Clinical characteristics and risk for severe COVID-19: a systematic review: Características clínicas e risco para COVID-19 grave: uma revisão sistemática
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Health Review |
Texto Completo: | https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/53994 |
Resumo: | COVID-19 has evolved into a serious clinical condition, especially in patients with comorbidities. However, the literature has diverged in relation to the main characteristics of patients prone to severe evolution. Objective: This study aimed to understand different variables that may be associated with the clinical management of COVID-19 for a better clinical response and prognosis. Methods: This is a systematic review in which the search in PubMed, Cochrane, EMBASE and LILACS databases. A manual and gray literature search on Google Scholar was also conducted. There was no country or region restriction and only studies in Portuguese, English and Spanish were included. Results: Of the 21 studies included in Primary Health Care (PHC) for eligibility, five studies from five countries involving 27,754 patients were analysed and, of the four eligible studies, one study was included for secondary care. Overall, the mean age of the COVID-19 population in PHC was around 41 years old, the number of cases was higher for females and, there was no difference between the groups without and with exposure, sex (ρ=0.322) and age (ρ=0.395). More than half of the patients had symptoms and, 47% had comorbidities. Heart diseases were the most prevalent among them. Approximately 79% of those infected had non-essential occupation. There was evidence that non-essential occupation was associated with infected individuals (ρ=0.002). Conclusions: This review identified that there may be greater vulnerability to contamination and aggravation of COVID-19 in female individuals, with adult age in non-essential activity, presence of chronic non-communicable diseases. |
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Brazilian Journal of Health Review |
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Clinical characteristics and risk for severe COVID-19: a systematic review: Características clínicas e risco para COVID-19 grave: uma revisão sistemáticaCOVID-19patient care managementpalliative careprimary health caresecondary careCOVID-19 has evolved into a serious clinical condition, especially in patients with comorbidities. However, the literature has diverged in relation to the main characteristics of patients prone to severe evolution. Objective: This study aimed to understand different variables that may be associated with the clinical management of COVID-19 for a better clinical response and prognosis. Methods: This is a systematic review in which the search in PubMed, Cochrane, EMBASE and LILACS databases. A manual and gray literature search on Google Scholar was also conducted. There was no country or region restriction and only studies in Portuguese, English and Spanish were included. Results: Of the 21 studies included in Primary Health Care (PHC) for eligibility, five studies from five countries involving 27,754 patients were analysed and, of the four eligible studies, one study was included for secondary care. Overall, the mean age of the COVID-19 population in PHC was around 41 years old, the number of cases was higher for females and, there was no difference between the groups without and with exposure, sex (ρ=0.322) and age (ρ=0.395). More than half of the patients had symptoms and, 47% had comorbidities. Heart diseases were the most prevalent among them. Approximately 79% of those infected had non-essential occupation. There was evidence that non-essential occupation was associated with infected individuals (ρ=0.002). Conclusions: This review identified that there may be greater vulnerability to contamination and aggravation of COVID-19 in female individuals, with adult age in non-essential activity, presence of chronic non-communicable diseases.Brazilian Journals Publicações de Periódicos e Editora Ltda.2022-11-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/5399410.34119/bjhrv5n6-042Brazilian Journal of Health Review; Vol. 5 No. 6 (2022); 22335-22358Brazilian Journal of Health Review; Vol. 5 Núm. 6 (2022); 22335-22358Brazilian Journal of Health Review; v. 5 n. 6 (2022); 22335-223582595-6825reponame:Brazilian Journal of Health Reviewinstname:Federação das Indústrias do Estado do Paraná (FIEP)instacron:BJRHporhttps://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/53994/46408Copyright (c) 2022 Brazilian Journal of Health Reviewinfo:eu-repo/semantics/openAccessCordeiro, Adrielle PereiraAzevedo, Pâmela Santosda Cruz-Cazarim, Estael Luzia Coelhoda Silva, Damaris SalgueiroNunes, Altacílio Aparecidode Mendonça, Alessandra ÉstherSilvério, Marcelo SilvaCazarim, Maurilio de Souza2023-11-13T19:17:06Zoai:ojs2.ojs.brazilianjournals.com.br:article/53994Revistahttp://www.brazilianjournals.com/index.php/BJHR/indexPRIhttps://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/oai|| brazilianjhr@gmail.com2595-68252595-6825opendoar:2023-11-13T19:17:06Brazilian Journal of Health Review - Federação das Indústrias do Estado do Paraná (FIEP)false |
dc.title.none.fl_str_mv |
Clinical characteristics and risk for severe COVID-19: a systematic review: Características clínicas e risco para COVID-19 grave: uma revisão sistemática |
title |
Clinical characteristics and risk for severe COVID-19: a systematic review: Características clínicas e risco para COVID-19 grave: uma revisão sistemática |
spellingShingle |
Clinical characteristics and risk for severe COVID-19: a systematic review: Características clínicas e risco para COVID-19 grave: uma revisão sistemática Cordeiro, Adrielle Pereira COVID-19 patient care management palliative care primary health care secondary care |
title_short |
Clinical characteristics and risk for severe COVID-19: a systematic review: Características clínicas e risco para COVID-19 grave: uma revisão sistemática |
title_full |
Clinical characteristics and risk for severe COVID-19: a systematic review: Características clínicas e risco para COVID-19 grave: uma revisão sistemática |
title_fullStr |
Clinical characteristics and risk for severe COVID-19: a systematic review: Características clínicas e risco para COVID-19 grave: uma revisão sistemática |
title_full_unstemmed |
Clinical characteristics and risk for severe COVID-19: a systematic review: Características clínicas e risco para COVID-19 grave: uma revisão sistemática |
title_sort |
Clinical characteristics and risk for severe COVID-19: a systematic review: Características clínicas e risco para COVID-19 grave: uma revisão sistemática |
author |
Cordeiro, Adrielle Pereira |
author_facet |
Cordeiro, Adrielle Pereira Azevedo, Pâmela Santos da Cruz-Cazarim, Estael Luzia Coelho da Silva, Damaris Salgueiro Nunes, Altacílio Aparecido de Mendonça, Alessandra Ésther Silvério, Marcelo Silva Cazarim, Maurilio de Souza |
author_role |
author |
author2 |
Azevedo, Pâmela Santos da Cruz-Cazarim, Estael Luzia Coelho da Silva, Damaris Salgueiro Nunes, Altacílio Aparecido de Mendonça, Alessandra Ésther Silvério, Marcelo Silva Cazarim, Maurilio de Souza |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Cordeiro, Adrielle Pereira Azevedo, Pâmela Santos da Cruz-Cazarim, Estael Luzia Coelho da Silva, Damaris Salgueiro Nunes, Altacílio Aparecido de Mendonça, Alessandra Ésther Silvério, Marcelo Silva Cazarim, Maurilio de Souza |
dc.subject.por.fl_str_mv |
COVID-19 patient care management palliative care primary health care secondary care |
topic |
COVID-19 patient care management palliative care primary health care secondary care |
description |
COVID-19 has evolved into a serious clinical condition, especially in patients with comorbidities. However, the literature has diverged in relation to the main characteristics of patients prone to severe evolution. Objective: This study aimed to understand different variables that may be associated with the clinical management of COVID-19 for a better clinical response and prognosis. Methods: This is a systematic review in which the search in PubMed, Cochrane, EMBASE and LILACS databases. A manual and gray literature search on Google Scholar was also conducted. There was no country or region restriction and only studies in Portuguese, English and Spanish were included. Results: Of the 21 studies included in Primary Health Care (PHC) for eligibility, five studies from five countries involving 27,754 patients were analysed and, of the four eligible studies, one study was included for secondary care. Overall, the mean age of the COVID-19 population in PHC was around 41 years old, the number of cases was higher for females and, there was no difference between the groups without and with exposure, sex (ρ=0.322) and age (ρ=0.395). More than half of the patients had symptoms and, 47% had comorbidities. Heart diseases were the most prevalent among them. Approximately 79% of those infected had non-essential occupation. There was evidence that non-essential occupation was associated with infected individuals (ρ=0.002). Conclusions: This review identified that there may be greater vulnerability to contamination and aggravation of COVID-19 in female individuals, with adult age in non-essential activity, presence of chronic non-communicable diseases. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-11-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/53994 10.34119/bjhrv5n6-042 |
url |
https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/53994 |
identifier_str_mv |
10.34119/bjhrv5n6-042 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/53994/46408 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Brazilian Journal of Health Review info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Brazilian Journal of Health Review |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Brazilian Journals Publicações de Periódicos e Editora Ltda. |
publisher.none.fl_str_mv |
Brazilian Journals Publicações de Periódicos e Editora Ltda. |
dc.source.none.fl_str_mv |
Brazilian Journal of Health Review; Vol. 5 No. 6 (2022); 22335-22358 Brazilian Journal of Health Review; Vol. 5 Núm. 6 (2022); 22335-22358 Brazilian Journal of Health Review; v. 5 n. 6 (2022); 22335-22358 2595-6825 reponame:Brazilian Journal of Health Review instname:Federação das Indústrias do Estado do Paraná (FIEP) instacron:BJRH |
instname_str |
Federação das Indústrias do Estado do Paraná (FIEP) |
instacron_str |
BJRH |
institution |
BJRH |
reponame_str |
Brazilian Journal of Health Review |
collection |
Brazilian Journal of Health Review |
repository.name.fl_str_mv |
Brazilian Journal of Health Review - Federação das Indústrias do Estado do Paraná (FIEP) |
repository.mail.fl_str_mv |
|| brazilianjhr@gmail.com |
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1797240024979210240 |