Risk factors for critical illness and death among adult Brazilians with COVID19

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dc.creatorIsabela Silva
dc.creatorNatália Cristina de Faria
dc.creatorÁlida Rosária Silva Ferreira
dc.creatorLucilene Rezende Anastácio
dc.creatorLívia Garcia Ferreira
dc.date.accessioned2023-04-04T16:35:57Z
dc.date.accessioned2025-09-09T00:13:16Z
dc.date.available2023-04-04T16:35:57Z
dc.date.issued2021
dc.format.mimetypepdf
dc.identifier.doi10.1590/0037-8682-0014-2021
dc.identifier.issn16789849
dc.identifier.urihttps://hdl.handle.net/1843/51555
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista da Sociedade Brasileira de Medicina Tropical
dc.rightsAcesso Aberto
dc.subjectCOVID-19
dc.subjectObesidade
dc.subjectDoença cardiovascular
dc.subjectMortalidade
dc.subject.otherSevere acute respiratory syndrome coronavirus 2
dc.subject.otherMortality
dc.subject.otherObesity
dc.subject.otherCardiovascular disease
dc.subject.otherPandemic
dc.subject.otherRural health
dc.titleRisk factors for critical illness and death among adult Brazilians with COVID19
dc.typeArtigo de periódico
local.citation.epage5
local.citation.spage1
local.citation.volume54
local.description.resumoINTRODUCTION: Severe acute respiratory syndrome coronavirus 2 has infected more than 9,834,513 Brazilians up to February 2021. Knowledge of risk factors of coronavirus disease among Brazilians remains scarce, especially in the adult population. This study verified the risk factors for intensive care unit admission and mortality for coronavirus disease among 20-59-year-old Brazilians. METHODS: A Brazilian database on respiratory illness was analyzed on October 9, 2020, to gather data on age, sex, ethnicity, education, housing area, and comorbidities (cardiovascular disease, diabetes, and obesity). Multivariate logistic regression analysis was performed to identify the risk factors for coronavirus disease. RESULTS: Overall, 1,048,575 persons were tested for coronavirus disease; among them, 43,662 were admitted to the intensive care unit, and 34,704 patients died. Male sex (odds ratio=1.235 and 1.193), obesity (odds ratio=1.941 and 1.889), living in rural areas (odds ratio=0.855 and 1.337), and peri-urban areas (odds ratio=1.253 and 1.577) were predictors of intensive care unit admission and mortality, respectively. Cardiovascular disease (odds ratio=1.552) was a risk factor for intensive care unit admission. Indigenous people had reduced chances (odds ratio=0.724) for intensive care unit admission, and black, mixed, East Asian, and indigenous ethnicity (odds ratio=1.756, 1.564, 1.679, and 1.613, respectively) were risk factors for mortality. CONCLUSIONS: Risk factors for intensive care unit admission and mortality among adult Brazilians were higher in men, obese individuals, and non-urban areas. Obesity was the strongest risk factor for intensive care unit admission and mortality.
local.publisher.countryBrasil
local.publisher.departmentFAR - DEPARTAMENTO DE ALIMENTOS
local.publisher.initialsUFMG
local.url.externahttps://www.scielo.br/j/rsbmt/a/GXyGZM5wMb8d8fLn7TcyXgd/?lang=en#

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