Mortalidade e cura entre hospitalizados e não hospitalizados por COVID-19 em uma localidade de tríplice fronteira internacional

• Ano de defesa: 2023
• Autor(a) principal: Gordillo, Érica Alves Ferreira
• Orientador(a): Silva-Sobrinho, Reinaldo Antonio da
• Banca de defesa: Zilly, Adriana , Izurieta, Ricardo
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual do Oeste do Paraná; Foz do Iguaçu
• Programa de Pós-Graduação: Programa de Pós-Graduação em Saúde Pública em Região de Fronteira
• Departamento: Centro de Educação Letras e Saúde
• País: Brasil
• Palavras-chave em Português: Pandemia; Infecção pelo SARS-CoV-2; Epidemiologia e bioestatística; Áreas de Fronteira
• Palavras-chave em Inglês: Pandemic; SARS-CoV-2 infection; Epidemiology and biostatistics; Border areas
• Palavras-chave em Espanhol: Pandemia; infección por SARS-CoV-2; Epidemiología y bioestadística; Áreas de frontera
• Área do conhecimento CNPq: SAUDE COLETIVA::SAUDE PUBLICA
• Link de acesso: https://tede.unioeste.br/handle/tede/6592

The severity of COVID-19 in the general population ranges from minimally symptomatic to critical, and may require hospitalization and progress to death. The objective of this study was to analyze aspects of hospitalization according to risk factors (modifiable and non-modifiable) associated with death among hospitalized and non-hospitalized patients affected by COVID-19 in a triple international border municipality. A retrospective time series ecological study was developed, including all positive cases of COVID-19 reported in the municipality of Foz do Iguaçu, in the period from March 2020 to December 2021. Data were collected from the Notifica-COVID-19 database, involving variables related to hospitalization characteristics, sociodemographic, clinical/risk factors, and outcome of cases. The descriptive statistical technique was used in data analysis. It was identified an association of death among hospitalized patients with the following characteristics: male gender; all age groups over 40 years old; white skin color; length of hospitalization longer than 10 days; hospitalization in a bed of the Unified Health System; hospitalization in an intensive care unit; dyspnea, intercostal retraction; cyanosis; hypertension, diabetes, obesity, cardiovascular disease, smoking, lung disease, kidney disease, neurological disease, cancer and immunodeficiency. Among the cases that were not hospitalized, death was associated with: male gender; all age groups over 50 years; dyspnea; cyanosis; hypertension; diabetes; obesity; cardiovascular disease; kidney disease; neurological disease; neoplasm, and liver disease. It is concluded that the elderly, males, and Caucasians were more affected by COVID-19, evolving with clinical worsening when they present modifiable risk factors such as obesity, smoking, as well as non-modifiable risk factors such as cardiovascular disease, neurological, renal, hypertension, diabetes, and immunosuppression.