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- Title
The hidden severity of the COVID-19 pandemic in children and adolescents in Brazil: a territorial analysis of hospital mortality.
- Authors
Aguiar, Amanda Cilene Cruz; Luiz, Ronir Raggio; Zeitoune, Regina Célia Gollner; de Moraes, José Rodrigo; Prata-Barbosa, Arnaldo; de Lima, Jessica Pronestino
- Abstract
This article aims to describe the geographical distribution of hospital mortality from COVID-19 in children and adolescents during the 2020-2021 pandemic in Brazil. Ecological, census study (SIVEP GRIPE) with individuals up to 19 years of age, hospitalized with SARS due to COVID- 19 or SARS not specified in Brazilian municipalities, stratified in two ways: 1) in the five macro- regions and 2) in three urban agglomerations: capital, municipalities of the metropolitan region and non-capital municipalities. There were 44 hospitalizations/100,000 inhabitants due to COVID- 19 and 241/100,000 when including unspecified SARS (estimated underreporting of 81.8%). There were 1,888 deaths by COVID-19 and 4,471 deaths if added to unspecified SARS, estimating 57.8% of unreported deaths. Hospital mortality was 2.3 times higher in the macro-regions when considering only the cases of COVID-19, with the exception of the North and Center-West regions. Higher hospital mortality was also recorded in non-capital municipalities. The urban setting was associated with higher SARS hospital mortality during the COVID-19 pandemic in Brazil. Living in the North and Northeast macro-regions, and far from the capitals offered a higher risk of mortality for children and adolescents who required hospitalization.
- Subjects
BRAZIL; HOSPITAL mortality; COVID-19 pandemic; TEENAGERS; CHILD mortality; COVID-19; CENSUS
- Publication
Revista Ciência & Saúde Coletiva, 2024, Vol 29, Issue 5, p1
- ISSN
1413-8123
- Publication type
Article
- DOI
10.1590/1413-81232024295.02662023EN