Functional status of children and adolescents with COVID-19 in a reference hospital in southern Brazil

Authors

DOI:

https://doi.org/10.1590/fm.2024.37120

Abstract

Introduction: The COVID-19 could leave important con-
sequences, including functional decline. Objective: Eval-uate functional status in pediatric patients hospitalized with COVID-19 and correlate with clinical variables. Methods: Prospective and retrospective longitudinal study with patients with COVID-19. Hospitalization data were collected from medical record review and post discharge data were collected by telephone contact. Functional status was evaluated by Functional Status Scale (FSS-Brazil) in three moments (hospital admission, hospi-tal discharge and after hospital discharge). Spearman test was used to correlate continuous variables and the linear model with generalized estimation equations was used to verify differences in the proportion of functional impairment occurrence (FSS-Brazil ≥ 8) at different mo-ments of the study and previous disease presence. Results: It was included 232 patients, 56% male, median age of five years old. Seventy (30.2%) patients had post discharge data. The mean global score of FSS-Brazil was 7.3 at hospital admission, 6.8 at discharge hospital and 6.8 after discharge hospital. Functional status was adequate in the three different moments evaluated in 75% of the sample. The ventilatory support needed was not correlated with functional status and the length of hos-pital stay and oxygen therapy showed weak correlations with functional status. Having no previous disease reduced the risk of functional impairment by 94%. Conclusion: The majority of the patients maintained adequate functional status. Absence of previous disease was a protective factor for long term functional impairment. 

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Author Biographies

Larissa dos Santos de Moraes, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA)

Department of Physiotherapy

Camila Wohlgemuth Schaan, Hospital de Clínicas de Porto Alegre (HCPA)

Physiotherapy Service

Bruna Holand, Universidade Federal do Rio Grande do Sul (UFRGS)

Department of Social Medicine

Kahena Zarth, Universidade Federal do Rio Grande do Sul (UFRGS)

Postgraduate Program in Food, Nutrition and Health

Vera Lucia Bosa, Universidade Federal do Rio Grande do Sul (UFRGS)

Postgraduate Program in Food, Nutrition and Health

Janice Luisa Lukrafka, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA)

Department of Physiotherapy, Postgraduate Program in Pediatrics: Child and Adolescent Health Care

Published

2024-06-03

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Section

Original Article

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