Comorbidities and in-hospital death of viral pneumonia adults admitted to SUS (2002–2015)
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100236 |
Resumo: | ABSTRACT OBJECTIVE To identify demographic and clinical characteristics of adult patients hospitalized in the Brazilian Unified Health System (SUS) due to viral pneumonia and investigate the association between some comorbidities and death during hospitalization. METHODS This retrospective cohort study was conducted with secondary data of adults admitted to SUS due to viral pneumonia between 2002 and 2015. Patient profile was characterized based on demographic and clinical variables. The association between the ten Elixhauser comorbidities and in-hospital death was investigated using Poisson regression models with robust standard errors. Results were quantified as incidence rate ratio (IRR) with 95% confidence intervals (CI), and we built five models using successive inclusion of variables blocks. RESULTS Hospital admissions for viral pneumonias decreased throughout the study period, and it was observed that 5.8% of hospitalized patients had an in-hospital death. We observed significant differences in demographic and clinical characteristics by comparing individuals who died during hospitalization with those who did not, with the occurrence of one or more comorbidities being more expressive among patients who died. Although not considered risk factors for in-hospital death, chronic pulmonary disease and congestive heart failure were the most common comorbidities. Conversely, IRR for in-hospital death increased with other neurological disorders, diabetes, cancer, obesity, and especially with HIV/AIDS. CONCLUSIONS Individuals presenting with pulmonary and cardiovascular diseases require proper attention during hospitalization, as well as those with other neurological diseases, diabetes, cancer, obesity, and especially HIV/AIDS. Understanding the influence of chronic diseases on viral infections may support the healthcare system in achieving better outcomes. |
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Comorbidities and in-hospital death of viral pneumonia adults admitted to SUS (2002–2015)Pneumonia, Viral, epidemiologyRisk FactorsComorbidityHospitalizationHospital MortalityABSTRACT OBJECTIVE To identify demographic and clinical characteristics of adult patients hospitalized in the Brazilian Unified Health System (SUS) due to viral pneumonia and investigate the association between some comorbidities and death during hospitalization. METHODS This retrospective cohort study was conducted with secondary data of adults admitted to SUS due to viral pneumonia between 2002 and 2015. Patient profile was characterized based on demographic and clinical variables. The association between the ten Elixhauser comorbidities and in-hospital death was investigated using Poisson regression models with robust standard errors. Results were quantified as incidence rate ratio (IRR) with 95% confidence intervals (CI), and we built five models using successive inclusion of variables blocks. RESULTS Hospital admissions for viral pneumonias decreased throughout the study period, and it was observed that 5.8% of hospitalized patients had an in-hospital death. We observed significant differences in demographic and clinical characteristics by comparing individuals who died during hospitalization with those who did not, with the occurrence of one or more comorbidities being more expressive among patients who died. Although not considered risk factors for in-hospital death, chronic pulmonary disease and congestive heart failure were the most common comorbidities. Conversely, IRR for in-hospital death increased with other neurological disorders, diabetes, cancer, obesity, and especially with HIV/AIDS. CONCLUSIONS Individuals presenting with pulmonary and cardiovascular diseases require proper attention during hospitalization, as well as those with other neurological diseases, diabetes, cancer, obesity, and especially HIV/AIDS. Understanding the influence of chronic diseases on viral infections may support the healthcare system in achieving better outcomes.Faculdade de Saúde Pública da Universidade de São Paulo2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100236Revista de Saúde Pública v.55 2021reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2021055003109info:eu-repo/semantics/openAccessPiazza,ThaisMoreira,Daniela PenaRocha,Hugo André daLana,Agner PereiraReis,Ilka AfonsoSantos,Marcos Antônio da CunhaGuerra-Júnior,Augusto AfonsoCherchiglia,Mariangela Lealeng2021-08-12T00:00:00Zoai:scielo:S0034-89102021000100236Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2021-08-12T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Comorbidities and in-hospital death of viral pneumonia adults admitted to SUS (2002–2015) |
title |
Comorbidities and in-hospital death of viral pneumonia adults admitted to SUS (2002–2015) |
spellingShingle |
Comorbidities and in-hospital death of viral pneumonia adults admitted to SUS (2002–2015) Piazza,Thais Pneumonia, Viral, epidemiology Risk Factors Comorbidity Hospitalization Hospital Mortality |
title_short |
Comorbidities and in-hospital death of viral pneumonia adults admitted to SUS (2002–2015) |
title_full |
Comorbidities and in-hospital death of viral pneumonia adults admitted to SUS (2002–2015) |
title_fullStr |
Comorbidities and in-hospital death of viral pneumonia adults admitted to SUS (2002–2015) |
title_full_unstemmed |
Comorbidities and in-hospital death of viral pneumonia adults admitted to SUS (2002–2015) |
title_sort |
Comorbidities and in-hospital death of viral pneumonia adults admitted to SUS (2002–2015) |
author |
Piazza,Thais |
author_facet |
Piazza,Thais Moreira,Daniela Pena Rocha,Hugo André da Lana,Agner Pereira Reis,Ilka Afonso Santos,Marcos Antônio da Cunha Guerra-Júnior,Augusto Afonso Cherchiglia,Mariangela Leal |
author_role |
author |
author2 |
Moreira,Daniela Pena Rocha,Hugo André da Lana,Agner Pereira Reis,Ilka Afonso Santos,Marcos Antônio da Cunha Guerra-Júnior,Augusto Afonso Cherchiglia,Mariangela Leal |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Piazza,Thais Moreira,Daniela Pena Rocha,Hugo André da Lana,Agner Pereira Reis,Ilka Afonso Santos,Marcos Antônio da Cunha Guerra-Júnior,Augusto Afonso Cherchiglia,Mariangela Leal |
dc.subject.por.fl_str_mv |
Pneumonia, Viral, epidemiology Risk Factors Comorbidity Hospitalization Hospital Mortality |
topic |
Pneumonia, Viral, epidemiology Risk Factors Comorbidity Hospitalization Hospital Mortality |
description |
ABSTRACT OBJECTIVE To identify demographic and clinical characteristics of adult patients hospitalized in the Brazilian Unified Health System (SUS) due to viral pneumonia and investigate the association between some comorbidities and death during hospitalization. METHODS This retrospective cohort study was conducted with secondary data of adults admitted to SUS due to viral pneumonia between 2002 and 2015. Patient profile was characterized based on demographic and clinical variables. The association between the ten Elixhauser comorbidities and in-hospital death was investigated using Poisson regression models with robust standard errors. Results were quantified as incidence rate ratio (IRR) with 95% confidence intervals (CI), and we built five models using successive inclusion of variables blocks. RESULTS Hospital admissions for viral pneumonias decreased throughout the study period, and it was observed that 5.8% of hospitalized patients had an in-hospital death. We observed significant differences in demographic and clinical characteristics by comparing individuals who died during hospitalization with those who did not, with the occurrence of one or more comorbidities being more expressive among patients who died. Although not considered risk factors for in-hospital death, chronic pulmonary disease and congestive heart failure were the most common comorbidities. Conversely, IRR for in-hospital death increased with other neurological disorders, diabetes, cancer, obesity, and especially with HIV/AIDS. CONCLUSIONS Individuals presenting with pulmonary and cardiovascular diseases require proper attention during hospitalization, as well as those with other neurological diseases, diabetes, cancer, obesity, and especially HIV/AIDS. Understanding the influence of chronic diseases on viral infections may support the healthcare system in achieving better outcomes. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100236 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100236 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2021055003109 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.55 2021 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1748936506218643456 |