Association between lung involvement, risk factors and outcomes in COVID-19 patients treated at a reference hospital in Paraíba / Associação entre comprometimento pulmonar, fatores de risco e desfechos em pacientes com covid-19 atendidos em hospital de referência na Paraíba
Medicina (Ribeirao Preto, Online)
; 55(2)abr. 2022. tab
Article
in Portuguese
| WHO COVID, LILACS (Americas) | ID: covidwho-1979699
Responsible library:
BR26.1
RESUMO
Objetivo:
Avaliar a associação entre o grau de comprometimento pulmonar (CP) na TC de tórax dos pacientes com COVID-19 com fatores de risco e desfechos.Métodos:
Estudo observacional e retrospectivo com 284 pacientes com COVID-19. Avaliou-se idade, sexo, quadro clínico, saturação na admissão, fatores de risco, tempo de sinto-mas, porcentagem de CP, tempo de internação em enfermaria, UTI e de IOT, e óbito. Foram divididos três grupos conforme o grau de CP.Resultados:
167 pacientes possuíam comprometimento <25%; 80, 25-50%; e 37, >50%. O grupo com maior comprometimento pulmonar possuía maior idade, mais homens e maior presença de tosse, dispneia e alguma comorbidade. Também apresentou menor saturação à admissão, maior necessidade de IOT, in-ternação em enfermaria ou UTI e maior mortalidade. O CP, IOT e idade foram fatores preditores de mortalidade.Conclusões:
O grau de CP aparenta estar significativamente associado a alguns parâmetros clínicos, necessidade de internação, intubação e óbito (AU)ABSTRACT
Objective:
To assess the association between the degree of lung involvement (LI) on chest CT scans of COVID-19 patients, risk factors and outcomes.Methods:
Observational and retrospective study of 284 COVID-19 patients. Age, sex, clinical presentation, oxygen saturation on admission, risk factors, time after symptom onset, percentage of LI, length of stay in ward and ICU, duration of ETI, and death were assessed. 3 groups were created according to the LI.Results:
167 patients had an involvement of <25%; 80, 25-50%; and 37, >50%. The group with gre-ater LI was older, had more males and a higher incidence of cough, dyspnea and some comorbidity. Moreover, the group with greater LI had lower saturation on admission, more ETI, more admissions to the ward or ICU, and higher mortality. LI, ETI and age were predictors of mortality.Conclusion:
The degree of LI appears to be significantly associated with some clinical parameters, need for hospitalization, intubation, and death (AU)Keywords
Full text:
Available
Collection:
International databases
Database:
WHO COVID
/
LILACS (Americas)
Main subject:
Retrospective Studies
/
Risk Factors
/
COVID-19
/
Intensive Care Units
/
Length of Stay
/
Lung Diseases
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Portuguese
Journal:
Medicina (Ribeirao Preto, Online)
Journal subject:
Medicina
Year:
2022
Document Type:
Article
Institution/Affiliation country:
Faculdade de Medicina Nova Esperança/BR
/
Universidade Federal da Paraíba/BR
/
Universidade Federal de São Paulo/BR
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