Fatores associados ao óbito em pacientes com COVID-19 internados em Unidade de Terapia Intensiva Adulto

Gabriela Müller Generoso; Catiele Raquel Schmidt; Edna Ribeiro de Jesus; Julia Estela Willrich Boell; Greici Capellari Fabrizzio; Michelle Mariah Malkiewiez; Elisiane Lorenzini

doi:10.15253/2175-6783.20242593312

Authors

Gabriela Müller Generoso Universidade Federal de Santa Catarina https://orcid.org/0000-0003-1652-4178
Catiele Raquel Schmidt Universidade Federal de Santa Catarina https://orcid.org/0000-0001-7711-4370
Edna Ribeiro de Jesus Universidade Federal de Santa Catarina https://orcid.org/0000-0001-8699-8972
Julia Estela Willrich Boell Universidade Federal de Santa Catarina https://orcid.org/0000-0001-5956-9590
Greici Capellari Fabrizzio Universidade Federal de Santa Catarina https://orcid.org/0000-0002-3848-5694
Michelle Mariah Malkiewiez Universidade Federal de Santa Catarina https://orcid.org/0000-0003-3690-0126
Elisiane Lorenzini Universidade Federal de Santa Catarina https://orcid.org/0000-0001-8426-2080

DOI:

https://doi.org/10.15253/2175-6783.20242593312

Keywords:

COVID-19; Nursing; SARS-CoV-2; Hospitalization; Intensive Care Units.

Abstract

Objective: to identify factors associated with death in patients diagnosed with COVID-19 admitted to an intensive care unit. Methods: cross-sectional study with patients admitted with COVID-19 to two Intensive Care Units of two public hospitals. Data were collected from 222 electronic medical records and analyzed using Student’s t-test, Fisher’s exact test, Pearson’s chi-squared test, and Poisson multiple regression with robust variance. Results: male patients prevailed, with a mean age of 63.4±15.6 years, white (92.9%), married or with a partner (64.6%), with elementary school education (64.4%). The factors that significantly impacted the outcome of death with the highest prevalence ratio were: dyspnea with respiratory effort (p=0.009), pulmonary involvement-CT pattern above 75% (p=0.006), acute renal failure requiring hemodialysis (p=0.001) and patients over 65 years of age (p=0.001). Conclusion: age was identified as the main independent factor for death. Contributions to practice: knowing the characteristics of hospitalizations in critical care units of patients with COVID-19 provides support for providing qualified nursing care, promoting patient safety.

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