巴西因 COVID-19 住院的老年人：一项回顾性队列研究的特征和预后因素。
Brazilian Older People Hospitalized by COVID-19: Characteristics and Prognostic Factors in a Retrospective Cohort Study.
机构信息
State University of Rio Grande do Norte, Caicó, Brazil.
Federal University of Rio Grande do Norte, Caicó, Brazil.
出版信息
J Appl Gerontol. 2021 Jun;40(6):571-581. doi: 10.1177/0733464820983976. Epub 2021 Jan 6.
OBJECTIVE
Analyzing the survival of older people hospitalized due to COVID-19 in Brazil and identifying its main predictive factors for death.
METHOD
This is a retrospective, multicenter cohort study, based on 20,831 records of hospitalizations of older people due to SARS-CoV-2 in Brazil. The observation period was from February 28 to May 18, 2020.
RESULTS
There was a reduced overall survival time of 47.70% (95% confidence interval [CI] = [46.72%, 48.67%]) in 10 days. The variables age, race, education, intensive care unit (ICU), region, day of hospitalization, time elapsed between the first symptom and hospitalization, and the municipality that provided assistance showed increased risk of death using the multiple Cox proportional-hazards model.
CONCLUSION
These results emphasize the relevance of inequality and access to health services as determinants for the death of older people with COVID-19.
目的
分析巴西因 COVID-19 住院的老年人的生存情况，并确定其主要死亡预测因素。
方法
这是一项回顾性、多中心队列研究，基于巴西 20831 例因 SARS-CoV-2 住院的老年人记录。观察期为 2020 年 2 月 28 日至 5 月 18 日。
结果
在 10 天内，总体生存率降低了 47.70%（95%置信区间[CI] = [46.72%，48.67%]）。使用多 Cox 比例风险模型，年龄、种族、教育、重症监护病房（ICU）、地区、住院日期、从第一个症状到住院的时间间隔以及提供援助的直辖市等变量显示出死亡风险增加。
结论
这些结果强调了不平等和获得卫生服务作为 COVID-19 老年患者死亡的决定因素的重要性。
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