Comorbidities and in-hospital death of viral pneumonia adult´s admitted in sus (2002-2015)

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dc.creatorThaís Piazza
dc.creatorHugo André da Rocha
dc.creatorAgner Pereira Lana
dc.creatorDaniela Pena Moreira
dc.creatorMarcos Antônio Cunha Santos
dc.creatorIlka Afonso Reis
dc.creatorAugusto Afonso Guerra Junior
dc.creatorMariângela l. Cherchiglia
dc.date.accessioned2023-11-09T19:56:40Z
dc.date.accessioned2025-09-08T23:56:18Z
dc.date.available2023-11-09T19:56:40Z
dc.date.issued2020
dc.format.mimetypepdf
dc.identifier.doi10.11606/s1518-8787.2021055003109
dc.identifier.issn0102311X
dc.identifier.urihttps://hdl.handle.net/1843/60724
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista de Saúde Pública
dc.rightsAcesso Aberto
dc.subjectPneumonia Viral
dc.subjectEpidemiology
dc.subjectRisk Factors
dc.subjectComorbidity
dc.subjectHospitalization
dc.subjectMortality
dc.subject.otherPneumonia Viral
dc.subject.otherEpidemiology
dc.subject.otherRisk Factors
dc.subject.otherComorbidity
dc.subject.otherHospitalization
dc.subject.otherMortality
dc.titleComorbidities and in-hospital death of viral pneumonia adult´s admitted in sus (2002-2015)
dc.typeArtigo de periódico
local.citation.epage11
local.citation.issue43
local.citation.spage1
local.citation.volume55
local.description.resumoOBJECTIVE: 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
local.publisher.countryBrasil
local.publisher.departmentICX - DEPARTAMENTO DE ESTATÍSTICA
local.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
local.publisher.initialsUFMG
local.url.externahttps://doi.org/10.11606/s1518-8787.2021055003109

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