Evaluation of hospitalization of children aged 0 to 5 years admitted for respiratory infections at a large hospital

Oliveira, Tatiana Gandolfi de; Moraes, Juliana da Silva Bemfeito de; Moreira, Flávia Thomé; Arrelaro, Raquel Coris; Ricardi, Viviane Alves; Bertagnon, José Ricardo Dias; Juliano, Yára

doi:10.1590/s1679-45082011ao1908

Cited by 9 publications

(8 citation statements)

References 8 publications

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“…Respiratory diseases of viral etiologies (infections of upper airways, bronchiolitis) are cited as being more common in the pediatric population [9,10], which contradicts our founds. However, other studies corroborate our results and point to pneumonia as a diagnosis in more than 50% of all hospitalizations for respiratory diseases [2,11,12].…”

Section: Plos Onesupporting

confidence: 91%

“…Our study describes the epidemiological profile of hospitalizations for respiratory diseases in the last 5 years and brings evidence that social isolation has significantly reduced hospitalizations for respiratory diseases in the pediatric population. p-values for the chi-square test (1) and Fisher's exact test (2) https://doi.org/10.1371/journal.pone.0243694.t003…”

Section: Discussionmentioning

confidence: 99%

“…Hospitalizations for respiratory diseases in children and adolescents usually present a distribution pattern dependent on the age group [1,2] and seasonality [9].…”

Section: Plos Onementioning

confidence: 99%

“…Respiratory tract diseases are the major cause of morbidity and mortality in children under the age of 5 years, constituting the highest rate of hospitalization in this age group [1,2]. In developing countries, diseases of the lower respiratory tract represent about 90% of deaths from respiratory diseases, most of which are bronchial and alveolar infections of viral origin [1,3].…”

Section: Introductionmentioning

confidence: 99%

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Impact of social isolation due to COVID-19 on the seasonality of pediatric respiratory diseases

et al. 2020

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Introduction Respiratory tract diseases are the major cause of morbidity and mortality in children under the age of 5 years, constituting the highest rate of hospitalization in this age group. Objectives To determine the prevalence of hospitalizations for respiratory diseases in childhood in the last 5 years and to assess the impact of social isolation due to COVID-19 on the seasonal behavior of these diseases. Methods A cross-sectional clinical study was carried out, with a survey of all patients aged 0 to 17 years who were admitted with a diagnosis of respiratory diseases between January 2015 and July 2020. The database was delivered to the researchers anonymized. The variables used for analysis were date of admission, date of discharge, length of stay, age, sex and diagnosis. In order to make the analysis possible, the diagnoses were grouped into upper respiratory infection (URI), asthma / bronchitis, bronchiolitis and pneumonia. Results 2236 admissions were included in the study. Children under 5 years old account for 81% of hospitalizations for respiratory disease in our population. In the adjusted model, an average reduction of 38 hospitalizations was observed in the period of social isolation (coefficient: -37.66; 95% CI (- 68.17; -7.15); p = 0.016). Conclusion The social isolation measures adopted during the COVID-19 pandemic dramatically interfered with the seasonality of childhood respiratory diseases. This was reflected in the unexpected reduction in the number of hospitalizations in the pediatric population during this period.

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Section: Plos Onesupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

“…Hospitalizations for respiratory diseases in children and adolescents usually present a distribution pattern dependent on the age group [1,2] and seasonality [9].…”

Section: Plos Onementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of social isolation due to COVID-19 on the seasonality of pediatric respiratory diseases

et al. 2020

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“…The difference in seasonal detection maybe was related to a region's climate and demographic factors [28]. In Brazil, 4240 clinical records of children with LRTI were investigated, and the maximum number of cases of pneumonia was found in winter, followed by fall and spring, while lower cases occurred in summer [29]. In another study that was conducted in Turkey to determine the virological characteristics of acute respiratory tract infections (RTIs) among 155 children, most viruses showed strong seasonal patterns.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Epidemiological Determinants of Lower Respiratory Tract Infections in Hospitalized Pediatric Patients

Mirkarimi

Alisamir

Saraf

et al. 2020

International Journal of Pediatrics

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Background. Lower respiratory tract infection (LRTI) is the main cause of pediatric mortality and morbidity in low- and middle-income countries. Purpose. This study was carried out to determine the clinical and epidemiological characteristics of children with LRTI. Method. A retrospective study was conducted on all pediatric patients who were hospitalized due to LRTI in Abuzar Hospital (Ahvaz, Iran) during one year. Incomplete medical records and children who were treated on an outpatient basis, as well as infants younger than 1 month of age, were excluded. The patients were evaluated in terms of epidemiological, clinical, and paraclinical characteristics. Results. A total of 303 hospitalized children and infants were identified. Their mean age was 29.09 ± 38.96 months (range 1 month-15 years), and 59.4% of them were males. The highest frequency of patients was at the age below one year (50.8%, n = 154 ). Pneumonia and bronchitis were the most common LRTIs. Respiratory (54.6%) and neurological (21.6%) diseases were the most prevalent underlying medical conditions. Admission was more common in winter ( n = 120 , 39.6%) and spring ( n = 79 , 26.1%). The mean length of stay (LOS) in the hospital was 8.2 ± 5.5 days, and the overall mortality rate was 11.6%. In addition, 65 patients were severely underweight and 271 patients were malnourished. Moreover, there was a significant association between mortality and disease diagnosis ( p < 0.05 ). Furthermore, there was a significant association between having an underlying disease and consanguineous parents ( p < 0.01 ), as well as the frequency of hospitalization ( p < 0.001 ). Conclusion. Additional studies are required to determine factors contributing to disease severity among children with LRTI to develop appropriate preventive and therapeutic strategies.

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Chest physiotherapy for pneumonia in children

Chaves

Fregonezi

Dias

et al. 2012

Cochrane Database of Systematic Reviews

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Evaluation of hospitalization of children aged 0 to 5 years admitted for respiratory infections at a large hospital

Cited by 9 publications

References 8 publications

Impact of social isolation due to COVID-19 on the seasonality of pediatric respiratory diseases

Impact of social isolation due to COVID-19 on the seasonality of pediatric respiratory diseases

Clinical and Epidemiological Determinants of Lower Respiratory Tract Infections in Hospitalized Pediatric Patients

Chest physiotherapy for pneumonia in children

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