Profile of suspected cases of COVID-19 in a Neonatal Intensive Care Unit: treatment and clinical outcome
Keywords:
COVID-19, Health Profile, Newborn Respiratory Distress Syndrome., Neonatal Intensive Care UnitAbstract
This work aims to analyze the hospitalization profile of newborns suspected of having COVID-19 admitted to the Neonatal Intensive Care Unit, considering the clinical profile, treatment, and outcome for the newborn's hospital discharge. This is a retrospective cross-sectional observational study. Data were used from medical records of newborns admitted to COVID-19 Neonatal Intensive Care Units of a reference hospital in the northern region of Brazil. The searches were carried out using ICD-10 with codes B34.2, P220, and P229, in addition to an active search in the histories of the hospitalization sectors in the period from March 2020 to October 2021. The statistical analysis of the categorical and inferential analysis were done. Statistical processing was carried out using IBM SPSS software, adopting an alpha significance level of 5%. 67 newborns included, 55.2% (N=37) were male, with a gestational age of 34.7±3.87, from the Metropolitan region of Belém (53.7%). Of these 6 cases (8.9%) were positive for COVID-19, the female gender was predominant (66.6%), gestational age was 37.6 ± 2.1, and the route of contamination was family coexistence (83.3 %). The most used therapeutic strategy was Invasive Mechanical Ventilation, with a correlation between support time and gestational age (p-value=0.008). The hospitalization profile during the studied period corresponded to negative cases of the disease, with children born in 2020, preterm newborns, coming from the metropolitan region of Belém, and with favorable discharge outcomes.
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