Clinical Profile of Critical Oncological Patients with COVID-19
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng spa |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/3060 |
Resumo: | Introduction: SARS-CoV-2 infection has a broad clinical spectrum, which can be categorized by its level of severity. Being an oncological patient is described in the literature as an important risk factor for more severe levels of the disease resulting from a state of immunosuppression. Objective: To compare demographic and clinical characteristics among cancer and non-cancer patients with COVID-19 in a referral hospital in the city of Belém, Pará. Method: Retrospective and quantitative study of analysis of medical records of patients diagnosed with COVID-19 between April and July 2020. For data analysis, the relative risk was calculated with a 95% confidence interval and test t. Results: The sample consisted in 53, mostly females (31; 58.49%) ICU patients diagnosed with COVID-19. There was a predominance of the outcome death for the group of cancer patients (27; 81.8%), as well as a greater number of non-neoplastic comorbidities among cancer patients (19; 57.5%). Cancer patients had longer invasive ventilatory support, with a mean of ten days (13; 39.39%). Conclusion: There were differences in demographic characteristics and interventions performed among the groups investigated. |
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Clinical Profile of Critical Oncological Patients with COVID-19Perfil Clínico de Pacientes Oncológicos Críticos con Covid-19Perfil Clínico dos Pacientes Críticos Oncológicos com Covid-19COVID-19SARS-CoV-2neoplasiasunidades de terapia intensivaCOVID-19SARS-CoV-2neoplasmsintensive care unitsCOVID-19SARS-CoV-2neoplasiasunidades de cuidados intensivosIntroduction: SARS-CoV-2 infection has a broad clinical spectrum, which can be categorized by its level of severity. Being an oncological patient is described in the literature as an important risk factor for more severe levels of the disease resulting from a state of immunosuppression. Objective: To compare demographic and clinical characteristics among cancer and non-cancer patients with COVID-19 in a referral hospital in the city of Belém, Pará. Method: Retrospective and quantitative study of analysis of medical records of patients diagnosed with COVID-19 between April and July 2020. For data analysis, the relative risk was calculated with a 95% confidence interval and test t. Results: The sample consisted in 53, mostly females (31; 58.49%) ICU patients diagnosed with COVID-19. There was a predominance of the outcome death for the group of cancer patients (27; 81.8%), as well as a greater number of non-neoplastic comorbidities among cancer patients (19; 57.5%). Cancer patients had longer invasive ventilatory support, with a mean of ten days (13; 39.39%). Conclusion: There were differences in demographic characteristics and interventions performed among the groups investigated.Introducción: La infección por Sars-CoV-2 tiene un amplio espectro clínico, que se puede categorizar según su nivel de gravedad. Ser un paciente oncológico se describe en la literatura como un importante factor de riesgo para niveles más severos de la enfermedad derivados de un estado de inmunosupresión. Objetivo: Comparar las características demográficas y clínicas entre pacientes oncológicos y no oncológicos con covid-19 en un hospital de referencia en la ciudad de Belém, Pará. Método: Estudio retrospectivo y cuantitativo de análisis de historias clínicas de pacientes diagnosticados con covid-19, entre abril y julio de 2020. Para el análisis de datos se calculó el riesgo relativo con un intervalo de confianza del 95% y test t. Resultados: La muestra totalizó 53 pacientes de UCI diagnosticados con covid-19 e estaba compuesta principalmente por el sexo femenino (31; 58,49%). Predominó el desenlace de muerte en el grupo de pacientes oncológicos (27; 81,8%), así como un mayor número de comorbilidades no neoplásicas entre los pacientes oncológicos (19; 57,5%). Los pacientes con cáncer tuvieron soporte ventilatorio invasivo por más tiempo, con una media de diez días (13; 39,39 %). Conclusión: Hubo diferencias en las características demográficas y en las intervenciones realizadas entre los grupos estudiados.Introdução: A infecção por Sars-CoV-2 possui um amplo espectro clínico, que pode ser categorizado pelo seu nível de severidade. Ser paciente oncológico está descrito na literatura como fator de risco importante em níveis mais severos da doença decorrente do estado de imunossupressão. Objetivo: Comparar as características demográficas e clínicas entre pacientes oncológicos e não oncológicos com covid-19 em um hospital de referência na cidade de Belém, Pará. Método: Estudo retrospectivo e quantitativo de análise de prontuários de pacientes diagnosticados com covid-19 entre abril e julho de 2020. Para a análise dos dados, fez-se o cálculo do risco relativo com intervalo de confiança de 95% e teste t. Resultados: A amostra totalizou 53 pacientes da UTI diagnosticados com covid-19 e foi composta principalmente pelo sexo feminino (31; 58,49%). Houve predominância do desfecho óbito no grupo de pacientes oncológicos (27; 81,8%), assim como maior número de comorbidades não neoplásicas entre os pacientes oncológicos (19; 57,5%). Além disso, os pacientes oncológicos tiveram maior tempo de suporte ventilatório invasivo, com média de dez dias (13; 39,39%). Conclusão: Houve diferença nas características demográficas e nas intervenções realizadas entre os grupos estudados.INCA2023-01-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfapplication/pdftext/htmlhttps://rbc.inca.gov.br/index.php/revista/article/view/306010.32635/2176-9745.RBC.2023v69n1.3060Revista Brasileira de Cancerologia; Vol. 69 No. 1 (2023): Jan./Feb./Mar.; e-133060Revista Brasileira de Cancerologia; Vol. 69 Núm. 1 (2023): ene./feb./mar.; e-133060Revista Brasileira de Cancerologia; v. 69 n. 1 (2023): jan./fev./mar.; e-1330602176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporengspahttps://rbc.inca.gov.br/index.php/revista/article/view/3060/2623https://rbc.inca.gov.br/index.php/revista/article/view/3060/3246https://rbc.inca.gov.br/index.php/revista/article/view/3060/2859https://rbc.inca.gov.br/index.php/revista/article/view/3060/2628Copyright (c) 2023 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessOliveira, Ana Karoline Brito deAraújo, Matheus Sodré deAlves, Samuel Filipe LopesSouza Filho, Luiz Euclides Coelho deSilva , Marianne Lucena daCunha, Katiane da Costa2023-10-31T13:59:23Zoai:rbc.inca.gov.br:article/3060Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-10-31T13:59:23Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Clinical Profile of Critical Oncological Patients with COVID-19 Perfil Clínico de Pacientes Oncológicos Críticos con Covid-19 Perfil Clínico dos Pacientes Críticos Oncológicos com Covid-19 |
title |
Clinical Profile of Critical Oncological Patients with COVID-19 |
spellingShingle |
Clinical Profile of Critical Oncological Patients with COVID-19 Oliveira, Ana Karoline Brito de COVID-19 SARS-CoV-2 neoplasias unidades de terapia intensiva COVID-19 SARS-CoV-2 neoplasms intensive care units COVID-19 SARS-CoV-2 neoplasias unidades de cuidados intensivos |
title_short |
Clinical Profile of Critical Oncological Patients with COVID-19 |
title_full |
Clinical Profile of Critical Oncological Patients with COVID-19 |
title_fullStr |
Clinical Profile of Critical Oncological Patients with COVID-19 |
title_full_unstemmed |
Clinical Profile of Critical Oncological Patients with COVID-19 |
title_sort |
Clinical Profile of Critical Oncological Patients with COVID-19 |
author |
Oliveira, Ana Karoline Brito de |
author_facet |
Oliveira, Ana Karoline Brito de Araújo, Matheus Sodré de Alves, Samuel Filipe Lopes Souza Filho, Luiz Euclides Coelho de Silva , Marianne Lucena da Cunha, Katiane da Costa |
author_role |
author |
author2 |
Araújo, Matheus Sodré de Alves, Samuel Filipe Lopes Souza Filho, Luiz Euclides Coelho de Silva , Marianne Lucena da Cunha, Katiane da Costa |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Oliveira, Ana Karoline Brito de Araújo, Matheus Sodré de Alves, Samuel Filipe Lopes Souza Filho, Luiz Euclides Coelho de Silva , Marianne Lucena da Cunha, Katiane da Costa |
dc.subject.por.fl_str_mv |
COVID-19 SARS-CoV-2 neoplasias unidades de terapia intensiva COVID-19 SARS-CoV-2 neoplasms intensive care units COVID-19 SARS-CoV-2 neoplasias unidades de cuidados intensivos |
topic |
COVID-19 SARS-CoV-2 neoplasias unidades de terapia intensiva COVID-19 SARS-CoV-2 neoplasms intensive care units COVID-19 SARS-CoV-2 neoplasias unidades de cuidados intensivos |
description |
Introduction: SARS-CoV-2 infection has a broad clinical spectrum, which can be categorized by its level of severity. Being an oncological patient is described in the literature as an important risk factor for more severe levels of the disease resulting from a state of immunosuppression. Objective: To compare demographic and clinical characteristics among cancer and non-cancer patients with COVID-19 in a referral hospital in the city of Belém, Pará. Method: Retrospective and quantitative study of analysis of medical records of patients diagnosed with COVID-19 between April and July 2020. For data analysis, the relative risk was calculated with a 95% confidence interval and test t. Results: The sample consisted in 53, mostly females (31; 58.49%) ICU patients diagnosed with COVID-19. There was a predominance of the outcome death for the group of cancer patients (27; 81.8%), as well as a greater number of non-neoplastic comorbidities among cancer patients (19; 57.5%). Cancer patients had longer invasive ventilatory support, with a mean of ten days (13; 39.39%). Conclusion: There were differences in demographic characteristics and interventions performed among the groups investigated. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-01-31 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/3060 10.32635/2176-9745.RBC.2023v69n1.3060 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/3060 |
identifier_str_mv |
10.32635/2176-9745.RBC.2023v69n1.3060 |
dc.language.iso.fl_str_mv |
por eng spa |
language |
por eng spa |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/3060/2623 https://rbc.inca.gov.br/index.php/revista/article/view/3060/3246 https://rbc.inca.gov.br/index.php/revista/article/view/3060/2859 https://rbc.inca.gov.br/index.php/revista/article/view/3060/2628 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Revista Brasileira de Cancerologia https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Revista Brasileira de Cancerologia https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/pdf text/html |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 69 No. 1 (2023): Jan./Feb./Mar.; e-133060 Revista Brasileira de Cancerologia; Vol. 69 Núm. 1 (2023): ene./feb./mar.; e-133060 Revista Brasileira de Cancerologia; v. 69 n. 1 (2023): jan./fev./mar.; e-133060 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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