Association between multimorbidity, intensive care unit admission, and death in patients with COVID-19 in Brazil: a cross-section study, 2020

Multimorbidity can influence intensive care unit (ICU) admissions and deaths due to coronavirus disease (COVID-19). To analyze the association between multimorbidity, ICU admissions, and deaths due to COVID-19 in Brazil. This cross-sectional study was conducted using data from patients with severe a...

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Published in:São Paulo medical journal 2022, Vol.141 (3), p.e2022226-e2022226
Main Authors: Cardoso, Jefferson Paixão, Calazans, Maria Inês Pardo, Carneiro, Aretha Lorena Fonseca Cantanhede, Costa, Cayara Mattos, Monteiro, Edna Luisa Oliveira, Aristizábal, Liliana Yanet Gómez, Oliveira, Juliana da Silva, Santos, Alcione Miranda Dos
Format: Article
Language:English
Subjects:
Aged
Brazil - epidemiology
Comorbidity
Coronavirus deaths in Brazil
COVID-19
COVID-19 prevalence studies
Cross-Sectional Studies
Death
Hierarchical multiple logistic models
Hospitalization
Humans
Intensive care unit
Intensive Care Units
Male
MEDICINE, GENERAL & INTERNAL
Middle Aged
Morbidity
Multimorbidity
Original
SARS-CoV-2
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Summary:Multimorbidity can influence intensive care unit (ICU) admissions and deaths due to coronavirus disease (COVID-19). To analyze the association between multimorbidity, ICU admissions, and deaths due to COVID-19 in Brazil. This cross-sectional study was conducted using data from patients with severe acute respiratory syndrome (SARS) due to COVID-19 recorded in the Influenza Epidemiological Surveillance Information System (SIVEP-Gripe) in 2020. Descriptive and stratified analyses of multimorbidity were performed based on sociodemographic, ventilatory support, and diagnostic variables. Poisson regression was used to estimate the prevalence ratios. We identified 671,593 cases of SARS caused by COVID-19, of which 62.4% had at least one morbidity. Multimorbidity was associated with male sex, age 60-70 and ≥ 80 years, brown and black skin color, elementary education and high school, ventilatory support, and altered radiologic exams. Moreover, all regions of the country and altered computed tomography due to COVID-19 or other diseases were associated with death; only the northeast region and higher education were associated with ICU admission. Our results showed an association between multimorbidity, ICU admission, and death in COVID-19 patients in Brazil.
ISSN:1516-3180
1806-9460
1806-9460
DOI:10.1590/1516-3180.2022.0226.R1.21072022