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巴西皮奥伊州因 COVID-19 导致的严重急性呼吸系统综合征住院和死亡患者特征:2020-2021 年描述性研究。

Profile of hospital admissions and deaths due to severe acute respiratory syndrome caused by COVID-19 in Piauí, Brazil: a descriptive study, 2020-2021.

机构信息

Universidade Federal do Piauí, Centro de Ciências da Saúde, Teresina, PI, Brasil.

Universidade Estadual do Maranhão, São Luís, MA, Brasil.

出版信息

Epidemiol Serv Saude. 2022 Apr 20;31(1):e2021836. doi: 10.1590/S1679-49742022000100009. eCollection 2022.

Abstract

OBJECTIVE

To describe the profile and temporal variation of hospital admissions and deaths due to severe acute respiratory syndrome (SARS) caused by COVID-19 in Piauí, Brazil, according to place of hospitalization.

METHODS

We performed a descriptive study using data from the Influenza Surveillance Information System between 2020 and 2021. Case fatality ratio among hospital records with outcome and respective 95% confidence intervals (95%CI) were calculated.

RESULTS

We included 12,649 individuals who were mostly male (57.1%), Black (61.2%) and had one or two comorbidities (30.5%). Case fatality ratio among hospital records with outcome was higher in the state's interior region than in its capital, with proportion of 44.1% (95%CI 42.0;46.3) for those who were hospitalized, 82.3% (95%CI 79.7;84.8) for those admitted to intensive care units and 96.6% (95%CI 94.9;97.8) for those undergoing invasive mechanical ventilation.

CONCLUSION

The study enabled characterization of the profile of SARS hospitalizations due to COVID-19 in Piauí and demonstrated high case fatality ratio, among hospital records with outcome, which remained high during the study period, especially in the interior of the state.

摘要

目的

根据住院地点,描述巴西皮奥伊州因 COVID-19 导致的严重急性呼吸综合征(SARS)住院和死亡人数的特征和时间变化。

方法

我们使用了 2020 年至 2021 年期间流感监测信息系统的数据进行了描述性研究。计算了有结局的住院记录中的病死率,并计算了各自的 95%置信区间(95%CI)。

结果

我们纳入了 12649 名患者,他们主要是男性(57.1%)、黑人(61.2%),且存在一种或两种合并症(30.5%)。有结局的住院记录中的病死率在内陆地区高于首府,住院患者的病死率为 44.1%(95%CI 42.0;46.3),入住重症监护病房的患者为 82.3%(95%CI 79.7;84.8),接受有创机械通气的患者为 96.6%(95%CI 94.9;97.8)。

结论

本研究能够对皮奥伊州因 COVID-19 导致的 SARS 住院情况进行特征描述,并表明在有结局的住院记录中病死率较高,且在整个研究期间仍保持较高水平,尤其是在该州内陆地区。

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