Clinical-epidemiological profile of patients with covid-19 admitted to a university hospital reference

Authors

DOI: https://doi.org/10.6018/eglobal.544171
Keywords: COVID-19, Pandemic by COVID-19, Epidemiological profile, Clinical Management, Emergency Medical Services

Abstract

Objective: To characterize the epidemiological profile of patients hospitalized with COVID-19 in a referral emergency unit in northern Paraná; analyze the profile of patients affected by COVID-19 regarding gender, color/race, age, marital status, origin and type of referral; measure the average length of hospital stay, from the date of admission of the patient until discharge, determine the percentage of the main hospital outcomes.
Method: It was field research with a quantitative, observational, unicentric, descriptive, exploratory and retrospective approach, carried out at the University Hospital of the State University of Londrina, located in the north of the Paraná. The study population consisted of data from 2,800 patients admitted and hospitalized with a confirmed diagnosis of COVID-19 in the Emergency Room of the hospital in question, according to records of the epidemiology center and Medical and Statistical Archive Service, from January 2021 to July 2021.
Results: It was observed that most of those affected were male, had a white color, were single and were between 58 and 67 years old. The mean length of hospitalization was 16 days. The Mobile Emergency Care Service obtained the highest referral records and the discharge and death outcomes had very close values.
Conclusion: It is concluded that the second wave of COVID-19 was devastating in all segments, reflecting the change in the age profile of those affected, the increase in hospitalization rates, high mortality rates and the close relationship between the hospitalization period and the evolution to death.

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References

Santos, P. S. A et al. Perfil epidemiológico da mortalidade de pacientes internados por Covid-19 na unidade de terapia intensiva de um hospital universitário. Brazilian Journal of Development. Curitiba, v.7, n.5, p. 45981-45992 may, 2021.

Lana RM, Coelho FC, Gomes MF da C, Cruz OG, Bastos LS, Villela DAM, et al. Emergência do novo coronavírus (SARS-CoV-2) e o papel de uma vigilância nacional em saúde oportuna e efetiva. Cadernos de Saúde Pública [Internet]. 2020 Mar 13;36(3):e00019620. Available from: https://www.scielosp.org/article/csp/2020.v36n3/e00019620/pt/.

Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ, Lu GM, et al. Coronavirus Disease 2019 (COVID-19): A Perspective from China. Radiology. 2020 Feb 21;296(2):200490.

Girão MMF, Coelho NDP, Barroso BS, Gadelha M do SV. Perfil Epidemiológico dos Pacientes de SARS-COV-2 no Brasil / Epidemiological Profile of SARS-COV-2 Patients in Brazil. ID on line REVISTA DE PSICOLOGIA. 2020 Jul 30;14(51):646–58.

Lagi F, Piccica M, Graziani L, Vellere I, Botta A, Tilli M, et al. Early experience of an infectious and tropical diseases unit during the coronavirus disease (COVID-19) pandemic, Florence, Italy, February to March 2020. Euro Surveillance: Bulletin Europeen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin [Internet]. 2020 Apr 1 [cited 2022 Jun 24];25(17). Available from: https://pubmed.ncbi.nlm.nih.gov/32372754/

Matta S, Chopra KK, Arora VK. Morbidity and mortality trends of Covid 19 in top 10 countries. Indian Journal of Tuberculosis. 2020 Dec;67(4):S167–72.

Mendes R, Marques A, Marques A. ANÁLISE DE DADOS DA COVID-19 NA PARAÍBA E REGIÕES. Acta Scientia [Internet]. 2020 [cited 2022 Oct 17];2(1). Available from: https://periodicos.iesp.edu.br/index.php/actascientia/article/view/289/265

Scherbaum R, Kwon EH, Richter D, Bartig D, Gold R, Krogias C, et al. Clinical Profiles and Mortality of COVID ‐19 Inpatients with Parkinson’s Disease in Germany. Movement Disorders. 2021 May;36(5):1049–57.

UNIVERSIDADE FEDERAL DE SANTA CATARINA CENTRO DE CIÊNCIAS DA SAÚDE CURSO DE GRADUAÇÃO EM ENFERMAGEM NICHOLAS RAMOS BATISTA OS IMPACTOS DA PANDEMIA DE COVID-19 NOS SERVIÇOS DE ATENDIMENTO PRÉ-HOSPITALAR NO ESTADO DE SANTA CATARINA Florianópolis 2021 [Internet]. [cited 2022 Oct 17]. Available from: https://repositorio.ufsc.br/bitstream/handle/123456789/228278/TCC%20Enfermagem%20-%20Nicholas.pdf?sequence=1&isAllowed=y.

Dal Pai D, Gemelli MP, Boufleuer E, Finckler PVPR, Miorin JD, Tavares JP, et al. Repercussões da pandemia pela COVID-19 no serviço pré-hospitalar de urgência e a saúde do trabalhador. Escola Anna Nery. 2021;25(spe).

Mukherjee A, Kumar G, Sharma R, Menon G, Sahu D, Wig N, et al. Clinical profile of hospitalized COVID-19 patients in first & second wave of the pandemic: Insights from an Indian registry based observational study. Indian Journal of Medical Research. 2021;153(5):619.

Jalali SF, Ghassemzadeh M, Mouodi S, Javanian M, Akbari Kani M, Ghadimi R, et al. Epidemiologic comparison of the first and second waves of coronavirus disease in Babol, North of Iran. Caspian Journal of Internal Medicine [Internet]. 2020 [cited 2022 Oct 17];11(Suppl 1):544–50. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7780865/.

Graichen H. What is the difference between the first and the second/third wave of Covid-19? – German perspective. Journal of Orthopaedics. 2021 Jan.

Seong H, Hyun HJ, Yun JG, Noh JY, Cheong HJ, Kim WJ, et al. Comparison of the second and third waves of the COVID-19 pandemic in South Korea: Importance of early public health intervention. International Journal of Infectious Diseases. 2021 Mar;104:742–5.

Saito S, Asai Y, Matsunaga N, Hayakawa K, Terada M, Ohtsu H, et al. First and second COVID-19 waves in Japan: A comparison of disease severity and characteristics. Journal of Infection [Internet]. 2020 Nov 2 [cited 2021 Feb 14];0(0). Available from: https://www.journalofinfection.com/article/S0163-4453(20)30693-9/fulltext

Castagna F, Xue X, Saeed O, Kataria R, Puius YA, Patel SR, et al. Hospital bed occupancy rate is an independent risk factor for COVID-19 inpatient mortality: a pandemic epicentre cohort study. BMJ Open [Internet]. 2022 Feb 1 [cited 2022 Aug 23];12(2):e058171. Available from: https://bmjopen.bmj.com/content/12/2/e058171

Dale CR, Starcher RW, Chang SC, Robicsek A, Parsons G, Goldman JD, et al. Surge effects and survival to hospital discharge in critical care patients with COVID-19 during the early pandemic: a cohort study. Critical Care. 2021 Feb 17;25(1).

Published
01-04-2023
How to Cite
[1]
de Sousa de Lima, B.D. et al. 2023. Clinical-epidemiological profile of patients with covid-19 admitted to a university hospital reference. Global Nursing. 22, 2 (Apr. 2023), 257–296. DOI:https://doi.org/10.6018/eglobal.544171.
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Section
ORIGINAL RESEARCH