Clinical parameters related to morbidity and mortality in patients with COVID-19 on hospital admission in a tertiary hospital
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/44593 |
Resumo: | Objective: to identify the relationship between morbimortality, nutritional status and biochemical markers at hospital admission and stay in hospitalized COVID-19 patients. Methods: retrospective stud whose data were collected from the medical records of patients admitted with a diagnosis of COVID-19, confirmed by the reverse transcription polymerase chain reaction testing, who were hospitalized between April and November 2020 at a tertiary hospital in the state of Pernambuco, in Northeast Brazil. Results: 217 medical records were included, of which 71.9% were from older adults. 70% of patients had peripheral oxygen saturation below 95% at admission, and 47.5% were admitted to the intensive care unit. Being an older adult (OR 1.9, 95% CI 1.0 to 3.5, p = 0.035), having diabetes (OR 2.2, 95% CI 1.2 to 3.8, p = 0.007) and combined diabetes and hypertension (OR 1.9, 95% CI 1.1 to 3.5, p = 0.023) were associated with intensive care unit stay, as well as lymphopenia and renal function impairment in the first day of hospital stay. The prevalence of overweight and obesity was 21.2% and 20.7%. There was a difference in body mass index between adults and older adults (30.61 ± 6.29 kg/m2 vs. 27.53 ± 4.83 kg/m2, p < 0.001). There was 43.8% mortality, which was associated with advanced age, lower peripheral oxygen saturation, body mass index, and albumin values, and increased of urea, creatinine, C-reactive protein, lactate dehydrogenase, troponin T, and dimer values. Conclusion: Older adults were at a higher risk of intensive care unit stay and mortality and had lower body mass index. Patients with lower peripheral oxygen saturation values at admission died. Renal dysfunction, coagulation disorders, and increased inflammatory markers led to a greater risk of intensive care unit stay and mortality. |
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Clinical parameters related to morbidity and mortality in patients with COVID-19 on hospital admission in a tertiary hospitalParâmetros clínicos relacionados à morbimortalidade em pacientes com COVID-19 na admissão hospitalar em um hospital terciárioinflammation intensive care unitsnutritional status renal insufficiency SARS-CoV-2.estado nutricional inflamação insuficiência renalunidade de terapia intensivaObjective: to identify the relationship between morbimortality, nutritional status and biochemical markers at hospital admission and stay in hospitalized COVID-19 patients. Methods: retrospective stud whose data were collected from the medical records of patients admitted with a diagnosis of COVID-19, confirmed by the reverse transcription polymerase chain reaction testing, who were hospitalized between April and November 2020 at a tertiary hospital in the state of Pernambuco, in Northeast Brazil. Results: 217 medical records were included, of which 71.9% were from older adults. 70% of patients had peripheral oxygen saturation below 95% at admission, and 47.5% were admitted to the intensive care unit. Being an older adult (OR 1.9, 95% CI 1.0 to 3.5, p = 0.035), having diabetes (OR 2.2, 95% CI 1.2 to 3.8, p = 0.007) and combined diabetes and hypertension (OR 1.9, 95% CI 1.1 to 3.5, p = 0.023) were associated with intensive care unit stay, as well as lymphopenia and renal function impairment in the first day of hospital stay. The prevalence of overweight and obesity was 21.2% and 20.7%. There was a difference in body mass index between adults and older adults (30.61 ± 6.29 kg/m2 vs. 27.53 ± 4.83 kg/m2, p < 0.001). There was 43.8% mortality, which was associated with advanced age, lower peripheral oxygen saturation, body mass index, and albumin values, and increased of urea, creatinine, C-reactive protein, lactate dehydrogenase, troponin T, and dimer values. Conclusion: Older adults were at a higher risk of intensive care unit stay and mortality and had lower body mass index. Patients with lower peripheral oxygen saturation values at admission died. Renal dysfunction, coagulation disorders, and increased inflammatory markers led to a greater risk of intensive care unit stay and mortality.Objetivo: identificar a relação entre morbimortalidade, estado nutricional e marcadores bioquímicos na admissão e permanência hospitalar em pacientes hospitalizados com COVID-19. Métodos: estudo retrospectivo cujos dados foram coletados dos prontuários de pacientes admitidos com diagnóstico de COVID-19, confirmado pelo teste de reação em cadeia da polimerase com transcrição reversa, internados entre abril e novembro de 2020, em um hospital terciário do estado de Pernambuco, no Nordeste do Brasil. Resultados: Foram incluídos 217 prontuários, dos quais 71,9% eram de pacientes idosos. 70% dos pacientes apresentaram saturação periférica de oxigênio abaixo de 95% na admissão hospitalar e 47,5% foram admitidos na unidade de terapia intensiva. Ser idoso (OR 1,9, IC 95% 1,0 a 3,5, p = 0,035), ter diabetes (OR 2,2, IC 95% 1,2 a 3,8, p = 0,007) e diabetes e hipertensão combinadas (OR 1,9, IC 95% 1,1 a 3,5, p = 0,023) associaram-se à internação em unidade de terapia intensiva, linfopenia e comprometimento da função renal no primeiro dia de internação. A prevalência de sobrepeso e obesidade foi de 21,2% e 20,7%. Houve diferença no índice de massa corporal entre adultos e idosos (30,61 ± 6,29 kg/m2 vs. 27,53 ± 4,83 kg/m2, p < 0,001). Houve mortalidade de 43,8%, que foi associada à idade avançada, menor saturação periférica de oxigênio, índice de massa corporal e valores de albumina e aumento de uréia, creatinina, proteína C-reativa, lactato desidrogenase, troponina T e valores de dímeros. Conclusão: Idosos apresentaram maior risco de permanência em unidade de terapia intensiva e mortalidade e apresentaram menor índice de massa corporal. Os pacientes com valores de saturação periférica de oxigênio mais baixos na admissão foram a óbito. Disfunção renal, distúrbios de coagulação e aumento de marcadores inflamatórios levaram a um maior risco de internação em unidade de terapia intensiva e mortalidade.Editora da PUCRS - ediPUCRS2023-10-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/4459310.15448/1980-6108.2023.1.44593Scientia Medica; Vol. 33 No. 1 (2023): Single Volume - Continuous Flow of Publication; e44593Scientia Medica; v. 33 n. 1 (2023): Volume Único - Fluxo Contínuo de Publicação; e445931980-61081806-556210.15448/1980-6108.2023.1reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/44593/28147Copyright (c) 2023 Scientia Medicahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMata de Lima Silva, Laurada Silva Marinho, Ermínia Luziade Lima Silva, Joseilmada Costa Silva, Joao Henrique2023-10-17T13:11:45Zoai:ojs.revistaseletronicas.pucrs.br:article/44593Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2023-10-17T13:11:45Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Clinical parameters related to morbidity and mortality in patients with COVID-19 on hospital admission in a tertiary hospital Parâmetros clínicos relacionados à morbimortalidade em pacientes com COVID-19 na admissão hospitalar em um hospital terciário |
title |
Clinical parameters related to morbidity and mortality in patients with COVID-19 on hospital admission in a tertiary hospital |
spellingShingle |
Clinical parameters related to morbidity and mortality in patients with COVID-19 on hospital admission in a tertiary hospital Mata de Lima Silva, Laura inflammation intensive care units nutritional status renal insufficiency SARS-CoV-2. estado nutricional inflamação insuficiência renal unidade de terapia intensiva |
title_short |
Clinical parameters related to morbidity and mortality in patients with COVID-19 on hospital admission in a tertiary hospital |
title_full |
Clinical parameters related to morbidity and mortality in patients with COVID-19 on hospital admission in a tertiary hospital |
title_fullStr |
Clinical parameters related to morbidity and mortality in patients with COVID-19 on hospital admission in a tertiary hospital |
title_full_unstemmed |
Clinical parameters related to morbidity and mortality in patients with COVID-19 on hospital admission in a tertiary hospital |
title_sort |
Clinical parameters related to morbidity and mortality in patients with COVID-19 on hospital admission in a tertiary hospital |
author |
Mata de Lima Silva, Laura |
author_facet |
Mata de Lima Silva, Laura da Silva Marinho, Ermínia Luzia de Lima Silva, Joseilma da Costa Silva, Joao Henrique |
author_role |
author |
author2 |
da Silva Marinho, Ermínia Luzia de Lima Silva, Joseilma da Costa Silva, Joao Henrique |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Mata de Lima Silva, Laura da Silva Marinho, Ermínia Luzia de Lima Silva, Joseilma da Costa Silva, Joao Henrique |
dc.subject.por.fl_str_mv |
inflammation intensive care units nutritional status renal insufficiency SARS-CoV-2. estado nutricional inflamação insuficiência renal unidade de terapia intensiva |
topic |
inflammation intensive care units nutritional status renal insufficiency SARS-CoV-2. estado nutricional inflamação insuficiência renal unidade de terapia intensiva |
description |
Objective: to identify the relationship between morbimortality, nutritional status and biochemical markers at hospital admission and stay in hospitalized COVID-19 patients. Methods: retrospective stud whose data were collected from the medical records of patients admitted with a diagnosis of COVID-19, confirmed by the reverse transcription polymerase chain reaction testing, who were hospitalized between April and November 2020 at a tertiary hospital in the state of Pernambuco, in Northeast Brazil. Results: 217 medical records were included, of which 71.9% were from older adults. 70% of patients had peripheral oxygen saturation below 95% at admission, and 47.5% were admitted to the intensive care unit. Being an older adult (OR 1.9, 95% CI 1.0 to 3.5, p = 0.035), having diabetes (OR 2.2, 95% CI 1.2 to 3.8, p = 0.007) and combined diabetes and hypertension (OR 1.9, 95% CI 1.1 to 3.5, p = 0.023) were associated with intensive care unit stay, as well as lymphopenia and renal function impairment in the first day of hospital stay. The prevalence of overweight and obesity was 21.2% and 20.7%. There was a difference in body mass index between adults and older adults (30.61 ± 6.29 kg/m2 vs. 27.53 ± 4.83 kg/m2, p < 0.001). There was 43.8% mortality, which was associated with advanced age, lower peripheral oxygen saturation, body mass index, and albumin values, and increased of urea, creatinine, C-reactive protein, lactate dehydrogenase, troponin T, and dimer values. Conclusion: Older adults were at a higher risk of intensive care unit stay and mortality and had lower body mass index. Patients with lower peripheral oxygen saturation values at admission died. Renal dysfunction, coagulation disorders, and increased inflammatory markers led to a greater risk of intensive care unit stay and mortality. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-17 |
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://revistaseletronicas.pucrs.br/scientiamedica/article/view/44593 10.15448/1980-6108.2023.1.44593 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/44593 |
identifier_str_mv |
10.15448/1980-6108.2023.1.44593 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/44593/28147 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Scientia Medica http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Scientia Medica http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 33 No. 1 (2023): Single Volume - Continuous Flow of Publication; e44593 Scientia Medica; v. 33 n. 1 (2023): Volume Único - Fluxo Contínuo de Publicação; e44593 1980-6108 1806-5562 10.15448/1980-6108.2023.1 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101752592498688 |