Obesity, diabetes and COVID-19: morbidity and mortality in a private hospital in western Paraná
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/42036 |
Resumo: | Objective: to quantitatively and qualitatively analyze patients hospitalized for COVID-19 at Hospital São Lucas, in the city of Cascavel - PR, correlating the prognosis of these patients with preexisting morbidities such as obesity and diabetes mellitus. Methods: This was a cross-sectional, retrospective, quantitative and qualitative exploratory research that collected data from January to June 2021. Data from medical records of 385 patients, admitted by COVID-19 and seen at Hospital São Lucas, were used. Results: in the 385 patients analyzed, 66% were male and 87.4% were older than 41 years. Diabetics were 16.9% of the sample. BMI indicated overweight or obesity in 74.9%. Most remained hospitalized from 4 to 14 days. About the radiological analysis, 91.3% had pulmonary involvement, which was from 26% to 75% of the parenchyma in 80.61%. Respiratory assistance was required by 94% - in the form of non-invasive mechanical ventilation for 56.9%, and invasive for 37.1. The mortality rate was 27.5% - age, male gender and demand for invasive mechanical ventilation being the most evident risk factors. Conclusion: Age, male gender and need for invasive mechanical ventilation were the worst prognostic factors for COVID-19. Diabetes mellitus was associated with greater lung impairment. BMI was not relevant in the analysis of outcomes, possibly due to the large number of overweight or obese patients in the sample. |
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Obesity, diabetes and COVID-19: morbidity and mortality in a private hospital in western ParanáObesidad, diabetes y COVID-19: morbimortalidad en un hospital privado del oeste de ParanáObesidade, diabetes e COVID-19: a morbimortalidade em um hospital particular do oeste do ParanáObesityDiabetes MellitusCOVID-19PrognosisMortality.ObesidadeDiabetes MellitusCOVID-19PrognósticoMortalidade.ObesidadDiabetes MellitusCOVID-19PronósticoMortalidad.Objective: to quantitatively and qualitatively analyze patients hospitalized for COVID-19 at Hospital São Lucas, in the city of Cascavel - PR, correlating the prognosis of these patients with preexisting morbidities such as obesity and diabetes mellitus. Methods: This was a cross-sectional, retrospective, quantitative and qualitative exploratory research that collected data from January to June 2021. Data from medical records of 385 patients, admitted by COVID-19 and seen at Hospital São Lucas, were used. Results: in the 385 patients analyzed, 66% were male and 87.4% were older than 41 years. Diabetics were 16.9% of the sample. BMI indicated overweight or obesity in 74.9%. Most remained hospitalized from 4 to 14 days. About the radiological analysis, 91.3% had pulmonary involvement, which was from 26% to 75% of the parenchyma in 80.61%. Respiratory assistance was required by 94% - in the form of non-invasive mechanical ventilation for 56.9%, and invasive for 37.1. The mortality rate was 27.5% - age, male gender and demand for invasive mechanical ventilation being the most evident risk factors. Conclusion: Age, male gender and need for invasive mechanical ventilation were the worst prognostic factors for COVID-19. Diabetes mellitus was associated with greater lung impairment. BMI was not relevant in the analysis of outcomes, possibly due to the large number of overweight or obese patients in the sample.Objetivo: analizar cuantitativa y cualitativamente pacientes internados por COVID-19 en el Hospital São Lucas, en la ciudad de Cascavel - PR, correlacionando el pronóstico de estos pacientes con morbilidades preexistentes como obesidad y diabetes mellitus. Métodos: se trató de una investigación exploratoria transversal, seccional, retrospectiva, cuantitativa y cualitativa de coleta de datos de enero a junio de 2021. Foram utilizados dados de prontuários de 385 pacientes, internados por COVID-19 e atendidos no Hospital São Lucas. Resultados: en los 385 pacientes analizados, el 66% eran hombres y el 87,4% tenían más de 41 años. Los diabéticos constituían el 16,9% de la muestra. El IMC indicaba sobrepeso u obesidad en el 74,9%. La mayoría permaneció hospitalizada entre 4 y 14 días. En cuanto al análisis radiológico, el 91,3% presentó afectación pulmonar, que fue del 26% al 75% del parénquima en el 80,61%. La asistencia respiratoria fue requerida por el 94% - en forma de ventilación mecánica no invasiva para el 56,9%, e invasiva para el 37,1. La tasa de mortalidad fue del 27,5%, siendo la edad, el sexo masculino y la demanda de ventilación mecánica invasiva los factores de riesgo más evidentes. Conclusión: La edad, el sexo masculino y la necesidad de ventilación mecánica invasiva fueron los factores de peor pronóstico para el COVID-19. La diabetes mellitus se asoció a un mayor deterioro pulmonar. El IMC no fue relevante en el análisis de resultados, posiblemente debido al gran número de pacientes con sobrepeso u obesidad en la muestra.Objetivo: analisar quantitativa e qualitativamente os pacientes internados por COVID-19 no Hospital São Lucas, da cidade Cascavel – PR, correlacionando o prognóstico desses pacientes com morbidades preexistes como obesidade e diabetes mellitus. Métodos: tratou-se de uma pesquisa exploratória transversal, seccional, retrospectiva, quantitativa e qualitativa de coleta de dados de janeiro a junho de 2021. Foram utilizados dados de prontuários de 385 pacientes, internados por COVID-19 e atendidos no Hospital São Lucas. Resultados: nos 385 pacientes analisados, 66% eram do sexo masculino e 87,4% tinham idade superior a 41 anos. Os diabéticos foram 16,9% da amostra. O IMC indicou sobrepeso ou obesidade em 74,9%. A maioria permaneceu hospitalizada de 4 a 14 dias. Sobre a análise radiológica, 91,3% apresentou comprometimento pulmonar, o qual foi de 26% a 75% do parênquima em 80,61%. Assistência respiratória foi demandada por 94% - na forma de ventilação mecânica não invasiva para 56,9%, e invasiva para 37,1. A taxa de mortalidade foi de 27,5% - sendo idade, sexo masculino e demanda por ventilação mecânica invasiva seus fatores de risco mais evidentes. Conclusão: Idade, sexo masculino e necessidade de ventilação mecânica invasiva foram os fatores de pior prognóstico frente à COVID-19. O diabetes mellitus foi associado a maior comprometimento pulmonar. O IMC se mostrou não relevante na análise dos desfechos, possivelmente pela grande quantidade de pacientes na amostra com sobrepeso ou obesidade.Research, Society and Development2023-06-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/4203610.33448/rsd-v12i6.42036Research, Society and Development; Vol. 12 No. 6; e10212642036Research, Society and Development; Vol. 12 Núm. 6; e10212642036Research, Society and Development; v. 12 n. 6; e102126420362525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/42036/34075Copyright (c) 2023 Camila Hoffmann Fritzen; Marise Vilas Boas Pescador; Dhanylo Dener Ferreira; Bruno Meloti Brandão ; Mariam Walid Hamdan; Leonardo Rafael Prado dos Santos; Rodrigo Araújo Nascimento; Pedro Nascimento Miranda Freitas; Isabela Raupp Coelho ; Nathana Massucatto Limahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFritzen, Camila Hoffmann Pescador, Marise Vilas Boas Ferreira, Dhanylo Dener Brandão , Bruno Meloti Hamdan, Mariam WalidSantos, Leonardo Rafael Prado dos Nascimento, Rodrigo Araújo Freitas, Pedro Nascimento Miranda Coelho , Isabela Raupp Lima, Nathana Massucatto 2023-07-06T11:16:27Zoai:ojs.pkp.sfu.ca:article/42036Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2023-07-06T11:16:27Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Obesity, diabetes and COVID-19: morbidity and mortality in a private hospital in western Paraná Obesidad, diabetes y COVID-19: morbimortalidad en un hospital privado del oeste de Paraná Obesidade, diabetes e COVID-19: a morbimortalidade em um hospital particular do oeste do Paraná |
title |
Obesity, diabetes and COVID-19: morbidity and mortality in a private hospital in western Paraná |
spellingShingle |
Obesity, diabetes and COVID-19: morbidity and mortality in a private hospital in western Paraná Fritzen, Camila Hoffmann Obesity Diabetes Mellitus COVID-19 Prognosis Mortality. Obesidade Diabetes Mellitus COVID-19 Prognóstico Mortalidade. Obesidad Diabetes Mellitus COVID-19 Pronóstico Mortalidad. |
title_short |
Obesity, diabetes and COVID-19: morbidity and mortality in a private hospital in western Paraná |
title_full |
Obesity, diabetes and COVID-19: morbidity and mortality in a private hospital in western Paraná |
title_fullStr |
Obesity, diabetes and COVID-19: morbidity and mortality in a private hospital in western Paraná |
title_full_unstemmed |
Obesity, diabetes and COVID-19: morbidity and mortality in a private hospital in western Paraná |
title_sort |
Obesity, diabetes and COVID-19: morbidity and mortality in a private hospital in western Paraná |
author |
Fritzen, Camila Hoffmann |
author_facet |
Fritzen, Camila Hoffmann Pescador, Marise Vilas Boas Ferreira, Dhanylo Dener Brandão , Bruno Meloti Hamdan, Mariam Walid Santos, Leonardo Rafael Prado dos Nascimento, Rodrigo Araújo Freitas, Pedro Nascimento Miranda Coelho , Isabela Raupp Lima, Nathana Massucatto |
author_role |
author |
author2 |
Pescador, Marise Vilas Boas Ferreira, Dhanylo Dener Brandão , Bruno Meloti Hamdan, Mariam Walid Santos, Leonardo Rafael Prado dos Nascimento, Rodrigo Araújo Freitas, Pedro Nascimento Miranda Coelho , Isabela Raupp Lima, Nathana Massucatto |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Fritzen, Camila Hoffmann Pescador, Marise Vilas Boas Ferreira, Dhanylo Dener Brandão , Bruno Meloti Hamdan, Mariam Walid Santos, Leonardo Rafael Prado dos Nascimento, Rodrigo Araújo Freitas, Pedro Nascimento Miranda Coelho , Isabela Raupp Lima, Nathana Massucatto |
dc.subject.por.fl_str_mv |
Obesity Diabetes Mellitus COVID-19 Prognosis Mortality. Obesidade Diabetes Mellitus COVID-19 Prognóstico Mortalidade. Obesidad Diabetes Mellitus COVID-19 Pronóstico Mortalidad. |
topic |
Obesity Diabetes Mellitus COVID-19 Prognosis Mortality. Obesidade Diabetes Mellitus COVID-19 Prognóstico Mortalidade. Obesidad Diabetes Mellitus COVID-19 Pronóstico Mortalidad. |
description |
Objective: to quantitatively and qualitatively analyze patients hospitalized for COVID-19 at Hospital São Lucas, in the city of Cascavel - PR, correlating the prognosis of these patients with preexisting morbidities such as obesity and diabetes mellitus. Methods: This was a cross-sectional, retrospective, quantitative and qualitative exploratory research that collected data from January to June 2021. Data from medical records of 385 patients, admitted by COVID-19 and seen at Hospital São Lucas, were used. Results: in the 385 patients analyzed, 66% were male and 87.4% were older than 41 years. Diabetics were 16.9% of the sample. BMI indicated overweight or obesity in 74.9%. Most remained hospitalized from 4 to 14 days. About the radiological analysis, 91.3% had pulmonary involvement, which was from 26% to 75% of the parenchyma in 80.61%. Respiratory assistance was required by 94% - in the form of non-invasive mechanical ventilation for 56.9%, and invasive for 37.1. The mortality rate was 27.5% - age, male gender and demand for invasive mechanical ventilation being the most evident risk factors. Conclusion: Age, male gender and need for invasive mechanical ventilation were the worst prognostic factors for COVID-19. Diabetes mellitus was associated with greater lung impairment. BMI was not relevant in the analysis of outcomes, possibly due to the large number of overweight or obese patients in the sample. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-11 |
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://rsdjournal.org/index.php/rsd/article/view/42036 10.33448/rsd-v12i6.42036 |
url |
https://rsdjournal.org/index.php/rsd/article/view/42036 |
identifier_str_mv |
10.33448/rsd-v12i6.42036 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/42036/34075 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://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 |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 12 No. 6; e10212642036 Research, Society and Development; Vol. 12 Núm. 6; e10212642036 Research, Society and Development; v. 12 n. 6; e10212642036 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052625707859968 |