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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Functional status of hospitalized pediatric patients with COVID-19 in southern Brazil: a prospective cohort study
Giovana Morin Casassola1, Caroline Jacoby Schmidt1, Guilherme Hoff Affeldt2
1. Hospital de Clínicas de Porto Alegre, Porto Alegre (RS), Brasil.
Insights
Over half of children hospitalized with COVID-19 experienced functional changes. Pre-existing conditions and need for respiratory support worsened functional status and prolonged hospital stays in pediatric COVID-19 patients.
Area of Science:
- Pediatric Medicine
- Infectious Diseases
- Rehabilitation Medicine
Background:
- COVID-19 significantly impacts pediatric populations, necessitating an understanding of its effects on children's functional status.
- Assessing functional status is crucial for managing long-term outcomes and recovery in pediatric patients post-COVID-19 hospitalization.
Purpose of the Study:
- To evaluate the functional status of children hospitalized with COVID-19.
- To identify associations between functional status and clinical features in pediatric COVID-19 patients.
Main Methods:
- A prospective cohort study involving 62 children diagnosed with COVID-19 admitted to a tertiary hospital.
- Functional status was assessed using the pediatric Functional Status Scale (FSS).
- Statistical analyses, including multivariate analysis, were performed to determine associations.
Main Results:
- Approximately 55% of hospitalized children exhibited some degree of functional alteration.
- Higher FSS scores correlated with longer hospital stays, increased need for oxygen therapy, mechanical ventilation, and intensive care unit admissions.
- Significant associations were found between functional status, comorbidities, and length of stay.
Conclusions:
- More than half of pediatric COVID-19 patients hospitalized experienced functional changes.
- Functional status alterations were linked to pre-existing comorbidities, increased need for ventilatory support, and extended hospitalizations.
Objective:
The present study aimed to assess the functional status of children diagnosed with COVID-19 at the time of hospitalization and the associations with clinical features.
Methods:
This prospective cohort study was carried out with children diagnosed with COVID-19 admitted to a tertiary hospital. The patients' functioning was assessed using the pediatric Functional Status Scale (FSS).
Results:
A total of 62 children with a median age of 3 years old were included in the study, and 70% had some comorbidity prior to the diagnosis of COVID-19. The median length of stay was nine days, during which period five patients died. The FSS assessment of the sample showed that approximately 55% had some functional alteration. The group of patients with the highest FSS scores presented a lengthier hospital stay (p = 0.016), required more oxygen therapy (p < 0.001), mechanical ventilation (p = 0.001), and intensive care unit admissions (p = 0.019), and had more cardiac (p = 0.007), neurological (p = 0.003), and respiratory (p = 0.013) comorbidities. In the multivariate analysis, there was an association between the dependent variable length of stay and the total FSS score (b = 0.349, p = 0.004) and the presence of comorbidities (b = 0.357, p = 0.004).
Conclusions:
We observed that more than half of the children hospitalized due to COVID-19 had some level of functional change. Greater alterations in functional status were associated with the presence of previous comorbidities, a greater need for ventilatory support, and longer hospital stays.
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