COVID-19 Mortality among Hospitalized Patients: Survival, Associated Factors, and Spatial Distribution in a City in São Paulo, Brazil, 2020

3区综合性期刊 Q1 Medicine International Journal of Environmental Research and Public Health Pub Date : 2024-09-14 DOI:10.3390/ijerph21091211

Marília Jesus Batista, Carolina Matteussi Lino, Carla Fabiana Tenani, Adriano Pires Barbosa, Maria do Rosário Dias de Oliveira Latorre, Evaldo Marchi

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Abstract

The aims of this study were to analyze patient survival, identify the prognostic factors for patients with COVID-19 deaths considering the length of hospital stay, and evaluate the spatial distribution of these deaths in the city of Jundiaí, São Paulo, Brazil. We examined prognostic variables and survival rates of COVID-19 patients hospitalized at a reference hospital in Jundiaí, Brazil. A retrospective cohort of hospitalized cases from April to July of 2020 was included. Descriptive analysis, Kaplan–Meier curves, univariate and multivariate Cox regression, and binary logistic regression models were used. Among the 902 reported and confirmed cases, there were 311 deaths (34.5%). The median survival was 27 days, and the mean for those discharged was 46 days. Regardless of the length of hospital stay, desaturation, immunosuppression, age over 60, kidney disease, hypertension, lung disease, and hypertension were found to be independent predictors of death in both Cox and logistic regression models.

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COVID-19 住院病人死亡率：2020 年巴西圣保罗市的存活率、相关因素和空间分布情况

本研究的目的是分析患者的存活率，根据住院时间确定 COVID-19 死亡患者的预后因素，并评估这些死亡病例在巴西圣保罗容迪亚伊市的空间分布情况。我们研究了在巴西容迪亚伊市一家参考医院住院的 COVID-19 患者的预后变量和存活率。研究纳入了2020年4月至7月住院病例的回顾性队列。研究采用了描述性分析、卡普兰-梅耶曲线、单变量和多变量考克斯回归以及二元逻辑回归模型。在报告和确诊的 902 例病例中，有 311 例死亡（34.5%）。中位生存期为 27 天，平均出院时间为 46 天。无论住院时间长短，在 Cox 模型和逻辑回归模型中，均发现饱和度降低、免疫抑制、60 岁以上、肾脏疾病、高血压、肺部疾病和高血压是死亡的独立预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Environmental Research and Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

7.30

自引率

0.00%

发文量

14422

审稿时长

1 months

期刊介绍： International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.