INTERVENING FACTORS IN THE LENGTH OF HOSPITAL STAY OF PATIENTS WITH COVID-19

Detalhes bibliográficos
Autor(a) principal: Silva, Geicilane de Sousa Silva
Data de Publicação: 2023
Outros Autores: Valente, Mayenne Myrcea Quintino Pereira Valente, Monteiro, Marcelo Anderson Cavalcante Monteiro, Lima, Gleiciane Kelen Lima, Farias, Aléxia Éllen Albuquerque Farias, Studart, Rita Monica Borges Studart
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Enfermagem Atual In Derme
Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/1865
Resumo: Objective: To analyze the factors intervening in the length of hospital stay of patients with COVID-19 admitted to an intensive care unit. Method: A cross-sectional, quantitative study was conducted with 119 patients admitted to a COVID-19 Intensive Care Unit of a public hospital in northeastern Brazil. Sociodemographic and clinical data were collected and their association with length of hospital stay was tested by Pearson's chi-square (p<0.05). The strength of this association was tested by the odds ratio, and logistic regression (backward method) was used for model fitting. Results: The majority (92.4%) of participants were considered to be in the risk group for the disease, with Systemic Arterial Hypertension (38.7%) and Diabetes Mellitus (36.1%) being the most prevalent comorbidities. Of the 119 patients admitted, 75 (63%) stayed for up to 10 days. In the final regression model, male patients (p<0.001), using chloroquine (p=0.013) and intubated (at admission) remained hospitalized for longer than 10 days. Conclusions: The study showed that the length of hospital stay was influenced by the variables gender, type of treatment used and oxygen therapy support. Some patients, who already presented previous comorbidities, evolved to severe cases of the disease. However, others were able to progress to cure. Knowing these factors allows the improvement and adequacy of care practices provided to these patients, especially in strategies that can improve the quality of service and reduce the length of hospital stay.
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spelling INTERVENING FACTORS IN THE LENGTH OF HOSPITAL STAY OF PATIENTS WITH COVID-19FACTORES QUE INTERVIENEN EN LA DURACIÓN DE LA ESTANCIA HOSPITALARIA DE LOS PACIENTES CON COVID-19FATORES INTERVENIENTES NO TEMPO DE INTERNAÇÃO HOSPITALAR DE PACIENTES COM COVID-19CoronavirusInfecções por CoronavirusEnfermagemTempo de internaçãoUnidades de Terapia IntensivaObjective: To analyze the factors intervening in the length of hospital stay of patients with COVID-19 admitted to an intensive care unit. Method: A cross-sectional, quantitative study was conducted with 119 patients admitted to a COVID-19 Intensive Care Unit of a public hospital in northeastern Brazil. Sociodemographic and clinical data were collected and their association with length of hospital stay was tested by Pearson's chi-square (p<0.05). The strength of this association was tested by the odds ratio, and logistic regression (backward method) was used for model fitting. Results: The majority (92.4%) of participants were considered to be in the risk group for the disease, with Systemic Arterial Hypertension (38.7%) and Diabetes Mellitus (36.1%) being the most prevalent comorbidities. Of the 119 patients admitted, 75 (63%) stayed for up to 10 days. In the final regression model, male patients (p<0.001), using chloroquine (p=0.013) and intubated (at admission) remained hospitalized for longer than 10 days. Conclusions: The study showed that the length of hospital stay was influenced by the variables gender, type of treatment used and oxygen therapy support. Some patients, who already presented previous comorbidities, evolved to severe cases of the disease. However, others were able to progress to cure. Knowing these factors allows the improvement and adequacy of care practices provided to these patients, especially in strategies that can improve the quality of service and reduce the length of hospital stay.Objetivo: Analizar los factores que intervienen en la duración de la estancia hospitalaria de pacientes con COVID-19 ingresados en una unidad de cuidados intensivos. Método: Se realizó un estudio cuantitativo transversal con 119 pacientes ingresados en una Unidad de Cuidados Intensivos de COVID-19 de un hospital público del nordeste de Brasil. Se recogieron datos sociodemográficos y clínicos y se comprobó su asociación con la duración de la estancia hospitalaria mediante el chi-cuadrado de Pearson (p<0,05). La fuerza de esta asociación se comprobó mediante la odds ratio, y se utilizó la regresión logística (método regresivo) para el ajuste del modelo. Resultados: La mayoría (92,4%) de los participantes fueron considerados del grupo de riesgo para la enfermedad, siendo la Hipertensión Arterial Sistémica (38,7%) y la Diabetes Mellitus (36,1%) las comorbilidades más prevalentes. De los 119 pacientes hospitalizados, 75 (63%) permanecieron hasta 10 días. En el modelo de regresión final, los pacientes varones (p<0,001), usuarios de cloroquina (p=0,013) e intubados (al ingreso) permanecieron hospitalizados más de 10 días. Conclusiones: En este estudio se evidenció que la duración de la estancia hospitalaria estuvo influenciada por las variables sexo, tipo de tratamiento utilizado y soporte oxigenoterápico. Algunos pacientes, que ya presentaban comorbilidades previas, evolucionaron a casos graves de la enfermedad. Sin embargo, otros consiguieron evolucionar hasta la curación. Conocer estos factores permite la mejora y adecuación de las prácticas asistenciales prestadas a estos pacientes, especialmente en estrategias que puedan mejorar la calidad del servicio y reducir la duración de la estancia hospitalaria.Objetivo: Analisar os fatores intervenientes no tempo de internação hospitalar de pacientes com COVID-19 internados em unidade de terapia intensiva. Método: Estudo transversal, de abordagem quantitativa, realizado com 119 pacientes internados em uma Unidade de Terapia Intensiva COVID-19 de um hospital público do nordeste brasileiro. Foram coletados dados sociodemográficos e clínicos e sua associação com o tempo de internação hospitalar foi testada pelo qui-quadrado de Pearson (p<0,05). A força dessa associação foi testada pela razão de chance, sendo a regressão logística (método backward) utilizada para ajuste do modelo. Resultados: A maioria (92,4%) dos participantes eram considerados do grupo de risco para a doença, sendo a Hipertensão Arterial Sistêmica (38,7%) e o Diabetes Mellitus (36,1%) as comorbidades mais prevalentes. Dos 119 pacientes internados, 75 (63%) permaneceram por até 10 dias. No modelo final da regressão, os pacientes do sexo masculino (p<0,001), em uso de cloroquina (p=0,013) e intubados (na admissão) permaneceram internados por tempo superior a 10 dias. Conclusões: No estudo, evidenciou-se, que o tempo de permanência hospitalar foi influenciado pelas variáveis sexo, tipo de tratamento utilizado e suporte de oxigenoterapia. Alguns pacientes, que já apresentavam comorbidades prévias, evoluíram para quadros graves da doença. No entanto, outros, conseguiram evoluir para cura. Conhecer esses fatores permite o aperfeiçoamento e a adequação das práticas assistenciais prestadas a esses pacientes, em especial nas estratégias que possam melhorar a qualidade do serviço e reduzir o tempo de internação.SOBENFeE2023-05-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/htmlhttps://revistaenfermagematual.com/index.php/revista/article/view/186510.31011/reaid-2023-v.97-n.2-art.1865Journal Enfermagem Atual In Derme; Vol. 97 No. 2 (2023): abr. maio jun.; e023084Revista Enfermagem Atual In Derme; v. 97 n. 2 (2023): abr. maio jun.; e0230842447-2034reponame:Revista Enfermagem Atual In Dermeinstname:Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE)instacron:SOBENFeEporhttps://revistaenfermagematual.com/index.php/revista/article/view/1865/1787https://revistaenfermagematual.com/index.php/revista/article/view/1865/1788Copyright (c) 2023 Revista Enfermagem Atual In Dermehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSilva, Geicilane de Sousa SilvaValente, Mayenne Myrcea Quintino Pereira ValenteMonteiro, Marcelo Anderson Cavalcante MonteiroLima, Gleiciane Kelen LimaFarias, Aléxia Éllen Albuquerque FariasStudart, Rita Monica Borges Studart2023-12-26T12:50:35Zoai:revistae_ojs.revistaenfermagematual.a2hosted.com:article/1865Revistahttps://revistaenfermagematual.com/index.php/revista/indexONGhttps://revistaenfermagematual.com/index.php/revista/oaikatia.simoes@gmail.com || contato@revistaenfermagematual.com.br2447-20342447-2034opendoar:2023-12-26T12:50:35Revista Enfermagem Atual In Derme - Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE)false
dc.title.none.fl_str_mv INTERVENING FACTORS IN THE LENGTH OF HOSPITAL STAY OF PATIENTS WITH COVID-19
FACTORES QUE INTERVIENEN EN LA DURACIÓN DE LA ESTANCIA HOSPITALARIA DE LOS PACIENTES CON COVID-19
FATORES INTERVENIENTES NO TEMPO DE INTERNAÇÃO HOSPITALAR DE PACIENTES COM COVID-19
title INTERVENING FACTORS IN THE LENGTH OF HOSPITAL STAY OF PATIENTS WITH COVID-19
spellingShingle INTERVENING FACTORS IN THE LENGTH OF HOSPITAL STAY OF PATIENTS WITH COVID-19
Silva, Geicilane de Sousa Silva
Coronavirus
Infecções por Coronavirus
Enfermagem
Tempo de internação
Unidades de Terapia Intensiva
title_short INTERVENING FACTORS IN THE LENGTH OF HOSPITAL STAY OF PATIENTS WITH COVID-19
title_full INTERVENING FACTORS IN THE LENGTH OF HOSPITAL STAY OF PATIENTS WITH COVID-19
title_fullStr INTERVENING FACTORS IN THE LENGTH OF HOSPITAL STAY OF PATIENTS WITH COVID-19
title_full_unstemmed INTERVENING FACTORS IN THE LENGTH OF HOSPITAL STAY OF PATIENTS WITH COVID-19
title_sort INTERVENING FACTORS IN THE LENGTH OF HOSPITAL STAY OF PATIENTS WITH COVID-19
author Silva, Geicilane de Sousa Silva
author_facet Silva, Geicilane de Sousa Silva
Valente, Mayenne Myrcea Quintino Pereira Valente
Monteiro, Marcelo Anderson Cavalcante Monteiro
Lima, Gleiciane Kelen Lima
Farias, Aléxia Éllen Albuquerque Farias
Studart, Rita Monica Borges Studart
author_role author
author2 Valente, Mayenne Myrcea Quintino Pereira Valente
Monteiro, Marcelo Anderson Cavalcante Monteiro
Lima, Gleiciane Kelen Lima
Farias, Aléxia Éllen Albuquerque Farias
Studart, Rita Monica Borges Studart
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Silva, Geicilane de Sousa Silva
Valente, Mayenne Myrcea Quintino Pereira Valente
Monteiro, Marcelo Anderson Cavalcante Monteiro
Lima, Gleiciane Kelen Lima
Farias, Aléxia Éllen Albuquerque Farias
Studart, Rita Monica Borges Studart
dc.subject.por.fl_str_mv Coronavirus
Infecções por Coronavirus
Enfermagem
Tempo de internação
Unidades de Terapia Intensiva
topic Coronavirus
Infecções por Coronavirus
Enfermagem
Tempo de internação
Unidades de Terapia Intensiva
description Objective: To analyze the factors intervening in the length of hospital stay of patients with COVID-19 admitted to an intensive care unit. Method: A cross-sectional, quantitative study was conducted with 119 patients admitted to a COVID-19 Intensive Care Unit of a public hospital in northeastern Brazil. Sociodemographic and clinical data were collected and their association with length of hospital stay was tested by Pearson's chi-square (p<0.05). The strength of this association was tested by the odds ratio, and logistic regression (backward method) was used for model fitting. Results: The majority (92.4%) of participants were considered to be in the risk group for the disease, with Systemic Arterial Hypertension (38.7%) and Diabetes Mellitus (36.1%) being the most prevalent comorbidities. Of the 119 patients admitted, 75 (63%) stayed for up to 10 days. In the final regression model, male patients (p<0.001), using chloroquine (p=0.013) and intubated (at admission) remained hospitalized for longer than 10 days. Conclusions: The study showed that the length of hospital stay was influenced by the variables gender, type of treatment used and oxygen therapy support. Some patients, who already presented previous comorbidities, evolved to severe cases of the disease. However, others were able to progress to cure. Knowing these factors allows the improvement and adequacy of care practices provided to these patients, especially in strategies that can improve the quality of service and reduce the length of hospital stay.
publishDate 2023
dc.date.none.fl_str_mv 2023-05-17
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dc.relation.none.fl_str_mv https://revistaenfermagematual.com/index.php/revista/article/view/1865/1787
https://revistaenfermagematual.com/index.php/revista/article/view/1865/1788
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista Enfermagem Atual In Derme
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Revista Enfermagem Atual In Derme
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eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv SOBENFeE
publisher.none.fl_str_mv SOBENFeE
dc.source.none.fl_str_mv Journal Enfermagem Atual In Derme; Vol. 97 No. 2 (2023): abr. maio jun.; e023084
Revista Enfermagem Atual In Derme; v. 97 n. 2 (2023): abr. maio jun.; e023084
2447-2034
reponame:Revista Enfermagem Atual In Derme
instname:Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE)
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repository.name.fl_str_mv Revista Enfermagem Atual In Derme - Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE)
repository.mail.fl_str_mv katia.simoes@gmail.com || contato@revistaenfermagematual.com.br
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