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COVID-19 in Portugal

2022-08-29Artigo científico Acesso aberto
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dc.contributor.authorElias, Cecilia
dc.contributor.authorFeteira-Santos, Rodrigo
dc.contributor.authorCamarinha, Catarina
dc.contributor.authorDe Araújo Nobre, Miguel
dc.contributor.authorCosta, Andreia Silva
dc.contributor.authorBacelar-Nicolau, Leonor
dc.contributor.authorFurtado, Cristina
dc.contributor.authorNogueira, Paulo Jorge
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblBMJ Publishing Group
dc.date.accessioned2023-01-23T22:16:19Z
dc.date.available2023-01-23T22:16:19Z
dc.date.issued2022-08-29
dc.descriptionPublisher Copyright: © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.
dc.description.abstractBackground COVID-19 is considered by WHO a pandemic with public health emergency repercussions. Children often develop a mild disease with good prognosis and the recognition of children at risk is essential to successfully manage paediatric COVID-19. Quality epidemiological surveillance data are required to characterise and assess the pandemic. Methods Data on all reported paediatric COVID-19 cases, in Portugal, were retrospectively assessed from a fully anonymised dataset provided by the Directorate General for Health (DGS). Paediatric hospital admission results were obtained from the DGS vaccine recommendations and paediatric intensive care unit (PICU) admission results from the EPICENTRE.PT group. Reported cases and PICU admissions from March 2020 to February 2021 and hospital admissions between March and December 2020 were analysed. Results 92 051 COVID-19 cases were studied, 50.5% males, average age of 10.1 years, corresponding to 5.4% of children in Portugal. The most common symptoms were cough and fever, whereas gastrointestinal symptoms were infrequent. The most common comorbidity was asthma. A high rate of missing surveillance data was noticed, on presentation of disease and comorbidity variables, which warrants a cautious interpretation of results. Hospital admission was required in 0.93% of cases and PICU on 3.48 per 10 000 cases. PICU admission for Multisystem Inflammatory Syndrome in Children (MIS-C) was more frequent in children with no comorbidities and males, severe COVID-19 was rarer and occurred mainly in females and infants. Case fatality rate and mortality rates were low, 1.8 per 100 000 cases and 1.2 per 1 000 000 cases, respectively. Conclusions The overall reported case incidence was 5.4 per 100 children and adolescents and <1% of cases required hospital admission. MIS-C was more frequent in patients with no comorbidities and males. Mortality and case fatality rates were low. Geographic adapted strategies, and information systems to facilitate surveillance are required to improve surveillance data quality.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent769302
dc.identifier.doi10.1136/bmjpo-2022-001499
dc.identifier.issn2399-9772
dc.identifier.otherPURE: 51401920
dc.identifier.otherPURE UUID: 35ffed60-4e28-4f45-b0ac-40a1b43e6b7b
dc.identifier.otherScopus: 85137940139
dc.identifier.otherPubMed: 36053592
dc.identifier.otherWOS: 000853050600003
dc.identifier.otherPubMedCentral: PMC9438012
dc.identifier.urihttp://hdl.handle.net/10362/148028
dc.identifier.urlhttps://www.scopus.com/pages/publications/85137940139
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCOVID-19
dc.subjectEpidemiology
dc.subjectMortality
dc.subjectPediatrics, Perinatology, and Child Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleCOVID-19 in Portugalen
dc.title.subtitlea retrospective review of paediatric cases, hospital and PICU admissions in the first pandemic yearen
dc.typejournal article
degois.publication.issue1
degois.publication.titleBMJ Paediatrics Open
degois.publication.volume6
dspace.entity.typePublication
rcaap.rightsopenAccess

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