Utilização de um registro nacional de terapia intensiva baseado em nuvem para vigilância, pesquisa e avaliação do perfil dos casos de COVID-19 no Brasil

Quintairos, Amanda; Rezende, Ederlon; Soares, Márcio; Lobo, Suzana Margareth; Salluh, Jorge I.

doi:10.5935/0103-507x.20220016-pt

Cited by 1 publication

(1 citation statement)

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“…Another important point was that there were no differences in mortality percentages between the quarters of 2020 and 2021 by age group. However, higher mortality was observed with increasing age groups, corroborating data from the literature, which demonstrate that age is an epidemiological predictor for the outcome of death in this population, with the risk of death doubling every 5 years from childhood onwards [ 37 ].…”

Section: Discussionsupporting

confidence: 82%

Clinical and Epidemiological Characteristics of Patients with COVID-19 Admitted to the Intensive Care Unit: A Two-Year Retrospective Analysis

Malzone

Ribeiro

Souza

et al. 2023

Life

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In March 2020, COVID-19 was characterized as a pandemic by the World Health Organization. Hospitalized patients affected by COVID-19 presented with severe respiratory and motor impairment, especially those who required intensive treatment and invasive mechanical ventilation, with sequelae that extended after the period of hospitalization. Thus, the aim of the current study was to verify the clinical and epidemiological characteristics of patients with COVID-19 admitted to the Intensive Care Unit in 2020 and 2021, according to age group. Methods: A retrospective cohort study. Data were collected through the “ICUs Brasileiras” between March 2020 and November 2021 for severe acute respiratory syndrome (SARS) due to COVID-19. The following were analyzed: the number of hospital admissions, days in the ICU and hospital, clinical aspects (non-invasive or invasive ventilatory support, comorbidities, frailty, SAPS 3 and SOFA severity scales, use of amines and renal support), and ICU and hospital mortality rate. Results: A total of 166,966 ICU hospital admissions were evaluated over the evaluated quarters. The main results showed a peak in the number of hospitalizations between March and May 2021, with a higher percentage of males. The peak of ICU admissions for 7 days was between March and May 2021 and 21 days between March and May 2020. In addition, higher deaths were observed in the age groups between 40 and 80 years between 2020 and 2021, with the group above 81 being the age group with the highest mortality. Mortality in the ICU of ventilated patients was higher in the age group above 70 years. Another observation was the predominance of SAPS 3 and the peak of mechanical ventilation for more than 7 days between June and August 2021. Conclusion: The clinical and epidemiological characteristics of patients with COVID-19 were influenced by age group, showing higher mortality over 81 years and over 70 years in the ICU supported by mechanical ventilation, maintained for 7 days from June to August 2021. The years 2020 and 2021 also showed differences for patients with COVID-19, with greater hospitalization between March and May 2021, especially in the ICU for 7 days, and between March and May 2020 for the 21-day period.

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Section: Discussionsupporting

confidence: 82%