巴西东北部某地区儿童和青少年的新冠肺炎死亡病例：为何如此之多？
Coronavirus disease-19 deaths among children and adolescents in an area of Northeast, Brazil: why so many?
机构信息
Department of Medicine and Health Sciences Post-Graduate Program, Federal University of Sergipe, Aracaju, Brazil.
Graduate Program in Health and Environment, Tiradentes University, Aracaju, Brazil.
出版信息
Trop Med Int Health. 2021 Jan;26(1):115-119. doi: 10.1111/tmi.13529. Epub 2020 Dec 6.
OBJECTIVE
To describe COVID-19 deaths among children and adolescents in Sergipe, Brazil.
METHODS
Ecological study of all COVID-19 reported cases and deaths occurring in children and adolescents < 19 years of age in Sergipe reported by the health surveillance and mortality information systems of Sergipe's Health Secretary and hospital records.
RESULTS
Of 37 deaths of children < 19 years old were reported up to 30 September 2020, corresponding to 4.87 deaths for 100 000 population < 19 years old. Most deaths occurred among infants (44.1/100 000), and this age group had the highest case fatality rate (15.3 %). Most children had comorbidities such as chronic neurological diseases (n = 7; 19%) and prematurity (n = 4; 11%). Most children who died (n = 18; 49%) were not admitted to intensive care units (ICUs).
CONCLUSION
COVID-19 mortality in children and adolescents in Sergipe was higher than in other Brazilian states and in high-income countries. A large proportion of the deaths occurred among children with comorbidities and a minority of children were admitted to ICU, reflecting the limited provision of such beds in the State. Newborns and infants are a high-risk group that must have priority in health public policy.
目的
描述巴西塞尔希培州儿童和青少年的 COVID-19 死亡情况。
方法
通过塞尔希培州卫生局和医院记录中的卫生监测和死亡率信息系统，对该州所有报告的儿童和青少年(<19 岁)COVID-19 病例和死亡情况进行了生态研究。
结果
截至 2020 年 9 月 30 日，报告了 37 例儿童(<19 岁)死亡病例，相当于每 10 万<19 岁人口有 4.87 例死亡。大多数死亡发生在婴儿中(44.1/10 万)，且该年龄组病死率最高(15.3%)。大多数儿童患有合并症，如慢性神经系统疾病(n=7;19%)和早产(n=4;11%)。大多数死亡的儿童(n=18;49%)没有入住重症监护病房(ICU)。
结论
塞尔希培州儿童和青少年的 COVID-19 死亡率高于巴西其他州和高收入国家。大多数死亡发生在患有合并症的儿童中，少数儿童入住 ICU，这反映了该州 ICU 床位的有限供应。新生儿和婴儿是一个高风险群体，必须在卫生公共政策中优先考虑。
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