Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/handle/123456789/31782 |
Resumo: | Objective: analyzing the survival of older people hospitalized due to COVID-19 in Brazil and identifying its main predictive factors for death. Method: this is a retrospective, multicenter cohort study, based on 20,831 records of hospitalizations of older people due to SARS-CoV-2 in Brazil. The observation period was from February 28 to May 18, 2020. Results: there was a reduced overall survival time of 47.70% (95% confidence interval [CI] = [46.72%, 48.67%]) in 10 days. The variables age, race, education, intensive care unit (ICU), region, day of hospitalization, time elapsed between the first symptom and hospitalization, and the municipality that provided assistance showed increased risk of death using the multiple Cox proportional-hazards model. Conclusion: these results emphasize the relevance of inequality and access to health services as determinants for the death of older people with COVID-19 |
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Santos, Marquiony M.Lucena, Eudes Euler SouzaBonfada, DiegoSantos, Aramis CostaVechi, Hareton TeixeiraLima, Kenio Costa de2021-03-10T10:56:56Z2021-03-10T10:56:56Z2021-01-06SANTOS, Marquiony M.; LUCENA, Eudes Euler de Souza; BONFADA, Diego; SANTOS, Aramis Costa; VECHI, Hareton Teixeira; LIMA, Kenio Costa de. Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study. Journal Of Applied Gerontology, [s. l.], p. 1-11, 6 jan. 2021. Disponível em: https://journals.sagepub.com/doi/10.1177/0733464820983976. Acesso em: 01 mar. 2021. http://dx.doi.org/10.1177/07334648209839760733-46481552-4523https://repositorio.ufrn.br/handle/123456789/3178210.1177/0733464820983976SAGE PublicationsAttribution-NonCommercial 3.0 Brazilhttp://creativecommons.org/licenses/by-nc/3.0/br/info:eu-repo/semantics/openAccessHospitalizationPopulation agingRisk factorsBrazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleObjective: analyzing the survival of older people hospitalized due to COVID-19 in Brazil and identifying its main predictive factors for death. Method: this is a retrospective, multicenter cohort study, based on 20,831 records of hospitalizations of older people due to SARS-CoV-2 in Brazil. The observation period was from February 28 to May 18, 2020. Results: there was a reduced overall survival time of 47.70% (95% confidence interval [CI] = [46.72%, 48.67%]) in 10 days. The variables age, race, education, intensive care unit (ICU), region, day of hospitalization, time elapsed between the first symptom and hospitalization, and the municipality that provided assistance showed increased risk of death using the multiple Cox proportional-hazards model. Conclusion: these results emphasize the relevance of inequality and access to health services as determinants for the death of older people with COVID-19engreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNORIGINALBrazilianHospitalizedCOVID19_Lucena_2021.pdfBrazilianHospitalizedCOVID19_Lucena_2021.pdfapplication/pdf389948https://repositorio.ufrn.br/bitstream/123456789/31782/1/BrazilianHospitalizedCOVID19_Lucena_2021.pdf20dca0e269738d98afa4416ed27f27bdMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8920https://repositorio.ufrn.br/bitstream/123456789/31782/2/license_rdf728dfda2fa81b274c619d08d1dfc1a03MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/31782/3/license.txte9597aa2854d128fd968be5edc8a28d9MD53TEXTBrazilianHospitalizedCOVID19_Lucena_2021.pdf.txtBrazilianHospitalizedCOVID19_Lucena_2021.pdf.txtExtracted texttext/plain40380https://repositorio.ufrn.br/bitstream/123456789/31782/4/BrazilianHospitalizedCOVID19_Lucena_2021.pdf.txt1241772200420ca042fd4f2fbef527a6MD54THUMBNAILBrazilianHospitalizedCOVID19_Lucena_2021.pdf.jpgBrazilianHospitalizedCOVID19_Lucena_2021.pdf.jpgGenerated Thumbnailimage/jpeg1775https://repositorio.ufrn.br/bitstream/123456789/31782/5/BrazilianHospitalizedCOVID19_Lucena_2021.pdf.jpg918802c83d4c52d9272e369eb5501ddeMD55123456789/317822021-03-14 05:49:29.078oai:https://repositorio.ufrn.br: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Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2021-03-14T08:49:29Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.pt_BR.fl_str_mv |
Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study |
title |
Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study |
spellingShingle |
Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study Santos, Marquiony M. Hospitalization Population aging Risk factors |
title_short |
Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study |
title_full |
Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study |
title_fullStr |
Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study |
title_full_unstemmed |
Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study |
title_sort |
Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study |
author |
Santos, Marquiony M. |
author_facet |
Santos, Marquiony M. Lucena, Eudes Euler Souza Bonfada, Diego Santos, Aramis Costa Vechi, Hareton Teixeira Lima, Kenio Costa de |
author_role |
author |
author2 |
Lucena, Eudes Euler Souza Bonfada, Diego Santos, Aramis Costa Vechi, Hareton Teixeira Lima, Kenio Costa de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Santos, Marquiony M. Lucena, Eudes Euler Souza Bonfada, Diego Santos, Aramis Costa Vechi, Hareton Teixeira Lima, Kenio Costa de |
dc.subject.por.fl_str_mv |
Hospitalization Population aging Risk factors |
topic |
Hospitalization Population aging Risk factors |
description |
Objective: analyzing the survival of older people hospitalized due to COVID-19 in Brazil and identifying its main predictive factors for death. Method: this is a retrospective, multicenter cohort study, based on 20,831 records of hospitalizations of older people due to SARS-CoV-2 in Brazil. The observation period was from February 28 to May 18, 2020. Results: there was a reduced overall survival time of 47.70% (95% confidence interval [CI] = [46.72%, 48.67%]) in 10 days. The variables age, race, education, intensive care unit (ICU), region, day of hospitalization, time elapsed between the first symptom and hospitalization, and the municipality that provided assistance showed increased risk of death using the multiple Cox proportional-hazards model. Conclusion: these results emphasize the relevance of inequality and access to health services as determinants for the death of older people with COVID-19 |
publishDate |
2021 |
dc.date.accessioned.fl_str_mv |
2021-03-10T10:56:56Z |
dc.date.available.fl_str_mv |
2021-03-10T10:56:56Z |
dc.date.issued.fl_str_mv |
2021-01-06 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SANTOS, Marquiony M.; LUCENA, Eudes Euler de Souza; BONFADA, Diego; SANTOS, Aramis Costa; VECHI, Hareton Teixeira; LIMA, Kenio Costa de. Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study. Journal Of Applied Gerontology, [s. l.], p. 1-11, 6 jan. 2021. Disponível em: https://journals.sagepub.com/doi/10.1177/0733464820983976. Acesso em: 01 mar. 2021. http://dx.doi.org/10.1177/0733464820983976 |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/handle/123456789/31782 |
dc.identifier.issn.none.fl_str_mv |
0733-4648 1552-4523 |
dc.identifier.doi.none.fl_str_mv |
10.1177/0733464820983976 |
identifier_str_mv |
SANTOS, Marquiony M.; LUCENA, Eudes Euler de Souza; BONFADA, Diego; SANTOS, Aramis Costa; VECHI, Hareton Teixeira; LIMA, Kenio Costa de. Brazilian older people hospitalized by COVID-19: characteristics and prognostic factors in a retrospective cohort study. Journal Of Applied Gerontology, [s. l.], p. 1-11, 6 jan. 2021. Disponível em: https://journals.sagepub.com/doi/10.1177/0733464820983976. Acesso em: 01 mar. 2021. http://dx.doi.org/10.1177/0733464820983976 0733-4648 1552-4523 10.1177/0733464820983976 |
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https://repositorio.ufrn.br/handle/123456789/31782 |
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eng |
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eng |
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Attribution-NonCommercial 3.0 Brazil http://creativecommons.org/licenses/by-nc/3.0/br/ info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial 3.0 Brazil http://creativecommons.org/licenses/by-nc/3.0/br/ |
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openAccess |
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SAGE Publications |
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SAGE Publications |
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