COVID-19: a cross-sectional study of suspected cases admitted to a federal hospital in Rio de Janeiro, Brazil, and factors associated with hospital death

Objective: To describe the clinical and epidemiological profile of suspected COVID-19 cases admitted to a federal hospital in Rio de Janeiro, RJ, Brazil, and to identify factors associated with death. Methods: This was a cross-sectional study using local epidemiological surveillance data as at epidemiological week 27 of 2020 and logistic regression. Results: 376 hospitalized suspected COVID-19 cases were included;52.9% were female, 57.4% were 50 years old or over and 80.1% had comorbidities. 195 (51.9%) COVID-19 cases were confirmed and their lethality was higher (37.9%) than among discarded cases (24.2%). In the adjusted analysis, death among confirmed cases was associated with being in the 50-69 age group (OR= 11.65 - 95%CI 1.69;80.33), being aged 70 or over (OR= 8.43 - 95%CI 1.22;58.14), presence of neoplasms (OR= 4.34 - 95%CI 1.28;14.76) and use of invasive ventilatory support (OR= 70.20 - 95%CI 19.09;258.19). Conclusion: High prevalence of comorbidities and lethality was found;the main factors associated with death were being older, neoplasms and invasive ventilatory support.

Profile of reported cases of severe acute respiratory syndrome in a hospital in Rio de Janeiro

Objective: to describe the clinical-epidemiological profile and analyze the death outcome variable among reported cases of Severe Acute Respiratory Syndrome (SARS) in a federal hospital in Rio de Janeiro. Method: a descriptive cross-sectional study, based on secondary data from the epidemiological surveillance of the Epidemiology Area of the Hospital Federal dos Servidores do Estado. Results: the Severe Acute Respiratory Syndrome notification carried out by the Hospital Federal dos Servidores do Estado presented a profile of elderly people, with a high prevalence of comorbidities. The related factors with hospital death were: age group 70 to 79 years, male gender, presence of dyspnea, respiratory distress, saturation <95%, heart disease, kidney disease, neurological disease, lung disease, neoplasms, use of invasive ventilatory support. Conclusion: epidemiological surveillance plays a fundamental role, not only in the notification, investigation and closure of cases, but also in the identification of the characteristics of the affected population and the related factors with the greater severity of the new disease.