Características clínico-epidemiológicas de pacientes fallecidos por COVID-19 en un hospital de referencia en Paraguay entre enero de 2021 a julio de 2022 / Clinical and epidemiological characteristics of patients who died from COVID-19 in a referral hospital in Paraguay between January 2021 and July 2022
Rev. cient. cienc. salud
; 5(1): 1-6, 26-01-2023.
Artigo
em Espanhol
| BDNPAR
| ID: biblio-1413358
Biblioteca responsável:
PY55.1
RESUMEN
Introducción. La pandemia por COVID-19 desde su inicio hasta el 13 de agosto de 2022, ha causado 19.478 muertes en Paraguay, con una tasa de letalidad de 2,78%. El objetivo del estudio es comparar las características de los pacientes fallecidos por COVID-19 en dos años, enero-diciembre, 2021 y enero-julio 2022. Material y Método.Estudio analítico retrospectivo de corte transverso de pacientes adultos y pediátricos fallecidos por COVID-19 confirmados por RT-PCR en hisopados nasofaríngeos que estaban internados en el área respiratoria del Hospital Nacional de Itauguá.Resultados. De 5265 pacientes internados con COVID-19, fallecieron 1512, siendo la letalidad global de 28,7%, en el 2021 fue 26,3% (1164/4423) y 41,3% (348/842) en el 2022. Hubo mayor porcentaje de varones (53,6%) entre los fallecidos, significativamente mayor (p=0.045) en el 2022 (58,3%) que en el 2021 (52,2%). El 69% de los fallecidos eran mayores de 60 años en el 2022 y 48,3% en 2021. El 79,2% de los pacientes tenía algún factor de riesgo, que fue mayor en el 2022 (84,3%) que en el 2021 (77,7%), sobre todo, HTA (54,3% vs 42,2%), cardiopatía (15,8% vs 9,7%), ERC (14,4% vs 5,4%), EPOC (11,5% vs 5,4%), inmunodeficiencia (6,3% vs 2,5%) y enfermedad neurológica (3,4% vs 1,5%). La necesidad de ARM fue significativamente (p <0,001) mayor en el 2022 (50,3%) que en el 2021 (31,1%). Conclusión. Se observó unaletalidad global elevada en un hospital de referencia en Paraguay con los predictores de mortalidad similares a lo reportado a nivel mundial.Palabras clave mortalidad; COVID-19; factores de riesgo.
ABSTRACT
Introduction. The COVID-19 pandemic from its beginning until August 13, 2022, has caused 19,478 deaths in Paraguay with a fatality rate of 2.78%. The objective of the study is to compare the characteristics of patients who died from COVID-19 in two years, January-December 2021 and January-July 2022. Material and Method. A retrospective cross-sectional analytical study of adult and pediatric patients who died from COVID-19 hospitalized in the respiratory area of the hospital. The patients were confirmed by RT-PCR in nasopharyngeal swabs. Results.Out of 5265 patients hospitalized with COVID-19, 1512 died, yielding an overall lethality rate of 28.7%, in 2021 was 26.3% (1164/4423) and 41.3% (348/842) in 2022. There was a higher percentage of men (53, 6%) among the deceased, significantly higher (p=0.045) in 2022 (58.3%) thanin 2021 (52.2%); 69% of the deceased were over 60 years of age in 2022 and 48.3% in 2021; 79.2% of the patients had some risk factor, significantly higher in 2022 (84.3%) than in 2021 (77.7%), especially in AHT (54.3% vs 42.2%), heart disease (15.8% vs 9.7%), CKD (14.4% vs 5.4%), COPD (11.5% vs 5.4%), immunodeficiency (6.3% vs 2.5%) and neurological disease (3.4% vs 1.5%). The need for MRA was significantly (p <0.001) higher in 2022 (50.3%) than in 2021 (31.1%). Conclusion.A high global lethality rate was observed in a reference hospital in Paraguay with mortality predictors similar to those reported worldwide.
Assuntos
Texto completo:
Disponível
Coleções:
Bases de dados temática
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Meta 3.2: Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
/
COVID-19
/
Pneumonía
/
Doença Pulmonar Obstrutiva Crônica (DPOC)
/
Outras Doenças Respiratórias
Base de dados:
BDNPAR
Assunto principal:
Mortalidade
Tipo de estudo:
Estudo de etiologia
/
Avaliação de tecnologias de saúde
/
Estudo prognóstico
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Fatores de risco
Limite:
Adolescente
/
Adulto
/
Idoso
/
Idoso, 80 anos ou mais
/
Criança
/
Criança, pré-escolar
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Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Paraguai
Idioma:
Espanhol
Revista:
Rev. cient. cienc. salud
Ano de publicação:
2023
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital Nacional, Departamento de Medicina Interna/PY
/
Universidad del Pacífico, Dirección de Investigación/PY