巴西重症监护病房 COVID-19 患者的社会人口学特征和风险因素:一项横断面研究。

Q2 Environmental Science The Scientific World Journal Pub Date : 2024-07-15 eCollection Date: 2024-01-01 DOI:10.1155/2024/2927407
Joelma Greicy Fernandes Lira, Ricardo Alves de Olinda, Gustavo Correia Basto da Silva, Luzibênia Leal de Oliveira, Raimunda Leite de Alencar Neta, Nívea Vilar Cardoso, Fernando Adami, Laércio da Silva Paiva
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引用次数: 0

摘要

这是一项横断面研究,使用的是 2021 年 1 月至 2022 年 1 月期间巴西帕拉伊巴州医院的二手数据。临床病例的演变配置了因变量(治愈或死亡),而预测变量则是社会人口学数据、风险因素、呼吸机支持的使用以及 COVID-19 疫苗接种情况。在 R 软件的帮助下,使用了以下检验方法:卡方检验、皮尔逊卡方检验和费雪精确坚持检验。建立了简单的逻辑回归模型,并使用 LR 检验和 Wald 检验估算了几率比(95% CI)。共报告了 7373 个病例,平均年龄为 58.1 岁。在报告的病例中,63.8%的患者死亡。最常见的社会人口特征包括男性、混血、受教育时间少于 8 年。慢性心血管疾病(OR 1.28;95% CI:1.13-1.45)、糖尿病(OR 1.41;95% CI:1.24-1.61)、肺部疾病(OR 1.52;95% CI:1.11-2.09)和使用侵入性呼吸支持(OR 14.1;95% CI:10.56-18.59)都与死亡率增加有关。未接种疫苗与死亡风险降低有关(OR 0.74;95% CI:0.65-0.84)。男性患者、非白人患者和教育程度低的患者更有可能出现较差的临床结果。所研究的风险因素与死亡有关,而不需要呼吸支持的患者与治愈有关。
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Sociodemographic Profile and Risk Factors for the Evolution of Patients with COVID-19 in ICUs in Brazil: A Cross-Sectional Study.

This is a cross-sectional study, with secondary data from Brazilian hospitals in the state of Paraíba, between January 2021 and January 2022. The evolution of clinical cases configured the dependent variable (cure or death), while the predictive variables were sociodemographic data, risk factors, use of ventilatory support, and vaccination against COVID-19. With the help of R software, the following tests were used: chi-square, Pearson's chi-square, and Fisher's exact adherence. Simple logistic regression models were constructed, and odds ratios (95% CI) were estimated using the LR test and Wald test. 7373 cases were reported, with a mean age of 58.1. Of the reported cases, 63.8% died. The most frequent sociodemographic profile included male people, of mixed race, with less than eight years of schooling. Chronic cardiovascular disease (OR 1.28; 95% CI: 1.13-1.45), diabetes (OR 1.41; 95% CI: 1.24-1.61), lung disease (OR 1.52; 95% CI: 1.11-2.09), and the use of invasive ventilatory support (OR 14.1; 95% CI: 10.56-18.59) were all associated with increased mortality. Nonvaccination was associated with a decreased risk of death (OR 0.74; 95% CI: 0.65-0.84). Male patients, nonwhite, and those with low education were more likely to have a worse clinical outcome. The risk factors studied were related to deaths, and those who did not require ventilatory support were related to cure.

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来源期刊
The Scientific World Journal
The Scientific World Journal 综合性期刊-综合性期刊
CiteScore
5.60
自引率
0.00%
发文量
170
审稿时长
3.7 months
期刊介绍: The Scientific World Journal is a peer-reviewed, Open Access journal that publishes original research, reviews, and clinical studies covering a wide range of subjects in science, technology, and medicine. The journal is divided into 81 subject areas.
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