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2020 年巴西圣保罗市住院患者 COVID-19 死亡率:生存情况、相关因素和空间分布。

COVID-19 Mortality among Hospitalized Patients: Survival, Associated Factors, and Spatial Distribution in a City in São Paulo, Brazil, 2020.

机构信息

Department of Public Health, Jundiaí Medical School, Jundiaí 13202-550, SP, Brazil.

Department of Health Sciences and Child Dentistry, Faculty of Odontology of Piracicaba, University of Campinas, Piracicaba 13414-903, SP, Brazil.

出版信息

Int J Environ Res Public Health. 2024 Sep 14;21(9):1211. doi: 10.3390/ijerph21091211.

Abstract

The aims of this study were to analyze patient survival, identify the prognostic factors for patients with COVID-19 deaths considering the length of hospital stay, and evaluate the spatial distribution of these deaths in the city of Jundiaí, São Paulo, Brazil. We examined prognostic variables and survival rates of COVID-19 patients hospitalized at a reference hospital in Jundiaí, Brazil. A retrospective cohort of hospitalized cases from April to July of 2020 was included. Descriptive analysis, Kaplan-Meier curves, univariate and multivariate Cox regression, and binary logistic regression models were used. Among the 902 reported and confirmed cases, there were 311 deaths (34.5%). The median survival was 27 days, and the mean for those discharged was 46 days. Regardless of the length of hospital stay, desaturation, immunosuppression, age over 60, kidney disease, hypertension, lung disease, and hypertension were found to be independent predictors of death in both Cox and logistic regression models.

摘要

本研究旨在分析患者生存情况,确定考虑住院时间的 COVID-19 死亡患者的预后因素,并评估巴西圣保罗州容迪亚伊市 COVID-19 死亡的空间分布情况。我们研究了巴西容迪亚伊市一家参考医院住院 COVID-19 患者的预后变量和生存率。纳入了 2020 年 4 月至 7 月的住院病例回顾性队列。采用描述性分析、Kaplan-Meier 曲线、单变量和多变量 Cox 回归以及二项逻辑回归模型。在报告并确诊的 902 例病例中,有 311 例死亡(34.5%)。中位生存时间为 27 天,出院患者的平均生存时间为 46 天。无论住院时间长短,Cox 和逻辑回归模型均显示,低氧血症、免疫抑制、年龄超过 60 岁、肾脏疾病、高血压、肺部疾病和高血压是死亡的独立预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b94f/11431193/c4cee8b3a362/ijerph-21-01211-g001.jpg

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