (F = 16.08, P < 0.001). Post hoc analysis reveals significant differences between groups, the age of patients at home (9.39 years) and those recovered (9.3 years) being significantly higher than those in intensive care unit (4.9 years), in hospital (6.1 years), or than the deceased (2.9 years). Conclusion: The results of this study show that, at the nationwide level, patients in more severe states (deceased, severe and moderate), are significantly younger than those in the milder state (asymptomatic and mild).
En Colombia, con la actual pandemia por COVID-19, algunas unidades de sueño suspendieron la realización de estudios de sueño en población pediátrica, debido al probable contagio y propagación. De acuerdo con las autoridades competentes, desde junio del 2020, Colombia se encuentra en la fase de mitigación del COVID-19 y las medidas obligatorias de prevención implementadas por el gobierno colombiano como el lavado de manos frecuente, el uso de tapabocas en sitios públicos, el distanciamiento físico y social y el confinamiento de la mayoría de la población en sus hogares, han ayudado a reducir la velocidad de propagación del virus. Sin embargo, debido a la grave crisis económica causada por la pandemia, las autoridades sanitarias locales han emitido varias medidas de bioseguridad para retornar poco a poco a una relativa normalidad, incluyendo la prestación de servicios de salud a pacientes no COVID-19. El objetivo de este artículo es realizar recomendaciones para que las unidades de sueño locales implementen las medidas de bioseguridad mínimas que permitan el reinicio y adecuado desarrollo de los estudios de sueño en población pediátrica. Estas recomendaciones se basan en las estrategias de mitigación establecidas por las autoridades sanitarias locales, en una revisión de la literatura relevante disponible y en las recomendaciones de algunas asociaciones de medicina del sueño.
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