COVID-19 in Brazilian children and adolescents: findings from 21 hospitals / COVID-19 em crianças e adolescentes brasileiros: registros de 21 hospitais

Priscila Menezes Ferri Liu, Maria do Carmo Barros de Melo, Lilian Martins Oliveira Diniz, Cristiane dos Santos Dias, André Soares de Moura Costa, Bárbara Lopes Farace, Carla Thais Candida Alves da Silva, Fernando Anschau, Fernando Graça Aranha, Guilherme Fagundes Nascimento, Helena Duani, Jamille Hemétrio Salles Martins Costa, Karen Brasil Ruschel, Matheus Carvalho Alves Nogueira, Neimy Ramos de Oliveira, Roberta Pozza, Saionara Cristina Francisco, Thalita Martins Lage, Yuri Carlotto Ramires, Daniella Nunes Pereira, Zilma Silveira Nogueira Reis, José Miguel Chatkin, Milena Soriano Marcolino

Abstract


Introdução: Crianças e adolescentes com Covid-19 apresentam menor mortalidade e sintomas menos intensos quando comparados aos adultos. Os estudos no Brasil baseiam-se apenas no sistema de notificação compulsória. Objetivo: Analisar as características clínicas, laboratoriais, radiológicas e desfechos de pacientes hospitalizados com menos de 20 anos de idade com Covid-19. Métodos: Série de casos de pacientes internados com Covid-19, confirmado, com idade inferior a 20 anos, obtida em estudo de coorte em 21 hospitais de cinco estados brasileiros. Resultados: Dos 36 pacientes, 20 (55,5%) eram adolescentes, 20 (55,5%) eram do sexo masculino, 18 (50,0%) apresentavam comorbidades, 2 estavam grávidas; e em 7 (19,4%) os sintomas iniciais ocorreram durante a internação por outras causas, dos quais 3 foram possivelmente infectados no hospital. Febre (61,1%), dispneia (33,3%) e sintomas neurológicos (33,0%) foram as queixas mais comuns. A proteína C reativa estava acima de 50mg / L em 16,7% e o dímero-D estava acima do limite de referência em 22,2%. Radiografias de tórax foram realizadas em 20 (55,5%) pacientes, 9 apresentavam anormalidades; e tomografias computadorizadas de tórax em 5. O tempo de internação variou de 1-40 dias (mediana 5 [intervalo interquartil 3-10]), 16 (44,4%) necessitaram de cuidados intensivos, 6 (16,7%) necessitaram de ventilação mecânica e um paciente (2,8%) faleceu. Conclusão: Em uma amostra de pacientes menores de 20 anos, procedentes de hospitais de 5 estados do Brasil, as comorbidades foram frequentes e os sintomas mais comuns foram febre, dispneia e sintomas neurológicos. Quarenta e quatro por cento dos pacientes necessitaram de cuidados intensivos, mostrando que na amostra avaliada a doença não era tão leve quanto o esperado, e um paciente morreu.

 


 


Keywords


Pandemia, Covid19, Crianças, Adolescentes.

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DOI: https://doi.org/10.34117/bjdv7n9-011

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