Introduction:The COVID-19 disease is a viral infection that can be complicated by different risk factors and can lead to death. Objective: To analyze the factors associated with the outcome (discharge or death) of patients with Covid-19 admitted to an intensive care unit. Methodology : Retrospective cross-sectional study with data from medical records of patients with Covid-19 admitted to the ICU of a university hospital in Cuiabá-MT, aged ≥ 20 years, of both genders, including pregnant women. Demographic, clinical, nutritional status and patient outcome variables were collected. Bivariate analysis was performed using Fisher's Exact Test and binary logistic regression using SPSS 17.0, with p<0.05 considered significant. Results: A total of 125 patients were evaluated, of which 53.6% were Gender Female and 46.3% were pregnant, with a mean age of 48.66 ± 18.33 years, most adults (71.2%) and of race/color brown (72.0%). Regarding comorbidities, 32.8% of the patients had arterial hypertension, 15.2% diabetes, 9.6% cardiovascular diseases, 5.6% other comorbidities, and 31.2% developed acute kidney injury (AKI). In the bivariate analysis, the outcome death was associated with Age of the elderly (p<0.001), hypertensive (p=0.002), presence of AKI (p=0.014) and two or more comorbidities (p=0.007), and Gestation (p=0.037). In the final multiple analysis, the outcome of death remained associated with the age of the elderly (p=0.004) and the presence of AKI (p=0.006).
Conclusion:The presence of comorbidities, older age and the development of AKI were factors significantly associated with death in patients with Covid-19.
As doenças cardiovasculares (DCV) são as causas de morte mais prevalentes no país e fatores de risco agindo de forma simultânea, podem aumentar o risco das mesmas. Analisar a simultaneidade de fatores de risco para DCV com variáveis sociodemográficas. Estudo transversal, com adultos residentes em Cuiabá, entrevistados pelo Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL), em 2014. A variável dependente foi a simultaneidade dos FRCV, dada pela combinação de dois ou mais fatores de risco: hipertensão, diabetes, dislipidemia, excesso de peso, tabagismo, consumo abusivo de álcool e inatividade física, identificados por escores que variam de zero a três (nenhuma exposição ou exposição a 1, 2 ou 3 ou mais fatores de risco). Na análise da simultaneidade, os homens apresentaram 71% e 135% maior prevalência de dois e três fatores de risco, respectivamente, para DCV, em relação às mulheres. Constatou-se que tanto a presença de um quanto a de dois e três ou mais fatores de risco para DCV, aumentou com o avançar da idade. Os indivíduos com até oito anos de estudo, ofereceram 116% maior prevalência de dois fatores de risco para DCV, em relação aos de 12 anos ou mais de escolaridade.
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