TY - JOUR
T1 - Análisis de sobrevida en Pediatría por COVID-19 en Colombia
AU - Gacharná, Diana Liceth Pinilla
AU - Hernández, Juan Pablo Rojas
AU - Barrera, Rafael Lambraño
AU - Pacheco, Robinson
AU - Monsalve, Juan Gonzalo Mesa
AU - Tobar, Iván Felipe Gutiérrez
AU - Díaz, Alejandro Díaz
AU - Orrego, Álvaro Darío Hoyos
AU - Samudio, Carlos Guillermo Garcés
AU - Sánchez, Luis Gabriel Vinasco
AU - López Cubillos, Juan Francisco
AU - Muñoz, Paula Andrea Araque
AU - Rivera, Luis Fernando Mejía
AU - Giraldo, Juan Pablo Calle
AU - López Medina, Eduardo
AU - Wilches, Patrick Eliana Sarmiento
AU - Ávila, Luis Miguel Sosa
AU - Jaramillo, Catalina Jaramillo
AU - Bastidas, Yamile Chaucanez
AU - Rosado, Laura Mendoza
AU - Ruiz, Juan Pablo Londoño
AU - Arroyave, Claudia Patricia Beltrán
AU - Marín, Diana Cristina Ortiz
AU - Moreno, Derly Carolina Hernández
N1 - Publisher Copyright:
© 2024 Asociacion Colombiana de Infectologia. All rights reserved.
PY - 2024/7
Y1 - 2024/7
N2 - Introduction: The mortality associated with SARS-CoV-2 in the pediatric population is still poorly known. This is because children often present with mild symptoms or may even be asymptomatic, making it difficult to identify and monitor severe cases that can lead to death. Likewise, SARS-CoV-2 infection in the pediatric population behaves differently than it does in adults. This lack of knowledge is particularly concerning in low- and middle- income countries like Colombia, where health systems may not have the necessary infrastructure to effectively collect and analyze data. Objective: To describe survival due to SARS CoV-2/COVID-19 infection in the pediatric population diagnosed in Colombian pediatric care health institutions. Materials and methods: Longitudinal descriptive observational study with retrospective data in patients under 17 years of age who consulted in 23 health institutions in Colombia between January 2020 and December 2020. Sample size: 23 patients. Results: 23 cases of patients dying from COVID-19 were recorded in the pediatric population in Colombia. Mortality was 1.9%. 60.9% of the patients were under 5 years of age. %, 56.5% were female, 60.8% of the patients had an associated underlying clinical condition and of these, 17.4% had malnutrition. The use of antibiotics in cases of bacterial coinfection was associated with greater survival, while acute Respiratory Distress Syndrome (RDS) and seizures were related to lower survival with respect to the final outcome. Conclusion: Mortality from COVID-19 in this population was 1.9%, with a higher prevalence in female patients under 5 years of age with associated underlying clinical condition, mainly malnutrition. The cardinal presenting symptom was respiratory difficulty and 100% of patients required oxygen support. The use of antibiotics in cases of bacterial coinfection was related to longer survival, while acute respiratory distress syndrome and seizures contributed to shorter survival time. The age variable was also significant, finding a greater risk of reaching the final outcome in less time in patients under 5 years of age.
AB - Introduction: The mortality associated with SARS-CoV-2 in the pediatric population is still poorly known. This is because children often present with mild symptoms or may even be asymptomatic, making it difficult to identify and monitor severe cases that can lead to death. Likewise, SARS-CoV-2 infection in the pediatric population behaves differently than it does in adults. This lack of knowledge is particularly concerning in low- and middle- income countries like Colombia, where health systems may not have the necessary infrastructure to effectively collect and analyze data. Objective: To describe survival due to SARS CoV-2/COVID-19 infection in the pediatric population diagnosed in Colombian pediatric care health institutions. Materials and methods: Longitudinal descriptive observational study with retrospective data in patients under 17 years of age who consulted in 23 health institutions in Colombia between January 2020 and December 2020. Sample size: 23 patients. Results: 23 cases of patients dying from COVID-19 were recorded in the pediatric population in Colombia. Mortality was 1.9%. 60.9% of the patients were under 5 years of age. %, 56.5% were female, 60.8% of the patients had an associated underlying clinical condition and of these, 17.4% had malnutrition. The use of antibiotics in cases of bacterial coinfection was associated with greater survival, while acute Respiratory Distress Syndrome (RDS) and seizures were related to lower survival with respect to the final outcome. Conclusion: Mortality from COVID-19 in this population was 1.9%, with a higher prevalence in female patients under 5 years of age with associated underlying clinical condition, mainly malnutrition. The cardinal presenting symptom was respiratory difficulty and 100% of patients required oxygen support. The use of antibiotics in cases of bacterial coinfection was related to longer survival, while acute respiratory distress syndrome and seizures contributed to shorter survival time. The age variable was also significant, finding a greater risk of reaching the final outcome in less time in patients under 5 years of age.
KW - associated factors
KW - children
KW - Covid 19
KW - mortality
KW - survival
UR - http://www.scopus.com/inward/record.url?scp=85207922497&partnerID=8YFLogxK
U2 - 10.22354/24223794.1185
DO - 10.22354/24223794.1185
M3 - Artículo
AN - SCOPUS:85207922497
SN - 0123-9392
VL - 28
SP - 152
EP - 159
JO - Infectio
JF - Infectio
IS - 3
ER -