Clinical characteristics and outcomes of hospital-manifested COVID-19 among Brazilians

Autor: Polianna Delfino-Pereira, Magda Carvalho Pires, Virginia Mara Reis Gomes, Matheus Carvalho Alves Nogueira, Maria Clara Pontello Barbosa Lima, Alexandre Vargas Schwarzbold, Amanda de Oliveira Maurílio, Ana Luiza Bahia Alves Scotton, André Soares de Moura Costa, Barbara Lopes Farace, Bruno Mateus de Castro, Christiane Corrêa Rodrigues Cimini, Daniel Vitório Silveira, Daniela Ponce, Elayne Crestani Pereira, Eliane Würdig Roesch, Euler Roberto Fernandes Manenti, Evelin Paola de Almeida Cenci, Fernanda Costa dos Santos, Fernando Anschau, Fernando Graça Aranha, Frederico Bartolazzi, Guilherme Fagundes Nascimento, Heloisa Reniers Vianna, Joanna d'Arc Lyra Batista, Joice Coutinho de Alvarenga, Juliana da Silva Nogueira Carvalho, Juliana Machado-Rugolo, Karen Brasil Ruschel, Luanna Silva Monteiro Menezes, Luís César de Castro, Luiz Antônio Nasi, Maiara Anschau Floriani, Maíra Dias Souza, Maíra Viana Rego Souza-Silva, Marcelo Carneiro, Maria Aparecida Camargos Bicalho, Mariana Frizzo de Godoy, Milton Henriques Guimarães-Júnior, Patricia Klarmann Ziegelmann, Pedro Ledic Assaf, Petrônio José de Lima Martelli, Renan Goulart Finger, Saionara Cristina Francisco, Silvia Ferreira Araújo, Talita Fischer Oliveira, Thainara Conceição de Oliveira, Thalita Martins Lage, Vanessa Muller, Yuri Carlotto Ramires, Teresa Cristina de Abreu Ferrari, Milena Soriano Marcolino
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Infectious Diseases, Vol 130, Iss , Pp 31-37 (2023)
Druh dokumentu: article
ISSN: 1201-9712
DOI: 10.1016/j.ijid.2023.02.012
Popis: ABSTRACT: Objectives: To analyze the clinical characteristics and outcomes of admitted patients with the hospital- versus community-manifested COVID-19 and to evaluate the risk factors related to mortality in the first population. Methods: This retrospective cohort included consecutive adult patients with COVID-19, hospitalized between March and September 2020. The demographic data, clinical characteristics, and outcomes were extracted from medical records. Patients with hospital-manifested COVID-19 (study group) and those with community-manifested COVID-19 (control group) were matched by the propensity score model. Logistic regression models were used to verify the risk factors for mortality in the study group. Results: Among 7,710 hospitalized patients who had COVID-19, 7.2% developed symptoms while admitted for other reasons. Patients with hospital-manifested COVID-19 had a higher prevalence of cancer (19.2% vs 10.8%) and alcoholism (8.8% vs 2.8%) than patients with community-manifested COVID-19 and also had a higher rate of intensive care unit requirement (45.1% vs 35.2%), sepsis (23.8% vs 14.5%), and death (35.8% vs 22.5%) (P
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