1Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
2Pan American Health Organization, Brasília, Brazil.
Am J Trop Med Hyg. 2021 May 31;105(1):88-92. doi: 10.4269/ajtmh.20-1598.
São Paulo is a state in Brazil with one of the highest numbers of confirmed and severe cases of coronavirus disease (COVID-19), with an incidence of 294 hospitalizations per 100,000 inhabitants. We report the clinical characteristics and outcomes of 120,804 hospitalized patients with confirmed COVID-19 from February 26 to October 10, 2020, in São Paulo. Characteristics of patients who died and survived were compared using a survival analysis. The median age was 60 years (interquartile range [IQR], 47-72), 67,821 (56.1%) were men, and 61,659 (51.0%) were white. Most hospitalized patients (79,812; 66.1%) reported one or more comorbidities, 41,708 (34.5%) hospitalized patients were admitted to intensive care units, and 33,079 (27.4%) died. Men (hazard ratio [HR], 1.22; 95% confidence interval [CI], 1.18-1.25), elderly individuals (HR, 3.85; 95% CI, 3.68-4.02), and patients with chronic cardiovascular disease including hypertension (HR, 1.05; 95% CI, 1.02-1.08), chronic lung disease (HR, 1.38; 95% CI, 1.31-1.45), diabetes mellitus (HR, 1.14; 95% CI, 1.11-1.18), and chronic neurological disease (HR, 1.48; 95% CI, 1.41-1.55) were at higher risk for death from COVID-19.
圣保罗州是巴西确诊和重症冠状病毒病(COVID-19)病例数最多的州之一,每 10 万人中有 294 例住院。我们报告了 2020 年 2 月 26 日至 10 月 10 日期间在圣保罗住院的 120804 例确诊 COVID-19 患者的临床特征和结局。使用生存分析比较了死亡和存活患者的特征。中位年龄为 60 岁(四分位距 [IQR],47-72),67821 例(56.1%)为男性,61659 例(51.0%)为白人。大多数住院患者(79812 例;66.1%)报告有 1 种或多种合并症,41708 例(34.5%)住院患者被收住重症监护病房,33079 例(27.4%)死亡。男性(危险比 [HR],1.22;95%置信区间 [CI],1.18-1.25)、老年人(HR,3.85;95%CI,3.68-4.02)、合并慢性心血管疾病(包括高血压)的患者(HR,1.05;95%CI,1.02-1.08)、慢性肺部疾病(HR,1.38;95%CI,1.31-1.45)、糖尿病(HR,1.14;95%CI,1.11-1.18)和慢性神经疾病(HR,1.48;95%CI,1.41-1.55)的 COVID-19 死亡风险更高。