Association between multimorbidity, intensive care unit admission, and death in patients with COVID-19 in Brazil: a cross-section study, 2020
Cardoso, Jefferson Paixão; Calazans, Maria Inês Pardo; Carneiro, Aretha Lorena Fonseca Cantanhede; Costa, Cayara Mattos; Monteiro, Edna Luisa Oliveira; Aristizábal, Liliana Yanet Gómez; Oliveira, Juliana da Silva; Santos, Alcione Miranda dos.
São Paulo med. j
; 141(3): e2022226, 2023. tab
Artículo
en Inglés
|
LILACS-Express
| ID: biblio-1432429
ABSTRACT
BACKGROUND:
Multimorbidity can influence intensive care unit (ICU) admissions and deaths due to coronavirus disease (COVID-19).OBJECTIVE:
To analyze the association between multimorbidity, ICU admissions, and deaths due to COVID-19 in Brazil. DESIGN ANDSETTING:
This cross-sectional study was conducted using data from patients with severe acute respiratory syndrome (SARS) due to COVID-19 recorded in the Influenza Epidemiological Surveillance Information System (SIVEP-Gripe) in 2020.METHODS:
Descriptive and stratified analyses of multimorbidity were performed based on sociodemographic, ventilatory support, and diagnostic variables. Poisson regression was used to estimate the prevalence ratios.RESULTS:
We identified 671,593 cases of SARS caused by COVID-19, of which 62.4% had at least one morbidity. Multimorbidity was associated with male sex, age 60-70 and ≥ 80 years, brown and black skin color, elementary education and high school, ventilatory support, and altered radiologic exams. Moreover, all regions of the country and altered computed tomography due to COVID-19 or other diseases were associated with death; only the northeast region and higher education were associated with ICU admission.CONCLUSION:
Our results showed an association between multimorbidity, ICU admission, and death in COVID-19 patients in Brazil.
Biblioteca responsable:
BR1.1
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