Assessment of patients with Covid-19 hospitalized in southern Santa Catarina

Abstract

Introduction: Coronavirus disease 2019 (COVID-19), a potentially fatal disease, is caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The number of cases has increased rapidly, but information on the clinical characteristics remains limited. Methods: Cohort study. We collected and analyzed epidemiological, demographic, and clinical data of critically and noncritically ill patients and compared the outcomes. Results: The mean age of hospitalized patients with COVID-19 was 54 years (standard deviation 16.9; 53.8% men), 29% required ICU admission, and 18.6% died. Conclusions: The main risk factors for ICU admission were age over 60 years, obesity, and preexisting chronic lung diseases.

Adult patients admitted to a tertiary hospital for COVID-19 and risk factors associated with severity: a retrospective cohort study

“…The results of this study demonstrated that patients over 60 years old with associated comorbidities had worse COVID-19 prognosis, as in the study by Li et al 12 , Schuelter-Trevisol et al 13 and Tan et al 14 . In the systematic review by Tan et al 14 , critically ill patients with COVID-19 had an average age of 62.6 years.…”

“…According to Suleyman et al 24 , 39.7% of their patients needed ICU hospitalization in a New York hospital, similar to the percentage found in this study. In another hospital with similar characteristics 13 , 29% of the patients needed to be admitted to the ICU; in a private hospital, the need for ICU hospitalization was 33% 8 . Some factors are considered to be associated with the slightly superior percentage found in this study, such as factors related to the higher incidence of comorbidities in our patients because they are socioeconomically disadvantaged, being dependent on the Brazilian Unified Health System (SUS), therefore facing more significant challenges in getting medical care and treatments.…”

Metabolic Syndrome and Mental Health in the Time of Covid-19 Pandemic

“…The determining criterion for the severity of the disorder was the presence or absence of hypoxia (25). COVID-19 affected all age groups; however, people over the age of 60 had the worst prognosis leading to death (26). At the time of the pandemic, measures were taken which led to social isolation, loss or risk of Clinical Social Work and Health Intervention Vol.…”

Perfil Clínico de pacientes com COVID-19 submetidos a Unidade de Terapia Intensiva

“…A senescência, processo natural do envelhecimento ao nível celular e fatores associados, torna o grupo populacional dos idosos um dos mais suscetíveis tanto pelas disfunções imunológicas quanto pelas alterações fisiológicas que afetam os diversos sistemas do organismo, somando-se ao uso concomitante e rotineiro de vários medicamentos. Tais condições são responsáveis pela fragilidade e consequente agravamento do estado de saúde geral desse grupo, fato que tem sido observado pelo alto índice de internações em UTI e óbitos entre os idosos (SCHUELTER-TREVISOL et al, 2020).…”

“…Além disso, algumas comorbidades estão relacionadas com maior suscetibilidade ao agravamento e necessidade de admissão na UTI, destacando-se: a Hipertensão Arterial Sistêmica (HAS), doenças neurológicas ou psiquiátricas e dislipidemia. Já os fatores concernentes a idade avançada, obesidade e doenças pulmonares crônicas apresentam riscos consideráveis para um mau prognóstico e transferência para UTI (SCHUELTER-TREVISOL et al, 2020).…”