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dc.contributor.authorSena, Gabrielle Ribeiro-
dc.contributor.authorLima, Tiago Pessoa Ferreira de-
dc.contributor.authorVidal, Suely Arruda-
dc.contributor.authorDuarte, Maria do Carmo Menezes Bezerra-
dc.contributor.authorBezerra, Patrícia Gomes de Matos-
dc.contributor.authorLima, Eduardo Jorge Fonseca-
dc.contributor.authorBraga, Maria Cynthia-
dc.contributor.authorAndrade, Lívia Barboza de-
dc.contributor.authorLins, Mecneide Mendes-
dc.contributor.authorTorres, Leuridan Cavalcante-
dc.contributor.authora Lima, Jurema Telles de Oliveir-
dc.contributor.authorMello, Maria Julia Gonçalves de-
dc.date.accessioned2022-07-01T13:53:39Z-
dc.date.available2022-07-01T13:53:39Z-
dc.date.issued2021-
dc.identifier.urihttp://higia.imip.org.br/handle/123456789/798-
dc.description.abstractCOVID-19 in children and adolescents has low frequency, severity, and fatality rate all over the world. A cross-sectional study was conducted to assess the epidemiological and clinical aspects of COVID-19 in patients younger than 20 years in Pernambuco (Brazil), with cases confirmed by reverse-transcriptase–PCR SARS-CoV-2 between 13 February and June 19, 2020, reported on information systems. Data regarding age (< 30 days, 1–11 months, 1–4 years, 5–9 years, 10–14 years, and 15–19 years), gender, color/race, symptoms, pregnancy or puerperium, comorbidities, hospitalization, and death were investigated. Fatality rate and mortality coefficient were calculated, and a multiple logistic regression analysis was performed to determine if gender, age, and comorbidities were factors associated with death. Of 682 pediatric cases, 52.8% were female, with a mean age of 9 ± 7.2 years. The most frequent symptoms were fever (64.4%), cough (52.4%), and respiratory distress (32.4%). Hospitalization was reported in 46.2% of cases, mainly among neonates (80.3%) and infants (73.8%). Thirty-eight deaths were notified, and a fatality rate of 5.6% (95% CI: 3.9–7.3) was found, with higher fatality rates among neonates 11.5% (7 of 61) and 9.5% (8 of 84) infants. The mortality coefficient was 10.9 per 100,000 inhabitants < 1 year of age, whereas comorbidities (Odds ratio [OR] = 14.13, 95% CI: 6.35–31.44), age < 30 days (OR = 5.17, 95% CI: 1.81–14.77), and age 1–11 months (OR = 3.28, 95% CI: 1.21–8.91) were independent factors associated with death. The results demonstrate the vulnerability of neonates and infants with severe conditions, need hospitalization, and high fatality rate, indicating the necessity to adapt public health policies for these age-groups.pt_BR
dc.language.isoenpt_BR
dc.subjectCOVID-19pt_BR
dc.subjectSARS-CoV-2pt_BR
dc.subjectMortalidadept_BR
dc.titleClinical characteristics and mortality profile of covid-19 patients aged less than 20 years old in Pernambuco - Brazilpt_BR
dc.higia.programArtigos científicos colaboradores IMIPpt_BR
dc.higia.tipoArtigo Científicopt_BR
dc.higia.pages6 p.pt_BR
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