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Risk factors associated with COVID-19-induced death in patients hospitalized in intensive care units (ICUs) in a city in Southern Brazil

OBJECTIVES: The aim of this research was to address risk factors associated with death after hospitalization in intensive care units (ICUs) in 728 COVID-19 patients in Londrina, the second most populated city in the State of Paraná – Brazil, between March and December 2020. METHODS: Statistical anal...

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Autores principales: Olak, André S., Susuki, Aline M., Kanashiro, Milena, Paoliello, Monica M.B., Aschner, Michael, Urbano, Mariana R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8340553/
https://www.ncbi.nlm.nih.gov/pubmed/34377679
http://dx.doi.org/10.1016/j.toxrep.2021.07.020
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author Olak, André S.
Susuki, Aline M.
Kanashiro, Milena
Paoliello, Monica M.B.
Aschner, Michael
Urbano, Mariana R.
author_facet Olak, André S.
Susuki, Aline M.
Kanashiro, Milena
Paoliello, Monica M.B.
Aschner, Michael
Urbano, Mariana R.
author_sort Olak, André S.
collection PubMed
description OBJECTIVES: The aim of this research was to address risk factors associated with death after hospitalization in intensive care units (ICUs) in 728 COVID-19 patients in Londrina, the second most populated city in the State of Paraná – Brazil, between March and December 2020. METHODS: Statistical analysis, including multiple logistic regression was performed to identify risk factors associated with death in these patients. RESULTS: The results showed that age (60 years or more, O.R. = 3.13, C.I. 95% [2.02; 4.84]), days in the ICU (11 days or more, O.R. = 1.76, C.I. 95% [1.16; 2.66]), neurological diseases (O.R. = 2.15, C.I. 95% [1.07; 4.31]), pneumopathy (O.R = 2.19, C.I. 95% [1.01; 4.82]), diabetes (O.R. = 1.55, C.I. 95% [1.03; 2.32]), and kidney disease (O.R. = 2.27, C.I. 95% [1.18; 4.70]) were associated with increased risk for death from COVID-19. CONCLUSION: Knowing the risk factors associated with death after ICUs hospitalization is useful for identifying the most vulnerable groups, as well as for defining vaccination priorities, considering its scarcity in many parts of the world, mainly in underdeveloped countries, including Brazil.
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spelling pubmed-83405532021-08-06 Risk factors associated with COVID-19-induced death in patients hospitalized in intensive care units (ICUs) in a city in Southern Brazil Olak, André S. Susuki, Aline M. Kanashiro, Milena Paoliello, Monica M.B. Aschner, Michael Urbano, Mariana R. Toxicol Rep COVID-19 Pandemic: Health impact and Novel research OBJECTIVES: The aim of this research was to address risk factors associated with death after hospitalization in intensive care units (ICUs) in 728 COVID-19 patients in Londrina, the second most populated city in the State of Paraná – Brazil, between March and December 2020. METHODS: Statistical analysis, including multiple logistic regression was performed to identify risk factors associated with death in these patients. RESULTS: The results showed that age (60 years or more, O.R. = 3.13, C.I. 95% [2.02; 4.84]), days in the ICU (11 days or more, O.R. = 1.76, C.I. 95% [1.16; 2.66]), neurological diseases (O.R. = 2.15, C.I. 95% [1.07; 4.31]), pneumopathy (O.R = 2.19, C.I. 95% [1.01; 4.82]), diabetes (O.R. = 1.55, C.I. 95% [1.03; 2.32]), and kidney disease (O.R. = 2.27, C.I. 95% [1.18; 4.70]) were associated with increased risk for death from COVID-19. CONCLUSION: Knowing the risk factors associated with death after ICUs hospitalization is useful for identifying the most vulnerable groups, as well as for defining vaccination priorities, considering its scarcity in many parts of the world, mainly in underdeveloped countries, including Brazil. Elsevier 2021-08-05 /pmc/articles/PMC8340553/ /pubmed/34377679 http://dx.doi.org/10.1016/j.toxrep.2021.07.020 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle COVID-19 Pandemic: Health impact and Novel research
Olak, André S.
Susuki, Aline M.
Kanashiro, Milena
Paoliello, Monica M.B.
Aschner, Michael
Urbano, Mariana R.
Risk factors associated with COVID-19-induced death in patients hospitalized in intensive care units (ICUs) in a city in Southern Brazil
title Risk factors associated with COVID-19-induced death in patients hospitalized in intensive care units (ICUs) in a city in Southern Brazil
title_full Risk factors associated with COVID-19-induced death in patients hospitalized in intensive care units (ICUs) in a city in Southern Brazil
title_fullStr Risk factors associated with COVID-19-induced death in patients hospitalized in intensive care units (ICUs) in a city in Southern Brazil
title_full_unstemmed Risk factors associated with COVID-19-induced death in patients hospitalized in intensive care units (ICUs) in a city in Southern Brazil
title_short Risk factors associated with COVID-19-induced death in patients hospitalized in intensive care units (ICUs) in a city in Southern Brazil
title_sort risk factors associated with covid-19-induced death in patients hospitalized in intensive care units (icus) in a city in southern brazil
topic COVID-19 Pandemic: Health impact and Novel research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8340553/
https://www.ncbi.nlm.nih.gov/pubmed/34377679
http://dx.doi.org/10.1016/j.toxrep.2021.07.020
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