학술논문
Clinical characteristics and outcomes of hospital-manifested COVID-19 among Brazilians
Document Type
article
Author
Polianna Delfino-Pereira; Magda Carvalho Pires; Virginia Mara Reis Gomes; Matheus Carvalho Alves Nogueira; Maria Clara Pontello Barbosa Lima; Alexandre Vargas Schwarzbold; Amanda de Oliveira Maurílio; Ana Luiza Bahia Alves Scotton; André Soares de Moura Costa; Barbara Lopes Farace; Bruno Mateus de Castro; Christiane Corrêa Rodrigues Cimini; Daniel Vitório Silveira; Daniela Ponce; Elayne Crestani Pereira; Eliane Würdig Roesch; Euler Roberto Fernandes Manenti; Evelin Paola de Almeida Cenci; Fernanda Costa dos Santos; Fernando Anschau; Fernando Graça Aranha; Frederico Bartolazzi; Guilherme Fagundes Nascimento; Heloisa Reniers Vianna; Joanna d'Arc Lyra Batista; Joice Coutinho de Alvarenga; Juliana da Silva Nogueira Carvalho; Juliana Machado-Rugolo; Karen Brasil Ruschel; Luanna Silva Monteiro Menezes; Luís César de Castro; Luiz Antônio Nasi; Maiara Anschau Floriani; Maíra Dias Souza; Maíra Viana Rego Souza-Silva; Marcelo Carneiro; Maria Aparecida Camargos Bicalho; Mariana Frizzo de Godoy; Milton Henriques Guimarães-Júnior; Patricia Klarmann Ziegelmann; Pedro Ledic Assaf; Petrônio José de Lima Martelli; Renan Goulart Finger; Saionara Cristina Francisco; Silvia Ferreira Araújo; Talita Fischer Oliveira; Thainara Conceição de Oliveira; Thalita Martins Lage; Vanessa Muller; Yuri Carlotto Ramires; Teresa Cristina de Abreu Ferrari; Milena Soriano Marcolino
Source
International Journal of Infectious Diseases, Vol 130, Iss , Pp 31-37 (2023)
Subject
Language
English
ISSN
1201-9712
Abstract
ABSTRACT: Objectives: To analyze the clinical characteristics and outcomes of admitted patients with the hospital- versus community-manifested COVID-19 and to evaluate the risk factors related to mortality in the first population. Methods: This retrospective cohort included consecutive adult patients with COVID-19, hospitalized between March and September 2020. The demographic data, clinical characteristics, and outcomes were extracted from medical records. Patients with hospital-manifested COVID-19 (study group) and those with community-manifested COVID-19 (control group) were matched by the propensity score model. Logistic regression models were used to verify the risk factors for mortality in the study group. Results: Among 7,710 hospitalized patients who had COVID-19, 7.2% developed symptoms while admitted for other reasons. Patients with hospital-manifested COVID-19 had a higher prevalence of cancer (19.2% vs 10.8%) and alcoholism (8.8% vs 2.8%) than patients with community-manifested COVID-19 and also had a higher rate of intensive care unit requirement (45.1% vs 35.2%), sepsis (23.8% vs 14.5%), and death (35.8% vs 22.5%) (P