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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 |
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| container_end_page | e2022226 |
| container_issue | 3 |
| container_start_page | e2022226 |
| container_title | São Paulo medical journal |
| container_volume | 141 |
| creator | 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 |
| description | 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. |
| doi_str_mv | 10.1590/1516-3180.2022.0226.R1.21072022 |
| format | article |
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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.</description><identifier>ISSN: 1516-3180</identifier><identifier>ISSN: 1806-9460</identifier><identifier>EISSN: 1806-9460</identifier><identifier>DOI: 10.1590/1516-3180.2022.0226.R1.21072022</identifier><identifier>PMID: 36197353</identifier><language>eng</language><publisher>Brazil: Associação Paulista de Medicina - APM</publisher><subject>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</subject><ispartof>São Paulo medical journal, 2022, Vol.141 (3), p.e2022226-e2022226</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c547t-e91571df28773e7bea037bbc15d4d60a8ef2e4de525225942a592eef36392ac73</citedby><cites>FETCH-LOGICAL-c547t-e91571df28773e7bea037bbc15d4d60a8ef2e4de525225942a592eef36392ac73</cites><orcidid>0000-0002-8233-5802 ; 0000-0002-4491-9700 ; 0000-0002-8723-1789 ; 0000-0003-0128-5792 ; 0000-0003-1865-0733 ; 0000-0002-0483-5596 ; 0000-0002-7249-0999 ; 0000-0001-9711-0182</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,24150,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36197353$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cardoso, Jefferson Paixão</creatorcontrib><creatorcontrib>Calazans, Maria Inês Pardo</creatorcontrib><creatorcontrib>Carneiro, Aretha Lorena Fonseca Cantanhede</creatorcontrib><creatorcontrib>Costa, Cayara Mattos</creatorcontrib><creatorcontrib>Monteiro, Edna Luisa Oliveira</creatorcontrib><creatorcontrib>Aristizábal, Liliana Yanet Gómez</creatorcontrib><creatorcontrib>Oliveira, Juliana da Silva</creatorcontrib><creatorcontrib>Santos, Alcione Miranda Dos</creatorcontrib><title>Association between multimorbidity, intensive care unit admission, and death in patients with COVID-19 in Brazil: a cross-section study, 2020</title><title>São Paulo medical journal</title><addtitle>Sao Paulo Med J</addtitle><description>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.</description><subject>Aged</subject><subject>Brazil - epidemiology</subject><subject>Comorbidity</subject><subject>Coronavirus deaths in Brazil</subject><subject>COVID-19</subject><subject>COVID-19 prevalence studies</subject><subject>Cross-Sectional Studies</subject><subject>Death</subject><subject>Hierarchical multiple logistic models</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Intensive care unit</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>MEDICINE, GENERAL & INTERNAL</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Multimorbidity</subject><subject>Original</subject><subject>SARS-CoV-2</subject><issn>1516-3180</issn><issn>1806-9460</issn><issn>1806-9460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVUstu1DAUjRCIlsIvIO9g0QQ_Yidmg8rwGqlSJV5by7FvWo8y8WA7rdp_6D_jzHQGurBs3cc5x-feonhDcEW4xO8IJ6JkpMUVxZRW-YjqO6kowc0ceFIc55woZS3w0_zeVx8VL2JcYUxbQejz4ogJIhvG2XFxfxajN04n50fUQboBGNF6GpJb-9A569LtKXJjgjG6a0BGB0DT6BLSdu1izF2nSI8WWdDpKheiTYaCMUV043JgcfF7-akkcs58DPrODe-RRib4GMsIZssa02QzSdaPXxbPej1EePVwnxS_vnz-ufhWnl98XS7OzkvD6yaVIAlviO1p2zQMmg40Zk3XGcJtbQXWLfQUagucckq5rKnmkgL0TDBJtWnYSbHc4VqvV2oT3FqHW-W1U9uAD5dKh-TMAIpSBkRgKdta1kb3bdtSyXU2NZNzPmNVO6xoHAxerfwUxixe_ZjtV7P982gw5jjLwSI3fNg1bKZuDdZkt4IeHql4nBndlbr014pgLDiWM8LbB4Tg_0wQk8qzMDAMegQ_RUUbSuav1u0_sq3nAfoDD8FqXil1UKlmmWpeKRWI2q9URnj9v9xD_36H2F_8qsVS</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Cardoso, Jefferson Paixão</creator><creator>Calazans, Maria Inês Pardo</creator><creator>Carneiro, Aretha Lorena Fonseca Cantanhede</creator><creator>Costa, Cayara Mattos</creator><creator>Monteiro, Edna Luisa Oliveira</creator><creator>Aristizábal, Liliana Yanet Gómez</creator><creator>Oliveira, Juliana da Silva</creator><creator>Santos, Alcione Miranda Dos</creator><general>Associação Paulista de Medicina - APM</general><general>Associação Paulista de Medicina</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>GPN</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8233-5802</orcidid><orcidid>https://orcid.org/0000-0002-4491-9700</orcidid><orcidid>https://orcid.org/0000-0002-8723-1789</orcidid><orcidid>https://orcid.org/0000-0003-0128-5792</orcidid><orcidid>https://orcid.org/0000-0003-1865-0733</orcidid><orcidid>https://orcid.org/0000-0002-0483-5596</orcidid><orcidid>https://orcid.org/0000-0002-7249-0999</orcidid><orcidid>https://orcid.org/0000-0001-9711-0182</orcidid></search><sort><creationdate>202201</creationdate><title>Association between multimorbidity, intensive care unit admission, and death in patients with COVID-19 in Brazil: a cross-section study, 2020</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c547t-e91571df28773e7bea037bbc15d4d60a8ef2e4de525225942a592eef36392ac73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aged</topic><topic>Brazil - epidemiology</topic><topic>Comorbidity</topic><topic>Coronavirus deaths in Brazil</topic><topic>COVID-19</topic><topic>COVID-19 prevalence studies</topic><topic>Cross-Sectional Studies</topic><topic>Death</topic><topic>Hierarchical multiple logistic models</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Intensive care unit</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>MEDICINE, GENERAL & INTERNAL</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Multimorbidity</topic><topic>Original</topic><topic>SARS-CoV-2</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cardoso, Jefferson Paixão</creatorcontrib><creatorcontrib>Calazans, Maria Inês Pardo</creatorcontrib><creatorcontrib>Carneiro, Aretha Lorena Fonseca Cantanhede</creatorcontrib><creatorcontrib>Costa, Cayara Mattos</creatorcontrib><creatorcontrib>Monteiro, Edna Luisa Oliveira</creatorcontrib><creatorcontrib>Aristizábal, Liliana Yanet Gómez</creatorcontrib><creatorcontrib>Oliveira, Juliana da Silva</creatorcontrib><creatorcontrib>Santos, Alcione Miranda Dos</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>São Paulo medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cardoso, Jefferson Paixão</au><au>Calazans, Maria Inês Pardo</au><au>Carneiro, Aretha Lorena Fonseca Cantanhede</au><au>Costa, Cayara Mattos</au><au>Monteiro, Edna Luisa Oliveira</au><au>Aristizábal, Liliana Yanet Gómez</au><au>Oliveira, Juliana da Silva</au><au>Santos, Alcione Miranda Dos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between multimorbidity, intensive care unit admission, and death in patients with COVID-19 in Brazil: a cross-section study, 2020</atitle><jtitle>São Paulo medical journal</jtitle><addtitle>Sao Paulo Med J</addtitle><date>2022-01</date><risdate>2022</risdate><volume>141</volume><issue>3</issue><spage>e2022226</spage><epage>e2022226</epage><pages>e2022226-e2022226</pages><issn>1516-3180</issn><issn>1806-9460</issn><eissn>1806-9460</eissn><abstract>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.</abstract><cop>Brazil</cop><pub>Associação Paulista de Medicina - APM</pub><pmid>36197353</pmid><doi>10.1590/1516-3180.2022.0226.R1.21072022</doi><orcidid>https://orcid.org/0000-0002-8233-5802</orcidid><orcidid>https://orcid.org/0000-0002-4491-9700</orcidid><orcidid>https://orcid.org/0000-0002-8723-1789</orcidid><orcidid>https://orcid.org/0000-0003-0128-5792</orcidid><orcidid>https://orcid.org/0000-0003-1865-0733</orcidid><orcidid>https://orcid.org/0000-0002-0483-5596</orcidid><orcidid>https://orcid.org/0000-0002-7249-0999</orcidid><orcidid>https://orcid.org/0000-0001-9711-0182</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1516-3180 |
| ispartof | São Paulo medical journal, 2022, Vol.141 (3), p.e2022226-e2022226 |
| issn | 1516-3180 1806-9460 1806-9460 |
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| source | SciELO |
| 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 |
| title | Association between multimorbidity, intensive care unit admission, and death in patients with COVID-19 in Brazil: a cross-section study, 2020 |
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