Evidence map›Paper›PMID 42424843›Full record

Observational studyThe Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

Hospitalization for tuberculosis in children and adolescents: clinical, epidemiological characteristics and post-treatment sequelae at a referral center in Brazil.

Ana Lucia Nunes Diniz, Nelbe Nesi Santana Avzaradel, Saint Clair Dos Santos Gomes Júnior

Abstract readObservational Study
In one paragraph

Observational study in The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Ana Lucia Nunes DinizInstituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, RJ, Brazil. Electronic address: ana.diniz@fiocruz.br.
Nelbe Nesi Santana AvzaradelInstituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, RJ, Brazil.
Saint Clair Dos Santos Gomes JúniorInstituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, RJ, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis in children may require hospitalization and can be associated with the development of sequelae even after completion of antituberculosis treatment, with potential long-term impacts on the health of children and adolescents.

methodsThis observational, longitudinal study was based on the review of medical records of children and adolescents hospitalized for tuberculosis at a referral center in Brazil. Clinical and epidemiological characteristics, care pathways, and the occurrence of post-treatment sequelae were described. Bivariate and multivariable analyses were performed to identify factors associated with the development of sequelae.

resultsA total of 87 patients were included, predominantly of mixed race, of both sexes, with a median age of 6-years. After hospital discharge, 92.0% remained under follow-up at the referral center. Among these patients, 88.8% achieved a cure and 11.2% discontinued treatment. Among patients who were cured, 46.5% developed sequelae after treatment completion. The presence of sequelae was associated with age ≥ 10-years, pulmonary tuberculosis, and markers of greater disease severity during hospitalization, including the need for invasive mechanical ventilation and longer length of hospital stay.

conclusionsDespite the high cure rate, a substantial proportion of children and adolescents developed post-tuberculosis sequelae. These findings highlight the need for a comprehensive approach, including post-treatment and multidisciplinary follow-up, centered on children and adolescents, to reduce morbidity and long-term functional impairment across the life course.

Indexed as

Antitubercular AgentsHospitalizationTuberculosisTuberculosis, PulmonaryAdolescentBrazilChildChild, PreschoolFemaleHumansInfantLength of StayLongitudinal StudiesMaleReferral and ConsultationRisk FactorsAntitubercular AgentsAdolescentChildHospitalizationPost-tuberculosisSequelaeTuberculosis

Identifiers

PMID42424843
PMCPMC13380036

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Registered trials

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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.