Evidence map›Paper›PMID 34979135›Full record

ArticleJornal de pediatria

Prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic.

José Colleti, Arnaldo Prata-Barbosa, Fernanda Lima-Setta, Orlei Ribeiro de Araujo, Nelson K Horigoshi, Regina Grigolli Cesar, Andreia Aparecida Freitas Souza, Flávia Andrea Krepel Foronda, Carlos Gustavo de Almeida, Lara de Araujo Torreão and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 1 country.

José ColletiHospital Assunção Rede D'Or São Luiz, São Bernardo do Campo, SP, Brazil; Hospital Alvorada Moema, São Paulo, SP, Brazil. Electronic address: colleti@gmail.com.
Arnaldo Prata-BarbosaInstituto D'Or de Pesquisa e Ensino (IDOR), Rio de Janeiro, RJ, Brazil.
Fernanda Lima-SettaInstituto D'Or de Pesquisa e Ensino (IDOR), Rio de Janeiro, RJ, Brazil.
Orlei Ribeiro de AraujoInstituto de Oncologia Pediátrica (GRAACC), São Paulo, SP, Brazil.
Nelson K HorigoshiHospital Infantil Sabará, São Paulo, SP, Brazil.
Regina Grigolli CesarHospital Infantil Sabará, São Paulo, SP, Brazil.
Andreia Aparecida Freitas SouzaHospital Infantil Sabará, São Paulo, SP, Brazil.
Flávia Andrea Krepel ForondaHospital Sírio-Libanês, São Paulo, SP, Brazil.
Carlos Gustavo de AlmeidaHospital Assunção Rede D'Or São Luiz, São Bernardo do Campo, SP, Brazil.
Lara de Araujo TorreãoHospital Aliança, Salvador, BA, Brazil.
Francielly CrestaniPontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Ana Paula de Carvalho Panzeri CarlottiUniversidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Ribeirão Preto, SP, Brazil; Faculdade de Medicina de Ribeirão Preto, Unidade de Emergência, Ribeirão Preto, SP, Brazil.
Pedro Celiny Ramos GarciaPontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Brazilian Research in Intensive Care (BRICnet)
Hospital Infantil Albert Sabin · BRD’Or Institute for Research and Education · BRPontifícia Universidade Católica do Rio Grande do Sul · BRHospital Alvorada · BRHospital São Rafael · BRHospital Sírio-Libanês · BRSupport group for adolescents and children with cancer · BRUniversidade de Ribeirão Preto · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe proportion of children with complex chronic conditions is increasing in PICUs around the world. We determined the prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic.

methodsThe authors conducted a point prevalence cross-sectional study among fifteen Brazilian PICUs during the COVID-19 pandemic. The authors enrolled all children admitted to the participating PICUs with complex chronic conditions on three different days, four weeks apart, starting on April 4

resultsDuring the 3 study days from March to June 2020, the authors enrolled 248 patients admitted to the 15 PICUs; 148 had CCC (prevalence of 59.7%). Patients had a median of 1 acute diagnosis and 2 chronic diagnoses. The use of resources/devices was extensive. The main mode of respiratory support was conventional mechanical ventilation. Most patients had a peripherally inserted central catheter (63.1%), followed by a central venous line (52.5%), and 33.3% had gastrostomy or/and tracheostomy. The functional status score was significantly better at discharge compared to admission day due to the respiratory status improvement.

conclusionsThe prevalence of children with CCC admitted to the Brazilian PICUs represented 59.7% of patients during the COVID-19 pandemic. The functional status of these children improved during hospitalization, mainly due to the respiratory component.

Indexed as

COVID-19BrazilChildChronic DiseaseCross-Sectional StudiesFunctional StatusHumansIntensive Care Units, PediatricPandemicsPrevalenceChronic diseaseCOVID-19Critical careCross-sectional studiesFunctional statusPediatrics

Identifiers

PMID34979135
PMCPMC9510801
OpenAlexW4206809016

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.