Nutritional risk and clinical outcomes of COVID-19 in hospitalized children and adolescents: a multicenter cohort
| dc.contributor.author | Silva, José Adailton da | |
| dc.contributor.author | Mello, Leilah B. de | |
| dc.contributor.author | Clemente, Heleni Aires | |
| dc.contributor.author | Barros Neto, João A. | |
| dc.contributor.author | Mello, Carolina S. | |
| dc.contributor.authorID | https://orcid.org/0000-0002-6037-7649 | pt_BR |
| dc.date.accessioned | 2023-12-08T16:37:56Z | |
| dc.date.available | 2023-12-08T16:37:56Z | |
| dc.date.issued | 2023 | |
| dc.description.resumo | Objective: To verify the association between nutritional risk on admission and clinical outcomes of COVID-19 in hospitalized children and adolescents. Methods: Multicenter cohort study was conducted in two cities in the northeastern region of Brazil, with children under 18 years of age laboratory diagnosed with COVID-19. Sociodemographic data and nutritional risk screening by STRONGKids (low, medium and high risk) were collected remotely and in hospital records, respectively. The outcomes assessed were the need for ICU admission, length of stay (< 10 days or 10 days), critical cases, and death. Multivariable logistic regression models were used to evaluate the effects of high nutritional risk on COVID-19 clinical outcomes. Results: 103 individuals were evaluated, of these 35 (34.0%) had low risk, 44 (42.7%) medium risk, and 24 (23.3%) had high risk of malnutrition. In multivariate analysis, ICU bed admission (OR: 4.57; 95%CI, 1.39-4.97; p = 0.01), hospitalization longer than or equal to ten days (OR: 3.96; 95%CI, 1.22-2.83; p = 0.02) and critical cases (OR: 4.35; 95%CI, 1.08-7.55; p = 0.04) were associated with high nutritional risk. Death was not associated with high nutritional risk. Conclusions: Children and adolescents with high nutritional risk by STRONGkids at hospital admission were more likely to be admitted to the ICU, have hospitalization longer than or equal to ten days, and have critical cases when infected with SARS-CoV-2.Objective: To verify the association between nutritional risk on admission and clinical outcomes of COVID-19 in hospitalized children and adolescents. Methods: Multicenter cohort study was conducted in two cities in the northeastern region of Brazil, with children under 18 years of age laboratory diagnosed with COVID-19. Sociodemographic data and nutritional risk screening by STRONGKids (low, medium and high risk) were collected remotely and in hospital records, respectively. The outcomes assessed were the need for ICU admission, length of stay (< 10 days or 10 days), critical cases, and death. Multivariable logistic regression models were used to evaluate the effects of high nutritional risk on COVID-19 clinical outcomes. Results: 103 individuals were evaluated, of these 35 (34.0%) had low risk, 44 (42.7%) medium risk, and 24 (23.3%) had high risk of malnutrition. In multivariate analysis, ICU bed admission (OR: 4.57; 95%CI, 1.39-4.97; p = 0.01), hospitalization longer than or equal to ten days (OR: 3.96; 95%CI, 1.22-2.83; p = 0.02) and critical cases (OR: 4.35; 95%CI, 1.08-7.55; p = 0.04) were associated with high nutritional risk. Death was not associated with high nutritional risk. Conclusions: Children and adolescents with high nutritional risk by STRONGkids at hospital admission were more likely to be admitted to the ICU, have hospitalization longer than or equal to ten days, and have critical cases when infected with SARS-CoV-2. | pt_BR |
| dc.identifier.citation | SILVA, José Adailton da; ; MELLO, Leilah B. de; CLEMENTE, Heleni A.; BARROS NETO, João A.; MELLO, Carolina S.. Nutritional risk and clinical outcomes of COVID-19 in hospitalized children and adolescents: a multicenter cohort. Jornal de Pediatria, [S.L.], v. 99, n. 6, p. 641-647, nov. 2023. Elsevier BV. DOI http://dx.doi.org/10.1016/j.jped.2023.06.001. Disponível em: https://www.sciencedirect.com/science/article/pii/S0021755723000815?via%3Dihub. Acesso em: 30 nov. 2023. | pt_BR |
| dc.identifier.doi | https://doi.org/10.1016/j.jped.2023.06.001 | |
| dc.identifier.issn | e1678-4782 | |
| dc.identifier.uri | https://repositorio.ufrn.br/handle/123456789/55700 | |
| dc.language | en | pt_BR |
| dc.publisher | Elsevier | pt_BR |
| dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Brazil | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/br/ | * |
| dc.subject | SARS CoV 2 infection | pt_BR |
| dc.subject | nutrition assessment | pt_BR |
| dc.subject | screening tool | pt_BR |
| dc.subject | hospitalization | pt_BR |
| dc.subject | pediatrics | pt_BR |
| dc.title | Nutritional risk and clinical outcomes of COVID-19 in hospitalized children and adolescents: a multicenter cohort | pt_BR |
| dc.type | article | pt_BR |
Arquivos
Pacote Original
1 - 1 de 1
Nenhuma Miniatura disponível
- Nome:
- NutritionalRiskClinical_Silva_2023.pdf
- Tamanho:
- 417.9 KB
- Formato:
- Adobe Portable Document Format
Nenhuma Miniatura disponível
Licença do Pacote
1 - 1 de 1
Nenhuma Miniatura disponível
- Nome:
- license.txt
- Tamanho:
- 1.45 KB
- Formato:
- Item-specific license agreed upon to submission
Nenhuma Miniatura disponível