Mortality profile associated with pandemic infection by SARs-CoV-2 in a Public Hospital in the Southern Region o western Amazonia
DOI:
https://doi.org/10.33448/rsd-v10i13.21359Keywords:
COVID-19; Physiotherapy; Intensive Care Unit; Mortality; COVID-19; Physiotherapy; Intensive care unit; Mortality.Abstract
On February 3, 2020, the country declared a Public Health Emergency of National Importance, due to an outbreak of pneumonia, called SARs-CoV-2, data on cases have been collected and made available by the State Health Departments since then and deaths. This study aims to outline the mortality profile of patients diagnosed with COVID-19 hospitalized in an ICU in the southern region of the Western Amazon and the correlation of the evolution of deaths with the prone position during hospitalization. This is a descriptive and retrospective cross-sectional study, with a quantitative approach through the collection of secondary data from medical records of patients hospitalized with a diagnosis of COVID-19 in the Intensive Care Unit (ICU) of a public hospital in the first 6 months of care. (June 6 to November 6, 2020). Outlining the profile of patients will help to understand the profile of hospitalized patients and what are the main impacts on mortality from COVID-19. The predominant profile of hospitalization and mortality due to COVID-19, in the study hospital, are males aged 60 years, indigenous, black and brown, with previous diseases, the most prevalent being SAH, DM and obesity. Regarding the prone position (PP), there was no significant difference when compared to PP in the first 48 hours or after 48 hours of OTI, however patients who evolved to PP had a high mortality rate, in view of who are more serious patients than the others.
References
Bezerra, V. de L., dos Anjos, T. B., de Souza, L. E. S., dos Anjos, T. B., Vidal, A. M., & da Silva Júnior, A. A. (2020). SARS-CoV-2 como agente causador da COVID-19: Epidemiologia, características genéticas, manifestações clínicas, diagnóstico e possíveis tratamentos. Brazilian Journal of Health Review, 3(4), 8452-8467.
Bhatraju, P. K., Ghassemieh, B. J., Nichols, M., Kim, R., Jerome, K. R., Nalla, A. K. et al. (2020). Covid-19 in critically Ill patients in the Seattle region - Case series. N Engl J Med., 382(21): 2012-22.
Caputo, N. D., Strayer, R. J. & Levitan, R. (2020). Early Self-Proning in Awake, Non-intubated Patients in the Emergency Department: A Single ED’s Experience During the COVID-19 Pandemic. Academic Emergency Medicine, 27(5): 375–378.
Caramelo, F., Ferreira, N., & Oliveiros, B. (2020). Estimativa de fatores de risco para resultados preliminares de mortalidade de COVID-19. MedRxiv .
Cavalcante, J. R., Cardoso-dos-Santos, A. C., Bremm, J. M., Lobo, A. D. P., Macário, E. M., Oliveira, W. K. D., & França, G. V. A. D. (2020). COVID-19 no Brasil: evolução da epidemia até a semana epidemiológica 20 de 2020. Epidemiologia e Serviços de Saúde, 29.
Dalmedico, M. M. et al. (2017). Efetividade da posição prona na síndrome do desconforto respiratório agudo : overview de revisões sistemáticas. Rev Esc Enferm USP. 51: e03251.
Dias, F. L. T, Mendonça, F. D., Pinto, G. M., Borges, I. S. C., & de Oliveira, S. V. (2020). Doenças respiratórias no Triângulo Mineiro: Análise epidemiológica e projetiva com a pandemia de COVID-19. Journal of Health & Biological Sciences, 8 (1), 1-6.
Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.
Gao, Q., Hu, Y., Dai, Z., Xiao, F., Wang, J., & Wu, J. (2020). As características epidemiológicas das novas doenças coronavírus de 2019 (COVID-19) em Jingmen, Hubei, China. Medicine , 99 (23).
Grasselli, G., Zangrillo, A., Zanella, A., Antonelli, M., Cabrini, L., Castelli, A. et al. (2020). Características basais e desfechos de 1.591 pacientes infectados com SARS-CoV-2 internados em UTIs da região da Lombardia, Itália. Jama , 323 (16), 1574-1581.
Hales, C. M., Carrol, M. D., Fryar, C. D. & Ogden, C. L. (2020). Prevalence of Obesity and Severe Obesity Among Adults:. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.
Hua, W., et al. (2020). The Epidemiological Characteristics of an Outbreak of 2019 Novel Coronavirus Diseases (COVID-19) — China, 2020. Chinese Journal of Endemiology, 41(2): 297-300.
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y. et al. (2020). Características clínicas de pacientes infectados com novo coronavírus de 2019 em Wuhan, China. A lanceta , 395 (10223), 497-506.
Kang, D., Choi, H., Kim, JH, & Choi, J. (2020). Dinâmica da epidemia espacial do surto de COVID-19 na China. International Journal of Infectious Diseases , 94 , 96-102.
Lai, CC, Shih, TP, Ko, WC, Tang, HJ e Hsueh, PR (2020). Síndrome respiratória aguda grave coronavírus 2 (SARS-CoV-2) e doença coronavírus-2019 (COVID-19): A epidemia e os desafios. Jornal internacional de agentes antimicrobianos , 55 (3), 105924.
Langer, T., Brioni, M., Guzzardella, A., Carlesso, E., Cabrini, L., Castelli, G. et al. (2021). Posição prona em pacientes intubados e ventilados mecanicamente com COVID-19: um estudo multicêntrico de mais de 1000 pacientes. Critical Care , 25 (1), 1-11.
Mathews, KS, Soh, H., Shaefi, S., Wang, W., Bose, S., Coca, S. et al. (2021). Posicionamento prono e sobrevivência em pacientes ventilados mecanicamente com insuficiência respiratória relacionada à doença do coronavírus em 2019. Medicina de cuidados intensivos , 49 (7), 1026-1037.
Ministério da Saúde. (2020). COVID-19. Painel coronavírus: Ministério da Saúde. https://covid.saude.gov.br/
Oliveira, W. K. D., Duarte, E., França, G. V. A. D., & Garcia, L. P. (2020). How Brazil can hold back COVID-19. Epidemiologia e Serviços de Saúde, 29 (2): 1–8.
Porto, E. F., Domingues, A. L., de Souza, A. C., Miranda, M. K. V., da Conceição Froes, M. B., & Pasqualinoto, S. R. V. (2021). Mortalidade por Covid-19 no Brasil: perfil sociodemográfico das primeiras semanas. Research, Society and Development, 10(1).
Santos, G. R. D. A. C., Gama, L. S., dos Santos, A. D. S., Nascimento, V. A. S., de Souza Nogueira, R., da Silva, B. D. A. T. et al. (2020). Perfil epidemiológico dos casos e óbitos por COVID-19 nos estados da região nordeste. Revista Eletrônica Acervo Saúde, 12(12), e4251-e4251.
Sattar, N., McInnes, IB e McMurray, JJ (2020). A obesidade é um fator de risco para infecção grave por COVID-19: múltiplos mecanismos potenciais. Circulation , 142 (1), 4-6.
Tan, W., Zhao, X., Ma, X., Wang, W., Niu, P., Xu, W. et al. (2020). Um novo genoma de coronavírus identificado em um grupo de casos de pneumonia - Wuhan, China, 2019-2020. China CDC semanal , 2 (4), 61-62.
Teixeira, C. M. de E., Madruga, G. D. A. M., de Medeiros, G. B. S., de Miranda Leite, J. G. T. & de Macêdo Duarte, S. S. (2020). Análise comparativa das pandemias COVID-19 e H1N1. Brazilian Journal of Health Review, 3(2), 3591-3595.
Weatherald, J., Solverson, K., Zuege, DJ, Loroff, N., Fiest, KM, & Parhar, KKS (2021). Posicionamento em decúbito desperto para insuficiência respiratória hipoxêmica de COVID-19: Uma revisão rápida. Journal of critical care , 61 , 63.Wu Z, Mcgoogan JM (2020). Characteristics of and important lessons from the coronavirus disease 2019(COVID-19) outbreak in China. American Medical Association :1-4.
Yang, X., Yu, Y., Xu, J., Shu, H., Liu, H., Wu, Y. et al. (2020). Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. The Lancet Respiratory Medicine , 8 (5), 475-481.
Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z. et al. (2020). Curso Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The Lancet, 395 (10229), 1054-1062.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Geovana Dombrowski Andrade; Alana Kundsin; Samuel Amorim Dias; Gabriella Tito Santos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
