Factors associated with the occurrence of COVID-19 in the pediatric population in hospital settings: a case-control study.

Revista da Escola de Enfermagem da U S P Pub Date : 2025-11-17 eCollection Date: 2025-01-01 DOI:10.1590/1980-220X-REEUSP-2025-0211en
Denise Desconsi, Juliane Pagliari Araujo, Marcela Demitto Furtado, Rosângela Aparecida Pimenta, Adriana Valongo Zani
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Abstract

Objective: To analyze factors associated with the occurrence of COVID-19 in the pediatric population in hospital settings.

Method: This was a paired case-control study conducted with medical records of children under 14 years of age. The pediatric population with a positive COVID-19 test was considered a case, and the pediatric population with a negative COVID-19 test was considered a control. For each case, a control was used, totaling 486 medical records. Descriptive analysis, bivariate analysis, and logistic regression were performed.

Results: The variables associated with the occurrence of COVID-19 were brown, black, yellow, and indigenous children, emergency room and Intensive Care Unit admission, use of mask and oxygen catheter, antimicrobials, and corticosteroids. Fever, anorexia, non-eupneic respiratory pattern with saturation between 90% and 95%, cough, runny nose, and comorbidities were associated with the outcome.

Conclusion: Advances by providing information on factors associated with COVID-19 in the hospitalized population under 14 years of age, including place of hospitalization, anorexia, runny nose, comorbidity, and corticosteroid use.

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与医院儿科人群中发生COVID-19相关的因素:一项病例对照研究
目的:分析医院儿科人群中COVID-19发生的相关因素。方法:对14岁以下儿童的医疗记录进行配对病例对照研究。将COVID-19检测呈阳性的儿童人群视为病例,将COVID-19检测呈阴性的儿童人群视为对照。每个病例都有一个对照组,总共有486份医疗记录。进行描述性分析、双变量分析和逻辑回归。结果:与COVID-19发生相关的变量为棕色、黑色、黄色和土著儿童、急诊室和重症监护病房的入院情况、口罩和氧导管的使用、抗菌药物和皮质类固醇。发热、厌食、饱和度在90%至95%之间的非贫血性呼吸模式、咳嗽、流鼻涕和合并症与结果相关。结论:通过提供14岁以下住院人群中与COVID-19相关因素的信息,包括住院地点、厌食症、流鼻涕、合并症和皮质类固醇使用,取得了进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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