Clinical-epidemiological profile and outcome of old people hospitalized for COVID-19

Authors

  • Ticianne da Cunha Soares
  • Aline Tavares Gomes
  • Ana Larissa Gomes Machado
  • Emídio Marques de Matos Neto
  • Bruno Guedes Alcoforado Aguiar
  • Maria Zélia de Araujo Madeira

DOI:

https://doi.org/10.26694/reufpi.v12i1.3928

Keywords:

Health profile, Health of old people, Coronavirus, COVID-19

Abstract

Objective: to describe the clinical-epidemiological profile and outcome of old people hospitalized for COVID-19 at the University Hospital of Piauí. Methods: An observational, cross-sectional study was carried out with secondary data involving 137 medical records of old patients hospitalized for COVID-19 in the UH during the period from April to December 2020. Data were collected in August and September 2021. A form consisting of questions equivalent to the sociodemographic and epidemiological data of old patients was used. Data were analyzed using SPSS statistical software version 25. Results: It was observed that the "use of mechanical ventilation" (Odds Ratio: 35.96 [10.23-126.47]) and "type of hospitalization bed" (Odds Ratio: 9.40 [2.69-32.82]) were the variables that best explain the deaths being independent predictors for this outcome. There was a statistically significant association between the number of comorbidities (p=0.007), the presence of clinical manifestations (p=0.003), the number of clinical manifestations (p=0.003) and death. The shorter survival time was associated with ICU admission and use of mechanical ventilation (p=0.000). Conclusion: The results of the study show that the presence of risk factors for COVID-19, clinical manifestations of the disease, to be admitted to ICU beds, using MV and those who were older had worse outcomes.

References

Brasil, Ministério da Saúde, Secretaria de Vigilância em Saúde. Coronavírus: o que você precisa saber e como prevenir o contágio. Brasília: Ministério da Saúde; 2020. Disponível em: https://coronavirus.saude.gov.br/. Acessado em 28 de janeiro de 2023.

Word Health Organization (WHO). Considerations for quarantine of individuals in the context of containment for coronavirus disease (COVID-19): Interim guidance [Internet]. Genebra: WHO; 2020. Disponível em: https://apps.who.int/iris/handle/10665/331299. Acessado em 29 de janeiro de 2023.

Brasil. Decreto nº 6, de 20 de março de 2020. Reconhece, para os fins do art. 65 da Lei Complementar nº 101, de 4 de maio de 2000, a ocorrência do estado de calamidade pública, nos termos da solicitação do Presidente da República encaminhada por meio da Mensagem nº 93, de 18 de março de 2020. Diário Oficial da União, Brasília, 20 mar. 2020. Seção 1, p. 1. Disponível em: http://www.planalto.gov.br/ccivil_03/portaria/DLG6-2020.htm. Acessado em 29 de janeiro de 2023.

Wang W, Tang J, Wei F. Updated understanding of the outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan, China. J Med Virol. 2020;92(4):441-447. doi: 10.1002/jmv.25689

Hammerschmidt KSA, Santana RF. Saúde do idoso em tempos de pandemia COVID-19. Cogit. Enferm. 2020; 25(2):1-10. doi:10.5380/ce.v25i0

Barbosa IR, Galvão MHR, Souza TA, Gomes SM, Medeiros AA, Lima KC. Incidência e mortalidade por COVID-19 na população idosa brasileira e sua relação com indicadores contextuais: um estudo ecológico. Rev Bras Geri Geronto. 2020;23(1):1-11. doi:10.1590/1981-22562020023.200171

Fundação Oswaldo Cruz (Fiocruz) - Estudo analisa registro de óbitos por Covid-19 em 2020. Rio de Janeiro: Ministério da Saúde; 2020. Disponível em: https://portal.fiocruz.br/print/109853. Acessado em 29 de janeiro de 2023.

Sousa EL, Gaído SB, Sousa RA, Cardoso OO, Matos Neto EM, Menezes Júnior JMP, et al. Perfil das internações e da mortalidade hospitalar por síndrome respiratória aguda grave causada por COVID-19 no Piauí: estudo descritivo, 2020-2021. Epidemiol Serv Saude. 2022;31(1):1-14. doi: 10.1590/s1679-49742022000100009

Araújo AAC, Amaral JV, Sousa JN, Fonseca MCS, Viana CMC, Mendes PHM, et al. COVID-19: analysis of confirmed cases in Teresina, Piaui, Brazil. Rev Pre Infec e Saúde [Internet], 2020;6(1):1-7. doi: 10.26694/repis.v6i0.10569

Swamya S, Koch CA, Hannah-Shmouni F, Schiffrin EL, Klubo-Gwiezdzinska J, Gubbi S. Hypertension and COVID-19: Updates from the era of vaccines and variants. J Clin Transl Endocrinol. 2022;27(100285):1-7. doi: 10.1016/j.jcte.2021.100285

Yang J, Zheng Y, Gou X, Pu K, Chen Z, Guo Q, et al. Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis. Int J Infect Dis. 2020; 94(2):91-95. doi: 10.1016/j.ijid.2020.03.017

Deerga I, Abubaker M, Souissi A, Mohammed AR, Varma A, Musa S, et al. Age and clinical signs as predictors of COVID-19 symptoms and cycle threshold value. Libyan Journal of Medicine. 2022;17(1):1-9. doi:10.1080/19932820.2021.2010337

Guan WJ, Ni Z, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J M. 2020;382(18):1708- 1720. doi: 10.1056/NEJMoa2002032

Cavalcanti GS. Análise de Sobrevivência dos Infectados pela COVID-19 no Estado do Rio Grande do Norte. Revista ABER. 2021;15(1):156-182. doi: https://doi.org/10.54766/rberu.v15i1.715

Richardson S, Hirsch JS, Narasimhan M, Crawford JM, McGinn T, Davidson KW, et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. American Medical Association. 2020;323(20):2052-2059. doi:10.1001/jama.2020.6775

Niu S, Tian S, Lou J, Kang X, Zhang L, Lian H, et al. Clinical Characteristics of Older Patients Infected with COVID-19: A Descriptive Study. Arch Gerontol Geriatr. 2020;89(104058):1-5. doi: 10.1016/j.archger.2020.104058

Chavolla OYB, Díaz AG, Villa NEA, Martínez CAF, Salina AM, Vázquez AV, et al. Unequal Impact of Structural Health Determinants and Comorbidity on COVID-19 Severity and Lethality in Older Mexican Adults: Considerations Beyond Chronological Aging. J Gerontol A Biol Sci Med Sci. 2021;25(76):52-59. doi: 10.1093/gerona/glaa163

Lian J, Jin X, Hao S, Cai H, Zhang S, Zheng L, et al. Analysis of Epidemiological and Clinical features in older patients with Corona Virus Disease 2019 (COVID-19) out of Wuhan. Clin Infect Dis [Internet]. 2020;71(15):740-747. doi:10.1093/cid/ciaa242

Venturini L, Kinalski SS, Benetti ERR. Aspectos gerontológicos do cuidado crítico às pessoas idosas com COVID-19. In: SANTANA, R. F. (Org). Enfermagem gerontológica no cuidado ao idoso em tempos de COVID-19. Rio de Janeiro: ABEn, 2020.1(2):12-17. doi: 10.51234/aben.20.e01.c09

Önder KD, Keskín AS, Cam HB, Seyman D, Cuvalci NO. Retrospective evaluation of seven different treatment protocols in hospitalized COVID-19 patients. Turk J Med Sci. 2021;51(6):2835-2849. doi: 10.3906/sag-2106-114.

Published

2023-12-21

How to Cite

1.
Soares T da C, Gomes AT, Machado ALG, Matos Neto EM de, Aguiar BGA, Madeira MZ de A. Clinical-epidemiological profile and outcome of old people hospitalized for COVID-19. Rev Enferm UFPI [Internet]. 2023 Dec. 21 [cited 2024 Nov. 24];12(1). Available from: https://periodicos.ufpi.br/index.php/reufpi/article/view/3928

Similar Articles

<< < 1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)