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Clinical profile and factors associated with the death of COVID-19 patients in the first months of the pandemic

ABSTRACT

Objective

to analyze the individual and clinical characteristics and the factors associated with mortality in patients with COVID-19, in a public hospital in the state of Paraná, Brazil.

Methods

a cross-sectional, retrospective, documentary study (n= 86), with adult inpatients, from March to June 2020.

Results

mortality was 12.8%, the highest risk group was the elderly with comorbidities, especially cardiovascular ones. The chance of death was 58 times higher in the elderly compared to adults, and eight times higher in those with comorbidities compared to the healthy ones. Most patients presented with respiratory symptoms, fever, and myalgia. Treatment was based on antibiotics, anticoagulants and antivirals, associated with ventilatory support. The main complications were hypoxia, acute renal failure, and secondary infection.

Conclusion and implications for practice

elderly people with cardiovascular comorbidities who required intensive care had a higher chance of death. The results from one of the reference centers in the pandemic make it possible to discuss epidemiological measures adopted, with emphasis on restrictive concepts in the first months.

Keywords:
COVID-19; Cross-Sectional Studies; Morbidity; Mortality; SARS-COV-2

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