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Mortality in patients with Sars-Cov-2 in intensive care: predictive factors

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Resumo:Introduction: Worldwide, more than 750 million people have been diagnosed with COVID-19 and nearly 7 million have died. About 80% of those infected are asymptomatic or have only mild symptoms and 6% to 10% require admission to an intensive care unit, where the mortality rate is high (between 30-50%). Objective/s: To determine the factors influencing mortality in patients hospitalized with SARS-Cov-2 in intensive care at the Tondela-Viseu Hospital Center. Methods: This is a descriptive, retrospective and correlational cross-sectional cohort study in a non-probabilistic convenience sample of 143 patients with SARS-Cov-2 admitted to intensive care at a central hospital in central Portugal, from 03/17/2020 to 08/31/2021. Results: The mortality rate was 32.9%, being higher at older ages. The existence of comorbidities was not a predictor of mortality. At the time of admission to the intensive care unit, most individuals were hospitalized (70.6%). The need for invasive mechanical ventilation and the presence of bacterial infections proved to be predictors of higher mortality. The Sequential Organ Failure Assessment, the Simplified Acute Physiology Score and the Acute Physiology And Chronic Health Evaluation were good instruments for predicting mortality. On the other hand, the existence of associated comorbidities was not a predictor of mortality. Conclusion: The need for continuous monitoring of associated risk factors (need for IMV and presence of bacterial infections) is evidenced in order to better manage their association with increased mortality. This evaluation should be carried out by specialized professionals with in-depth scientific knowledge in the area of intervention.
Autores principais:Patrício, Helder
Outros Autores:Machado , Tiago; Pereira , Ana Catarina; Figueiredo, Elisabete; Cunha, Madalena
Assunto:SARS-CoV-2 Cuidados Intensivos Comorbilidade Fatores de Risco Mortalidade SARS-CoV-2 Intensive Care Comorbidity Risk Factors Mortality SARS-CoV-2 Cuidados Intensivos Comorbilidad Factores de Riesgo Mortalidad
Ano:2023
País:Portugal
Tipo de documento:artigo
Tipo de acesso:unknown
Instituição associada:Associação Católica dos Profissionais de Enfermagem e Saúde (ACPES)
Idioma:português
Origem:Servir

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