Correlation of sociodemographic and clinical factors with changes in functionality in hospitalized children

Abstract

INTRODUCTION: The development of functional changes is common in children who have been in intensive care conditions. The Functional Status Scale (FSS) is a scale that aims to assess the functionality of hospitalized pediatric patients. OBJECTIVE: To verify the correlation of sociodemographic and clinical factors with the functional changes of children submitted to PICU admission. MATERIALS AND METHODS: Cohort study with children admitted to a PICU. Functionality was assessed by the FSS on admission and discharge from the unit. New disability was defined as a change in FSS ? 1 and severe disability as a change in FSS ? 3. Data were evaluated using the SPSS version 17.0 program. Pearson and Spearman's test was used for correlation analysis. The level of statistical significance adopted was p <0.05. RESULTS: 43 children participated in the study, 51.2% were male, with a median age of 15 (1-144) months. The main reason for hospitalization was respiratory discomfort 12 (27.9%) and the most frequent previous comorbidity was neurological (37.3%), followed by cardiovascular (11.8%). Significant correlations were observed between new disability and previous vascular disease (p <0.000); new disability and hospitalization due to vascular changes (p <0.000) and severe disability and previous cardiovascular disease (p = 0.005). CONCLUSION: The development of functional changes can occur in children after admission to the PICU. The previous presence of vascular disease and heart disease, in addition to hospitalization due to vascular changes, are associated with a functional worsening at hospital discharge.