In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| DOI: | 10.1016/j.lana.2022.100244 |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/53161 |
Resumo: | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. |
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Perazzo, HugoCardoso, Sandra W.Ribeiro, Maria Pia D.Moreira, RodrigoCoelho, Lara E.Jalil, Emilia M.Japiassú, André MiguelGouvêa, Elias PimentelNunes, Estevão PortelaAndrade, Hugo BoechatGouvêa, Luciano BarrosFerreira, Marcel TreptowRodrigues, Pedro Mendes de AzambujaMoreira, RonaldoGeraldo, KimFreitas, LucilenePacheco, Vinicius V.João, Esau CustódioFuller, TrevonRocha, Verônica DinizNunes, Ceuci de Lima XavierSouza, Tâmara Newman LobatoToscano, Ana Luiza Castro CondeSchwarzbold, Alexandre VargasNoal, Helena CarolinaPinto, Gustavo de AraujoLemos, Paula Macedo de OliveiraSantos, CarlaMello, Fernanda Carvalho de QueirozVeloso, Valdiléa G.Grinsztejn, Beatriz2022-06-09T21:56:13Z2022-06-09T21:56:13Z2022PERAZZO, Hugo et al. In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil. Lancet Regional Health Americas, v. 11, p. 1-15, 20222667-193Xhttps://www.arca.fiocruz.br/handle/icict/5316110.1016/j.lana.2022.100244engIn-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Hospital Federal dos Servidores do Estado. Rio de Janeiro, RJ, Brasil.Hospital Federal dos Servidores do Estado. Rio de Janeiro, RJ, Brasil.Secretaria Estadual de Saúde da Bahia. Instituto Couto Maia. Salvador, BA, Brasil.Secretaria Estadual de Saúde da Bahia. Instituto Couto Maia. Salvador, BA, Brasil.Instituto de Infectologia Emilio Ribas. São Paulo, SP, Brasil.Instituto de Infectologia Emilio Ribas. São Paulo, SP, Brasil.Universidade Federal de Santa Maria. Santa Maria, RS, Brasil.Universidade Federal de Santa Maria. Santa Maria, RS, Brasil.Hospital Regional São José. São José, SC, Brasil.Hospital Regional São José. São José, SC, Brasil.Universidade Federal do Rio de Janeiro. Complexo Hospital Universitário Clementino Fraga Filho. Instituto de Doenças do Tórax. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Complexo Hospital Universitário Clementino Fraga Filho. Instituto de Doenças do Tórax. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Background: We evaluated in-hospital mortality and outcomes incidence after hospital discharge due to COVID-19 in a Brazilian multicenter cohort. Methods: This prospective multicenter study (RECOVER-SUS, NCT04807699) included COVID-19 patients hospitalized in public tertiary hospitals in Brazil from June 2020 to March 2021. Clinical assessment and blood samples were performed at hospital admission, with post-hospital discharge remote visits. Hospitalized participants were followed-up until March 31, 2021. The outcomes were in-hospital mortality and incidence of rehospitalization or death after hospital discharge. Kaplan-Meier curves and Cox proportional-hazard models were performed. Findings: 1589 participants [54.5% male, age=62 (IQR 50-70) years; BMI=28.4 (IQR,24.9-32.9) Kg/m² and 51.9% with diabetes] were included. A total of 429 individuals [27.0% (95%CI,24.8-29.2)] died during hospitalization (median time 14 (IQR,9-24) days). Older age [vs<40 years; age=60-69 years-aHR=1.89 (95%CI,1.08-3.32); age=70-79 years-aHR=2.52 (95%CI,1.42-4.45); age≥80-aHR=2.90 (95%CI 1.54-5.47)]; noninvasive or mechanical ventilation at admission [vs facial-mask or none; aHR=1.69 (95%CI 1.30-2.19)]; SAPS-III score≥57 [vs<57; aHR=1.47 (95%CI 1.13-1.92)] and SOFA score≥10 [vs <10; aHR=1.51 (95%CI 1.08-2.10)] were independently associated with in-hospital mortality. A total of 65 individuals [6.7% (95%CI 5.3-8.4)] had a rehospitalization or death [rate=323 (95%CI 250-417) per 1000 person-years] in a median time of 52 (range 1-280) days post-hospital discharge. Age ≥ 60 years [vs <60, aHR=2.13 (95%CI 1.15-3.94)] and SAPS-III ≥57 at admission [vs <57, aHR=2.37 (95%CI 1.22-4.59)] were independently associated with rehospitalization or death after hospital discharge. Interpretation: High in-hospital mortality rates due to COVID-19 were observed and elderly people remained at high risk of rehospitalization and death after hospital discharge.COVID-19In-hospital mortalityPost-COVID-19info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/53161/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALIn-hospital_Hugo_Perazzo_etal_INI_2022_COVID-19.pdfIn-hospital_Hugo_Perazzo_etal_INI_2022_COVID-19.pdfapplication/pdf797820https://www.arca.fiocruz.br/bitstream/icict/53161/2/In-hospital_Hugo_Perazzo_etal_INI_2022_COVID-19.pdf9596050f3b18d031348e15f1153203ceMD52icict/531612022-06-09 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| dc.title.pt_BR.fl_str_mv |
In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil |
| title |
In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil |
| spellingShingle |
In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil Perazzo, Hugo COVID-19 In-hospital mortality Post-COVID-19 |
| title_short |
In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil |
| title_full |
In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil |
| title_fullStr |
In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil |
| title_full_unstemmed |
In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil |
| title_sort |
In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil |
| author |
Perazzo, Hugo |
| author_facet |
Perazzo, Hugo Cardoso, Sandra W. Ribeiro, Maria Pia D. Moreira, Rodrigo Coelho, Lara E. Jalil, Emilia M. Japiassú, André Miguel Gouvêa, Elias Pimentel Nunes, Estevão Portela Andrade, Hugo Boechat Gouvêa, Luciano Barros Ferreira, Marcel Treptow Rodrigues, Pedro Mendes de Azambuja Moreira, Ronaldo Geraldo, Kim Freitas, Lucilene Pacheco, Vinicius V. João, Esau Custódio Fuller, Trevon Rocha, Verônica Diniz Nunes, Ceuci de Lima Xavier Souza, Tâmara Newman Lobato Toscano, Ana Luiza Castro Conde Schwarzbold, Alexandre Vargas Noal, Helena Carolina Pinto, Gustavo de Araujo Lemos, Paula Macedo de Oliveira Santos, Carla Mello, Fernanda Carvalho de Queiroz Veloso, Valdiléa G. Grinsztejn, Beatriz |
| author_role |
author |
| author2 |
Cardoso, Sandra W. Ribeiro, Maria Pia D. Moreira, Rodrigo Coelho, Lara E. Jalil, Emilia M. Japiassú, André Miguel Gouvêa, Elias Pimentel Nunes, Estevão Portela Andrade, Hugo Boechat Gouvêa, Luciano Barros Ferreira, Marcel Treptow Rodrigues, Pedro Mendes de Azambuja Moreira, Ronaldo Geraldo, Kim Freitas, Lucilene Pacheco, Vinicius V. João, Esau Custódio Fuller, Trevon Rocha, Verônica Diniz Nunes, Ceuci de Lima Xavier Souza, Tâmara Newman Lobato Toscano, Ana Luiza Castro Conde Schwarzbold, Alexandre Vargas Noal, Helena Carolina Pinto, Gustavo de Araujo Lemos, Paula Macedo de Oliveira Santos, Carla Mello, Fernanda Carvalho de Queiroz Veloso, Valdiléa G. Grinsztejn, Beatriz |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Perazzo, Hugo Cardoso, Sandra W. Ribeiro, Maria Pia D. Moreira, Rodrigo Coelho, Lara E. Jalil, Emilia M. Japiassú, André Miguel Gouvêa, Elias Pimentel Nunes, Estevão Portela Andrade, Hugo Boechat Gouvêa, Luciano Barros Ferreira, Marcel Treptow Rodrigues, Pedro Mendes de Azambuja Moreira, Ronaldo Geraldo, Kim Freitas, Lucilene Pacheco, Vinicius V. João, Esau Custódio Fuller, Trevon Rocha, Verônica Diniz Nunes, Ceuci de Lima Xavier Souza, Tâmara Newman Lobato Toscano, Ana Luiza Castro Conde Schwarzbold, Alexandre Vargas Noal, Helena Carolina Pinto, Gustavo de Araujo Lemos, Paula Macedo de Oliveira Santos, Carla Mello, Fernanda Carvalho de Queiroz Veloso, Valdiléa G. Grinsztejn, Beatriz |
| dc.subject.en.pt_BR.fl_str_mv |
COVID-19 In-hospital mortality Post-COVID-19 |
| topic |
COVID-19 In-hospital mortality Post-COVID-19 |
| description |
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. |
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2022 |
| dc.date.accessioned.fl_str_mv |
2022-06-09T21:56:13Z |
| dc.date.available.fl_str_mv |
2022-06-09T21:56:13Z |
| dc.date.issued.fl_str_mv |
2022 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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PERAZZO, Hugo et al. In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil. Lancet Regional Health Americas, v. 11, p. 1-15, 2022 |
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https://www.arca.fiocruz.br/handle/icict/53161 |
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2667-193X |
| dc.identifier.doi.none.fl_str_mv |
10.1016/j.lana.2022.100244 |
| identifier_str_mv |
PERAZZO, Hugo et al. In-hospital mortality and severe outcomes after hospital discharge due to COVID-19: A prospective multicenter study from Brazil. Lancet Regional Health Americas, v. 11, p. 1-15, 2022 2667-193X 10.1016/j.lana.2022.100244 |
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https://www.arca.fiocruz.br/handle/icict/53161 |
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eng |
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