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Type:	Artigo de Periódico
Title:	Comorbidities and in-hospital death of viral pneumonia adult´s admitted in sus (2002-2015)
Authors:	Thaís Piazza Hugo André da Rocha Agner Pereira Lana Daniela Pena Moreira Marcos Antônio Cunha Santos Ilka Afonso Reis Augusto Afonso Guerra Junior Mariângela l. Cherchiglia
Abstract:	OBJECTIVE: To identify demographic and clinical characteristics of adult patients hospitalized in the Brazilian Unified Health System (SUS) due to viral pneumonia and investigate the association between some comorbidities and death during hospitalization. METHODS: This retrospective cohort study was conducted with secondary data of adults admitted to SUS due to viral pneumonia between 2002 and 2015. Patient profile was characterized based on demographic and clinical variables. The association between the ten Elixhauser comorbidities and in-hospital death was investigated using Poisson regression models with robust standard errors. Results were quantified as incidence rate ratio (IRR) with 95% confidence intervals (CI), and we built five models using successive inclusion of variables blocks. RESULTS: Hospital admissions for viral pneumonias decreased throughout the study period, and it was observed that 5.8% of hospitalized patients had an in-hospital death. We observed significant differences in demographic and clinical characteristics by comparing individuals who died during hospitalization with those who did not, with the occurrence of one or more comorbidities being more expressive among patients who died. Although not considered risk factors for in-hospital death, chronic pulmonary disease and congestive heart failure were the most common comorbidities. Conversely, IRR for in-hospital death increased with other neurological disorders, diabetes, cancer, obesity, and especially with HIV/AIDS. CONCLUSIONS: Individuals presenting with pulmonary and cardiovascular diseases require proper attention during hospitalization, as well as those with other neurological diseases, diabetes, cancer, obesity, and especially HIV/AIDS. Understanding the influence of chronic diseases on viral infections may support the healthcare system in achieving better outcomes
Subject:	Pneumonia Viral Epidemiology Risk Factors Comorbidity Hospitalization Mortality
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	ICX - DEPARTAMENTO DE ESTATÍSTICA MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
Rights:	Acesso Aberto
metadata.dc.identifier.doi:	10.11606/s1518-8787.2021055003109
URI:	http://hdl.handle.net/1843/60724
Issue Date:	2020
metadata.dc.url.externa:	https://doi.org/10.11606/s1518-8787.2021055003109
metadata.dc.relation.ispartof:	Revista de Saúde Pública
Appears in Collections:	Artigo de Periódico

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