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Hospitalizations and mortality by severe acute respiratory syndrome: comparison between the pre-pandemic and pandemic periods.
Custódio, Ana Cristina Dias; Ribas, Fábio Vieira; Toledo, Luana Vieira; Carvalho, Cristiane Junqueira de; Lima, Luciana Moreira; Freitas, Brunnella Alcantara Chagas de.
Afiliação
  • Custódio ACD; Postgraduate Program in Health Sciences, Universidade Federal de Viçosa - Viçosa (MG), Brazil.
  • Ribas FV; Postgraduate Program in Health Sciences, Universidade Federal de Viçosa - Viçosa (MG), Brazil.
  • Toledo LV; Department of Medicine and Nursing, Universidade Federal de Viçosa - Viçosa (MG), Brazil.
  • Carvalho CJ; Department of Medicine and Nursing, Universidade Federal de Viçosa - Viçosa (MG), Brazil.
  • Lima LM; Department of Medicine and Nursing, Universidade Federal de Viçosa - Viçosa (MG), Brazil.
  • Freitas BAC; Department of Medicine and Nursing, Universidade Federal de Viçosa - Viçosa (MG), Brazil.
Rev Bras Epidemiol ; 24: e210052, 2021.
Article em En, Pt | MEDLINE | ID: mdl-34730711
OBJECTIVE: To analyze the characteristics and the factors associated with mortality of cases hospitalized for severe acute respiratory syndrome in a health region, in pre-pandemic and pandemic periods. METHODS: A retrospective documentary study of epidemiological surveillance carried out with secondary data from the Influenza Epidemiological Surveillance Information System, regarding the cases of patients belonging to a health region of Minas Gerais, Brazil. RESULTS: During the pandemic period, there was an increase in the number of hospitalizations and deaths due to severe acute respiratory syndrome, in addition to differences between sociodemographic and clinical-epidemiological characteristics. In both periods, the age and the use of invasive ventilatory support were the predictors of hospital mortality. The mortality in the pandemic period was also associated with male gender, presence of risk factors, admission to an intensive care unit, use of non-invasive ventilatory support, and infection by COVID-19. CONCLUSIONS: In 2020, the detection rate of severe acute respiratory syndrome was 21 times higher than in 2019 and new symptoms, such as anosmia and ageusia, were included in their investigation. In both periods evaluated, elderly patients and patients on invasive mechanical ventilation had a higher risk of mortality. With the pandemic, there was a greater number of hospitalizations and factors associated with mortality.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pandemias / COVID-19 Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Bras Epidemiol Assunto da revista: EPIDEMIOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pandemias / COVID-19 Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Bras Epidemiol Assunto da revista: EPIDEMIOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil