Associação entre as variáveis sociodemográficas e epidemiológicas de crianças com COVID-19 e o desfecho internação
DOI:
https://doi.org/10.15253/2175-6783.20242593052Palabras clave:
Criança; COVID-19; Saúde da Criança; Epidemiologia; Pandemias.Resumen
Objetivo: identificar a associação entre variáveis sociodemográficas e epidemiológicas de crianças com COVID-19 e o desfecho internação. Métodos: estudo transversal, analítico com dados secundários de crianças com COVID-19 do nascimento aos nove anos, notificados no Sistema de Vigilância Epidemiológica da Gripe e no e-SUS Vigilância Epidemiológica. Extraíram-se variáveis sociodemográficas (idade, sexo, raça, regional de residência), epidemiológicas (critério diagnóstico, sintomatologia, comorbidade, evolução) e desfecho internação. Realizada estatística descritiva, análise inferencial com teste de Qui-quadrado e aplicado o modelo de Poisson com variância robusta, análise bivariada e múltipla. Resultados: totalizaram-se 1.048 casos, apresentando 37,5% até os três anos, com confirmação laboratorial em 96,3% e 58,0% sintomáticos. No modelo final ajustado, identificou-se associação entre as variáveis: faixa etária, cor/raça e regional de residência com a prevalência de internação por COVID-19. Conclusão: neste estudo a idade foi fator de proteção contra a internação por COVID-19 e a cor/raça e a Secretaria Regional de residência da criança foram fatores que aumentaram a prevalência deste desfecho. Contribuição para a prática: os dados podem subsidiar e fortalecer na literatura e, na prática, assuntos relacionados à saúde da criança com COVID-19, ampliando discussões entre gestores e profissionais da saúde e promovendo políticas públicas para a prevenção da doença.
Descargas
Citas
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. doi: http://doi.org/10.1016/S0140-6736(20)30183-5
Torjesen I. Covid-19: peak of viral shedding is later with omicron variant, Japanese data suggest. BMJ. 2022;376:089. doi: http://doi.org/10.1136/bmj.o89
She J, Liu L, Liu W. COVID-19 epidemic: disease characteristics in children. J Med Virol. 2020;92(7):747-54. doi: http://doi.org/10.1002/jmv.25807
Rosi A, Van Vugt FT, Lecce S, Ceccato I, Vallarino M, Rapirsada, F, et al. Risk perception in a real-world situation (COVID-19): how it changes from 18 to 87 years old. Front Psychol. 2021;12:646558. doi: https://doi.org/10.3389/fpsyg.2021.646558
World Health Organization (WHO). Number of COVID-19 cases reported to WHO [Internet]. 2024 [cited Apr 8, 2024]. Available from: https://data.who.int/dashboards/covid19/cases?n=c
Woodruff RC, Campbell AP, Taylor CA. Chaj SJ, Kawasaki B, Meek J, et al. Risk factors for severe COVID-19 in children. Pediatr. 2021; 149(1):e2021053418. doi: https://dx.doi.org/10.1542/peds.2021-053418
Nikolopoulou GB, Maltezou HC. COVID-19 in children: where do we stand? Arch Med Res. 2022;53(1):1-8. doi: https://doi.org/10.1016%2Fj.arcmed.2021.07.002
Ministério da Saúde (BR). Covid-19 no Brasil [Internet]. 2023 [cited Mar 5, 2024]. Available from: https://infoms.saude.gov.br/extensions/covid-19_html/covid-19_html.html
Secretaria da Saúde do Estado do Ceará. IntegraSUS Transparência da Saúde do Ceará. Boletim Covid-19 [Internet]. 2024 [cited Jan 20, 2024]. Available from: https://integrasus.saude.ce.gov.br/#/indicadores/indicadores-coronavirus/coronavirus-ceara
Secretaria Municipal da Saúde de Fortaleza. Boletins epidemiológicos: Informe semanal da COVID-19 [Internet]. 2024 [cited Jan 20, 2024]. Available from: https://coronavirus.fortaleza.ce.gov.br/boletim-epidemiologico.html
Kabeerdoss J, Pilania RK, Karkhele R, Kumar TS, Danda D, Singh S. Severe COVID-19, multisystem inflammatory syndrome in children, and Kawasaki disease: immunological mechanisms, clinical manifestations and management. Rheumatol Int. 2021;41(1):19-32. doi: https://doi.org/10.1007/s00296-020-04749-4
Shekerdemian LS, Mahmood NR, Wolfe KK, Riggs BJ, Ross CE, McKiernan CA, et al. Characteristics and outcomes of children with coronavirus disease 2019 (COVID-19) infection admitted to US and Canadian Pediatric Intensive Care Units. JAMA Pediatr. 2020;174(9):868-73. doi: https://doi.org/10.1001/jamapediatrics.2020.1948
Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Brasileiro de 2022 [Internet]. 2022 [cited Apr 29, 2023]. Available from: http://www.ibge.gov.br
Rabha AC, Oliveira Junior FI, Oliveira TA, Cesar RG, Fongaro G, Mariano RF, et al. Clinical manifestations of children and adolescents with COVID-19: report of the first 115 cases from Sabará Hospital Infantil. Rev Paul Pediatr. 2021;39:e2020305. doi: https://doi.org/10.1590/1984-0462/2021/39/2020305
Götzinger F, Santiago-García B, Noguera-Julián A, Lanaspa M, Lancella L, Carducci FIC, et al. COVID-19 in children and adolescents in Europe: a multinational, multicentre cohort study. Lancet Child Adolesc Health. 2020;4(9):653-61. doi: https://doi.org/10.1016/s2352-4642(20)30177-2
Martella M, Peano A, Politano G, Onorati R, Gianino MM. Paediatric hospitalizations over three waves of COVID-19 (February 2020 to May 2021) in Italy: determinants and rates. PeerJ. 2023;11:e15492. doi: http://doi.org/10.7717/peerj.15492
Cavalcante ANM, Tavares LVS, Bastos MLA, Almeida RLF. Clinical-epidemiological profile of children and adolescents with COVID-19 in Ceará. Rev Bras Saúde Matern Infant. 2021;21(suppl 2):5437-43. doi: https://doi.org/10.1590/1806-9304202100S200006
Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z, Tong S. Epidemiology of COVID-19 Among Children in China. Pediatrics. 2020;145(6):e20200702. doi: https://doi.org/10.1542/peds.2020-0702
Gonzalez-Dambrauskas S, Vasquez-Hoyos P, Camporesi A, Cantillano EM, Dallefeld S, Dominguez-Rojas J, et al. Paediatric critical COVID-19 and mortality in a multinational prospective cohort. Lancet Reg Health Am. 2022;12:100272. doi: https://doi.org/10.1016/j.lana.2022.100272
Santos JC, Koga RCR, Prudêncio LS, Pureza DY, Volpe MIC, Silva V, Silva SR. Clinical and epidemiological characteristics of pediatric hospitalizations due to COVID-19 in the Brazilian Amazon: an observational study. Online Braz J Nurs. 2024;23:e20246702. doi: https://dx.doi.org/10.17665/1676-4285.20246702
Hillesheim D, Tomasi YT, Figueiró TH, Paiva KM. Severe Acute Respiratory Syndrome due to COVID-19 among children and adolescents in Brazil: profile of deaths and hospital lethality as at Epidemiological Week 38, 2020. Epidemiol Serv Saúde. 2020;29(5):e2020644. doi: https://dx.doi.org/10.1590/s1679-49742020000500021
Santos IL, Mendes EDT, Franciosi RB. Comorbidades pediatricas, raça, faixa etária em COVID-19 no Brasil: um estudo coorte retrospectivo. Braz J Infect Dis. 2022;26(suppl 1):102021. doi: https://doi.org/10.1016/j.bjid.2021.102021
Faria RM, Jantsch LB, Neves ET, Hausen CF, Barros APZ, Sehnem GD, et al. Social and territorial inequalities in the mortality of children and adolescents due to COVID-19 in Brazil. Rev Bras Enferm. 2022;75(6):e20210482. doi: https://doi.org/10.1590/0034-7167-2021-0482
Saatci D, Ranger TA, Garriga C, Clift AK, Zaccardi F, Tan PS, et al. Association between race and COVID-19 outcomes among 2.6 million children in England. JAMA Pediatr. 2021;175(9):928-38. doi: https://10.1001/jamapediatrics.2021.1685
Swann OV, Holden KA, Turtle L, Pollock L, Fairfield CJ, Drake TM, et al. Clinical characteristics of children and young people admitted to hospital with covid-19 in United Kingdom: prospective multicenter observational cohort study. BMJ. 2020;370:m3249. doi: https://doi.org/10.1136/bmj.m3249
Silva JB, Muniz AMV. Conoravirus Pandemic in Brazil: impacts in the Territory of Ceará. Rev Bras Geogr Econ. 2020;9(17):1-19. doi: https://dx.doi.org/10.4000/espacoeconomia.10501
Cestari VRF, Florêncio RS, Sousa GJB, Garces TS, Maranhão TA, Castro RR, et al. Social vulnerability and COVID-19 incidence in a Brazilian metropolis. Ciênc Saúde Coletiva. 2021;26(3):1023-33. doi: https://dx.doi.org/10.1590/1413-81232021263.42372020
Carvalho TM, Silva SMO, Araújo CB, Frota R, Xavier LC, Bezerra B, et al. Vulnerability index to COVID-19: Fortaleza, Brazil study case. Eng Sanit Ambient. 2021;26(4):731-9. doi: https://dx.doi.org/10.1590/S1413-415220200242
Silva BC, Ribeiro AC, Uehara SCSA. Influence of socioeconomic factors on COVID-19 mortality in children: a scoping review. Rev Rene. 2023;24:e91-978. doi: https://dx.doi.org/10.15253/2175-6783.20232491978
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Rev Rene

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.