Banca de DEFESA: CÁSSIA CRISTINA COSTA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : CÁSSIA CRISTINA COSTA
DATE: 28/02/2023
TIME: 14:00
LOCAL: Videoconferência
TITLE:
 Clinical and demographic profile of children with respiratory syndrome admitted to the Intensive Care Unit dur
ing the COVID-19 pandemic.

KEY WORDS:
Severe acute respiratory syndrome; Child; Pediatric intensive care unit; Covid-19.

PAGES: 81
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:
Introduction: In children, respiratory diseases are the main cause of hospitalization in the
Pediatric Intensive Care Unit (PICU), favoring an increase in morbidity and mortality in this
population. With the advent of the COVID-19 pandemic, a new scenario is proposed, which
may change the profile of children admitted to the P-ICU. There are few studies that evaluate
the profile of children admitted to the P-ICU during the COVID-19 pandemic. Objective: To
identify the clinical and demographic profile of children admitted to the P-ICU during the
COVID-19 pandemic. Methods: This is an epidemiological, observational, cross-sectional
study, with analysis of secondary data, in medical records of children hospitalized in the P-ICU,
from December 2019 to December 2021, in a Philanthropic Institution in the municipality of
the Midwest of Minas Gerais. Information on the child's demographic and clinical profile was
collected. Data were tabulated in Excel 2010 and analysis performed in the Statistical Package
for Social Sciences (SPSS) version 21.0. Descriptive data analysis was performed. Categorical
variables were described using absolute frequencies and percentages. Comparison of
categorical variables between males and females and between age groups was performed using
the asymptotic Pearson's chi-square test and the exact Pearson's chi-square test. Quantitative
variables were expressed as median (Q1; Q3), as they did not have a normal distribution, as
verified by the Shapiro Wilk test. Comparison of quantitative variables between age groups was
performed using the Kruskal-Wallis test. The Bonferroni Correction was implemented.
Multivariate analysis was performed using the gamma model and the logistic model. Results:
Data were collected from 169 children, 70 (41.4%) infants, 85 (50.3%) female, with a median
hospital stay of eight days. Most of the children, 114 (67.5%), used medication prior to
admission to the P-ICU, the vast majority 135 (79.9%) used antibiotic therapy, 34 (20.1%) were
medicated with amines and 74 ( 43.8%) with corticosteroids. Most of the children 104 (61.5%)
used a nasal catheter, 40 (23.7%) used a face mask and 42 (24.9%) used CPAP. All children
were monitored by a nurse, physician and physiotherapist, 83 (49.1%) were assisted by a speech
therapist and 156 (93%) were assisted by a psychologist. Regarding the outcome of
hospitalization, 10 children (6%) died. The most frequent comorbidity was asthma, especially
in preschool children, and school age was the one with the highest number of deaths. Among
the participants, 10 (13.6%) had SARsCoV-2 infection. There was no association between the
presence of COVID-19 and deaths. Conclusion: This investigation contributes to the
identification of indicators that impact children's health, pointing to the need for actions aimed
at the treatment and prevention of respiratory syndromes, towards the improvement of public
policies aimed at this age group.

BANKING MEMBERS:
Externa ao Programa - 1744965 - ELAINE CRISTINA RODRIGUES GESTEIRA
Presidente - 1680498 - MARCIA CHRISTINA CAETANO ROMANO
Externo à Instituição - WENDELL COSTA BILA - UEMG
Notícia cadastrada em: 15/02/2023 12:23
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