An update on the epidemiology of pediatric COVID-19 in Brazil

Sousa, Braian Lucas Aguiar; Silva, Clóvis A.; Ferraro, Alexandre Archanjo

doi:10.1590/1984-0462/2022/40/2021367

Cited by 9 publications

(8 citation statements)

References 22 publications

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“…Outro ponto relevante evidenciado no estudo foi o fato do vírus SARS-COV-2 não se destacar como uma das principais causas de internações de crianças e adolescentes no estudo vigente, mesmo em 2020 que foi marcado pelo decreto oficial de estado de pandemia. Isso pode ser explicado pelo subdiagnóstico, já que a maioria dos pacientes pediátricos eram assintomáticos ou com poucos sintomas, por isso não procuravam atendimentos e não eram testados (SOUSA et al, 2022) e pela própria falta de testes disponíveis, já que o Brasil atingiu a 125ª posição na disponibilidade de teste em 2021, comparado aos outros países do mundo (WORDDOMETER. INFO, 2021).…”

Section: Discussionunclassified

Main Causes of Hospital Admissions of Children and Adolescents Aged 0 to 18 in the City of Campina Grande/Pb, From 2020 to 2022: A Cross-Sectional Study

Fernandes,

Brito

et al. 2024

Rev. Foco

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Introduction: Pediatric diseases and their main causes of hospitalization are directly related to simple outpatient measures, sensitive to basic care. However, there were changes in the epidemiological and clinical scenario of hospitalizations for these diseases, with the advent of the covid-19 pandemic. Objective: To study the causes of hospital admissions for children and adolescents aged 0 to 18 years old and their evolution from 2020 to 2022, in the city of Campina Grande/PB. Methodology: This is a descriptive, cross-sectional and retrospective study, carried out with data obtained from the Hospital Information System (SIH), searching for the main causes of hospital admissions for children and adolescents admitted to pediatric reference services in Campina Grande. The variables used were biological characteristics (sex, age) and clinical characteristics (number of hospitalizations; length of stay; hospital discharge conditions; deaths). Results: The main cause of hospitalization in the group of pediatric diseases in the three years studied was pneumonia due to non-specific microorganisms (PNM), corresponding to 9.9% of hospitalization cases in 2020; 12.5% in 2021 and 15.8% in 2022. Another important highlight was lymphoid leukemia (ALL), which accounted for 2.6% of cases in 2020; 4.2% in 2021 and 4.3% in 2022. In the group of neonatal and infant diseases, the main causes of hospitalizations were disorders related to short-term pregnancy and low birth weight, represented by 10.3% of cases in 2020, 7.4% in 2021 and 6.4% in 2022. Discussion: The consequences of the pandemic were the progressive increase in the incidence of respiratory diseases, with the return of classes and exposure to viruses and bacteria, after isolation prolonged social. In addition to the progressive increase in the incidence of premature births, directly related to teenage pregnancy, considered a public health problem. And the incidence of ALL, which was underdiagnosed in 2020, as most resources were directed to the pandemic. Conclusion: the pandemic impacted pediatric epidemiology, increasing the number and profile of hospitalizations, mainly due to respiratory diseases and oncological diseases.

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Section: Discussionunclassified

Main Causes of Hospital Admissions of Children and Adolescents Aged 0 to 18 in the City of Campina Grande/Pb, From 2020 to 2022: A Cross-Sectional Study

Fernandes,

Brito

et al. 2024

Rev. Foco

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“…Neste contexto, a população pediátrica residente em cidades mais desenvolvidas apresentou 75% menos chance de morte em comparação aos residentes em cidades menos desenvolvidas (38) . Além disso, foi descrito que dentre as mais de três mil mortes pediátricas por COVID-19 registradas no ano de 2020, 91,5% foram pertencentes aos países de baixa e média renda (39) .…”

Section: Discussionunclassified

Influence of socioeconomic factors on COVID-19 mortality in children: a scoping review

Silva,

Ribeiro,

Uehara

2023

Rev Rene

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Objective: to identify the scientific evidence on the relationship between socioeconomic factors and mortality in children due to COVID-19. Methods: this is a scoping review. Searches were carried out in the following databases: US National Library of Medicine - National Institutes of Health; Scientific Electronic Library Online; Institute for Scientific Information; Cumulative Index to Nursing and Allied Health Literature; and SciVerse Scopus. Results: 15 articles were selected that showed the influence of socioeconomic factors on infant mortality from Severe Acute Respiratory Syndrome Coronavirus 2. Conclusion: it was shown that socioeconomic factors are related to increased mortality from COVID-19 in the infant population, low income and residence in locations considered to be of greater socioeconomic vulnerability, which were presented as important variables to be considered in the COVID-19 pandemic. Contributions to practice: several factors are related to increased susceptibility to Severe Acute Respiratory Syndrome Coronavirus infection and worsening of the disease in children. However, understanding that socioeconomic factors can be a determinant of COVID-19 incidence and mortality in children highlights the need to invest in actions aimed at reducing socioeconomic inequalities, to reduce preventable deaths.

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“…According to data from the Ministry of Health, in 2021 there were 17,644 occurrences of SARS-CoV-2 with 1263 (7.15%) deaths. This rise is related to greater knowledge of the disease, a simpler diagnosis, the larger quantity of diagnostic tests performed and the emergence of new variants (Delta and Omicron) [19]. Patients with comorbidities are at higher risk for hospitalization and mortality.…”

Section: Discussionmentioning

confidence: 99%

Hospitalization and Mortality in Children Due to COVID-19. A Single Center Retrospective Study from Brazil

Pereira de Godoy,

Bulgarelli Bestetti

2023

Preprint

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Background: COVID-19 is currently one of the most important medical challenges as it affects the entire population with children being infected as easily as adults. Objective: The study evaluated the mortality of under 17-year-olds and compare the frequency with that of adults in a cohort of 8986 COVID-19 positive patients hospitalized in a single care center. Design: retrospective clinical trial, all hospitalizations of COVID-19 positive patients as diagnosed by RT-qPCR were analyzed by revisiting their medical records. Setting: 8986 COVID-19 positive patients hospitalized in a Hospital de Base and the Infant and Maternal Hospital of São Jose do Rio Preto, SP, Brazil (HB/HCM) being these totals of 383 COVID-19 positive under 17-patients. Patients: patients COVID-19 positive under 17-year-olds were grouped by age and evaluated by analyzing their medical records. They were categorized as Group I, children, and adolescents under 19 years old and Group II, adults over 19 years. Results: Overall mortality in under 19-year-olds was 12 deaths, that is, 3.13% of the patients in this age group and 0.55% of the overall mortality from COVID-19. Mortality in the group of adults was 2197 equivalent to 24.45% of the hospitalized adults and 99.45% of overall deaths. Mortality was significantly higher for adults than for under 19-year olds (p-value < 0.0001). Regarding the different ages of children and adolescents, the number of deaths of under 1-year olds was 2/123 (1.62%), of 1-4 years it was 4/95 (2.11%), of 5-9 years it was 1/47 (2.13%), of 10-14 years it was 1/40 (2.5%) and of 15-19 years it was 4/78 (5.13%). There were no statistical differences between the different age groups ( p-value = 0.3). Conclusion: Mortality from COVID-19 in children and adolescents was lower than in adults and generally associated with other comorbidities with the main association being with heart disease.

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An update on the epidemiology of pediatric COVID-19 in Brazil

Cited by 9 publications

References 22 publications

Main Causes of Hospital Admissions of Children and Adolescents Aged 0 to 18 in the City of Campina Grande/Pb, From 2020 to 2022: A Cross-Sectional Study

Main Causes of Hospital Admissions of Children and Adolescents Aged 0 to 18 in the City of Campina Grande/Pb, From 2020 to 2022: A Cross-Sectional Study

Influence of socioeconomic factors on COVID-19 mortality in children: a scoping review

Hospitalization and Mortality in Children Due to COVID-19. A Single Center Retrospective Study from Brazil

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