In:
Epidemiologia e Serviços de Saúde, FapUNIFESP (SciELO), Vol. 30, No. 4 ( 2021)
Abstract:
Abstract Objective To characterize the clinical-epidemiological profile of multisystem inflammatory syndrome in children temporally associated with COVID-19 (MIS-C), and to identify factors associated with MIS-C deaths in Brazil, 2020. Methods This was a cross-sectional study, using national MIS-C monitoring data. Logistical regression was performed to estimate crude and adjusted odds ratios (OR). Results Median case (n=652) age was 5 years, 57.1% were male, 52.0% were of brown race/skin color and 6.4% died. Likelihood of death was greater among those who presented O2 saturation 〈 95% (ORa=4.35 – 95%CI 1.69;11.20) and altered urea results (ORa=5.18 – 95%CI 1.91;14.04); likelihood of death was lower when red skin blotches were not present (ORa=0.23 – 95%CI 0.09;0.62), when anticoagulants were used (ORa=0.32 – 95%CI 0.12;0.89) and when immunoglobulins were used (ORa=0.38 – 95%CI 0.15;1.01). Conclusion Fatality ratios were higher among cases that presented O2 saturation 〈 95% and altered urea results. Fatality ratios were lower among those with red skin blotches, and those who used immunoglobulins and anticoagulants.
Type of Medium:
Online Resource
ISSN:
2237-9622
,
1679-4974
DOI:
10.1590/s1679-49742021000400005
Language:
Portuguese
Publisher:
FapUNIFESP (SciELO)
Publication Date:
2021
detail.hit.zdb_id:
2880588-4