The Impact of the Novel Coronavirus on Brazilian PICUs

被引:20
|
作者
de Araujo, Orlei Ribeiro [1 ]
de Almeida, Carlos Gustavo [2 ]
Lima-Setta, Fernanda [3 ,4 ]
Prata-Barbosa, Arnaldo [3 ]
Colleti Junior, Jose [5 ]
机构
[1] Univ Fed Sao Paulo, Inst Oncol Pediat, GRAACC, Sao Paulo, Brazil
[2] Hosp Assuncao, Rede DOr Sao Luiz, Sao Paulo, Brazil
[3] Inst DOr Pesquisa & Ensino IDOR, Rio De Janeiro, Brazil
[4] Fundacao Oswaldo Cruz, Inst Fernandes Figueira, Rio De Janeiro, Brazil
[5] Hosp Assuncao, Rede DOr Sao Luiz, Dept Pediat, Sao Paulo, Brazil
关键词
coronavirus infections; critical care; epidemiology; length of stay; patient admission; pediatrics;
D O I
10.1097/PCC.0000000000002583
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objectives: To study the impact of the coronavirus disease 2019 pandemic, considering the physical distancing and schools closing, on the characteristics of admission and epidemiology on Brazilian PICUs. Design: Observational, multicenter, time series analysis, of electronic medical records from 15 PICU in Brazil. Data consisted of all March, April, and May PICU admissions from 2017 to 2020. Setting: Fifteen private PICUs in Brazil. Patients: Pediatric patients admitted to the PICU from March to May since 2017. Interventions: None. Measurements and Main Results: The period from March 11, 2020, to March 17, 2020, was considered the "intervention point" studied, corresponding to the suspension of school activities and the beginning of physical distancing in Brazil. During the pandemic period studied, there were 28 cases of coronavirus disease 2019 (one death). The mean age was higher (p = 0.000), the length of stay was shorter (p = 0.000), but mortality rates were similar among the periods (p = 0.36). The model estimated a reduction of 1,483 PICU admissions from March 2020 to May 2020. At the end of May, there was an estimated drop of -146.6 bronchiolitis admissions (95% CI, -242.8 to -50.3; p = 0.016); -71 asthma admissions (95% CI, -93.6 to -48.63; p = 0.000); and -59 community-acquired pneumonia admissions (95% CI, -74.7 to -43.3; p = 0.000) per period. The model showed no effect of the "intervention" (physical distancing) on hospitalization rates for epilepsy, diarrhea, sepsis, bacterial meningitis, or surgery when analyzed individually. When assessed together, the model estimated a reduction of 73.6 admissions (95% IC, -132 to -15.2; p = 0.43). Conclusions: The coronavirus disease 2019 pandemic strongly affected Brazilian PICUs, reducing admissions, length of stay, and the epidemiological profile. The measures to oppose the coronavirus disease 2019 pandemic may have prevented thousands of PICU hospitalizations across the country.
引用
收藏
页码:1059 / 1063
页数:5
相关论文
共 50 条
  • [1] The Impact of Coronavirus Disease 2019 Pandemic on US and Canadian PICUs
    Sachdeva, Ramesh
    Rice, Tom B.
    Reisner, Brian
    Brundage, Nancy
    Hulbert, Cheryl
    Kaminski, Alex
    Wetzel, Randall C.
    PEDIATRIC CRITICAL CARE MEDICINE, 2020, 21 (09) : E643 - E650
  • [2] The Impact of Novel Coronavirus on Dermatology
    Piccolo, Vincenzo
    Argenziano, Giuseppe
    DERMATOLOGY PRACTICAL & CONCEPTUAL, 2020, 10 (02):
  • [3] The psychiatric impact of the novel coronavirus outbreak
    de Medeiros Carvalho, Poliana Moreira
    Moreira, Marcial Moreno
    Arcanjo de Oliveira, Matheus Nogueira
    Macedo Landim, Jose Marcondes
    Rolim Neto, Modesto Leite
    PSYCHIATRY RESEARCH, 2020, 286
  • [4] THE IMPACT OF THE NOVEL CORONAVIRUS ON THE ART OF AYTIS
    Urakova Yanc, Lazzat
    SELCUK UNIVERSITESI TURKIYAT ARASTIRMALARI DERGISI-SELCUK UNIVERSITY JOURNAL OF STUDIES IN TURCOLOGY, 2021, (53): : 275 - 289
  • [5] PREVALENCE AND FUNCTIONAL STATUS OF CHILDREN WITH COMPLEX CHRONIC CONDITIONS IN BRAZILIAN PICUS
    Colleti Junior, Jose
    Barbosa, Arnaldo
    Lima-Setta, Fernanda
    de Araujo, Orlei
    Horigoshi, Nelson
    Cesar, Regina Grigolli
    Souza, Andreia
    Foronda, Flavia
    de Almeida, Carlos Gustavo
    Torreao, Lara de Araujo
    Crestani, Francielly
    Panzeri Carlotti, Ana Paula
    Garcia, Pedro Ramos
    CRITICAL CARE MEDICINE, 2022, 50 (01) : 251 - 251
  • [6] The impact of the novel coronavirus on trauma and orthopaedics in the UK
    Morgan, Catrin
    Ahluwalia, Aashish K.
    Aframian, Arash
    Li, Lily
    Sun, Stephen Ng Man
    BRITISH JOURNAL OF HOSPITAL MEDICINE, 2020, 81 (04)
  • [7] Impact of the novel coronavirus 2019 on postpartum length of stay
    Arditi, Brittany
    Syeda, Sbaa K.
    Sutton, Desmond
    Baptiste, Caitlin
    Panzer, Alexis
    Goffman, Dena
    Aubey, Janice
    Ewing, Julie
    Fuchs, Karin
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2021, 224 (02) : S719 - S720
  • [8] Novel coronavirus pneumonia emergency in Zhuhai: impact and challenges
    Jin, H.
    Liu, J.
    Cui, M.
    Lu, L.
    JOURNAL OF HOSPITAL INFECTION, 2020, 104 (04) : 452 - 453
  • [9] Do Humidity and Temperature Impact the Spread of the Novel Coronavirus?
    Yuan, Shu
    Jiang, S-Cong
    Li, Zi-Lin
    FRONTIERS IN PUBLIC HEALTH, 2020, 8
  • [10] A Novel Coronavirus Emerging in China - Key Questions for Impact Assessment
    Munster, Vincent J.
    Koopmans, Marion
    van Doremalen, Neeltje
    van Riel, Debby
    de Wit, Emmie
    NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (08): : 692 - 694