未经评估:我们评估了巴西多中心队列中因COVID-19导致的住院死亡率和出院后的结局发生率。
未经批准:这项前瞻性多中心研究(RECOVER-SUS,NCT04807699)包括2020年6月至2021年3月在巴西公立三级医院住院的COVID-19患者。入院时进行临床评估和血液样本,出院后远程访问。住院的参与者进行了随访,直到2021年3月31日。结果为住院死亡率和再住院或出院后死亡的发生率。进行Kaplan-Meier曲线和Cox比例风险模型。
未经评估:1589名参与者[54.5%为男性,年龄=62(IQR50-70)岁;BMI=28.4(IQR,包括24.9-32.9)Kg/m²和51.9%的糖尿病患者]。共有429人[27.0%(95CI,24.8-29.2)]在住院期间死亡(中位时间14(IQR,9-24)天)。年龄[vs<40岁;年龄=60-69岁-aHR=1.89(95CI,1.08-3.32);年龄=70-79岁-aHR=2.52(95CI,1.42-4.45);年龄≥80-aHR=2.90(95CI1.54-5.47);入院时无创或机械通气[vs面罩或无;aHR=1.90(95aCI=10分)1.92/在出院后52天(范围1-280天)的中位时间内,共有65名个体[6.7%(95CI5.3-8.4)]再次住院或死亡[率=323(95CI250-417)/1000人年]。入院时年龄≥60岁[vs<60,aHR=2.13(95CI1.15-3.94)]和SAPS-III≥57[vs<57,aHR=2.37(95CI1.22-4.59)]与再住院或出院后死亡独立相关。
未经评估:观察到由于COVID-19导致的住院死亡率很高,老年人出院后再次住院和死亡的风险仍然很高。
UNASIGNED:里约热内卢Estado(FAPERJ)NacelhodeDesenvolvimentoCientíficoeTecnológico(CNPq)andProgrammaINOVA-FIOCRUZ.
UNASSIGNED: We evaluated in-hospital mortality and outcomes incidence after hospital discharge due to COVID-19 in a Brazilian multicenter cohort.
UNASSIGNED: This prospective multicenter study (RECOVER-SUS, NCT04807699) included COVID-19 patients hospitalized in public tertiary hospitals in Brazil from June 2020 to March 2021. Clinical assessment and blood samples were performed at hospital admission, with post-hospital discharge remote visits. Hospitalized participants were followed-up until March 31, 2021. The outcomes were in-hospital mortality and incidence of rehospitalization or death after hospital discharge. Kaplan-Meier curves and Cox proportional-hazard models were performed.
UNASSIGNED: 1589 participants [54.5% male, age=62 (IQR 50-70) years; BMI=28.4 (IQR,24.9-32.9) Kg/m² and 51.9% with diabetes] were included. A total of 429 individuals [27.0% (95%CI,24.8-29.2)] died during hospitalization (median time 14 (IQR,9-24) days). Older age [vs<40 years; age=60-69 years-aHR=1.89 (95%CI,1.08-3.32); age=70-79 years-aHR=2.52 (95%CI,1.42-4.45); age≥80-aHR=2.90 (95%CI 1.54-5.47)]; noninvasive or mechanical ventilation at admission [vs facial-mask or none; aHR=1.69 (95%CI 1.30-2.19)]; SAPS-III score≥57 [vs<57; aHR=1.47 (95%CI 1.13-1.92)] and SOFA score≥10 [vs <10; aHR=1.51 (95%CI 1.08-2.10)] were independently associated with in-hospital mortality. A total of 65 individuals [6.7% (95%CI 5.3-8.4)] had a rehospitalization or death [rate=323 (95%CI 250-417) per 1000 person-years] in a median time of 52 (range 1-280) days post-hospital discharge. Age ≥ 60 years [vs <60, aHR=2.13 (95%CI 1.15-3.94)] and SAPS-III ≥57 at admission [vs <57, aHR=2.37 (95%CI 1.22-4.59)] were independently associated with rehospitalization or death after hospital discharge.
UNASSIGNED: High in-hospital mortality rates due to COVID-19 were observed and elderly people remained at high risk of rehospitalization and death after hospital discharge.
UNASSIGNED: Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Programa INOVA-FIOCRUZ.