Prevalence and factors associated with the death of older people hospitalized due to Covid-19 in the state of Paraná.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-01-22 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2023-0036en

Luiz Hiroshi Inoue, Wanessa Cristina Baccon, Giovanna Brichi Pesce, Natan David Pereira, Isabela Vanessa Tavares Cordeiro Silva, Maria Aparecida Salci, João Ricardo Nickenig Vissoci, Luiz Augusto Facchini, Lígia Carreira

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Abstract

Objective: To estimate the prevalence and to analyze the factors associated with the death of older people hospitalized due to Covid-19 in the state of Paraná.

Method: Cross-sectional study conducted with secondary data from older people with a positive diagnosis of Covid-19 living in the State of Paraná, collected from March 1, 2020 to August 31, 2021. Prevalence ratios were obtained by adjusting the regression model.

Results: A total of 16,153 deaths of older people hospitalized in the State of Paraná were analyzed. The adjusted model revealed an association between death and some factors such as: belonging to the age group of 75 to 84 years (PR = 1.28; CI95% = 1.24-1.32) and 85 years or over (PR = 1.52; CI95% = 1.45-1.59); male (PR = 1.17; CI95% = 1.13-1.21); obesity (PR = 1.23; CI95% = 1.16-1.29); other morbidities (PR = 1.25; CI95% = 1.20-1.30); and having used ventilatory support (PR = 2.60; CI95% = 2.33-2.86). Older people vaccinated against influenza had a probability of death reduced by 11% (PR = 0.89; CI95% = 0.86-0.93).

Conclusion: The association of age, sex, and diagnosis of previous comorbidities with unfavorable outcomes from Covid-19 was identified. Having received the flu vaccine provided protection to elderly people who contracted SARS-CoV-2.

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巴拉那州因 Covid-19 而住院的老年人的发病率和死亡相关因素。

摘要估算巴拉那州因 Covid-19 而住院的老年人的患病率，并分析其死亡的相关因素：横断面研究使用了巴拉那州生活在 2020 年 3 月 1 日至 2021 年 8 月 31 日期间的 Covid-19 阳性诊断老年人的二手数据。通过调整回归模型得出患病率：结果：分析了巴拉那州住院老年人的16153例死亡病例。调整后的模型显示，死亡与一些因素有关，如：属于 75 至 84 岁年龄组（PR = 1.28；CI95% = 1.24-1.32）和 85 岁或以上年龄组（PR = 1.52；CI95% = 1.45-1.59）；男性（PR = 1.17；CI95% = 1.13-1.21）；肥胖（PR = 1.23；CI95% = 1.16-1.29）；其他疾病（PR = 1.25；CI95% = 1.20-1.30）；使用过呼吸机支持（PR = 2.60；CI95% = 2.33-2.86）。接种流感疫苗的老年人的死亡概率降低了11%（PR = 0.89; CI95% = 0.86-0.93）：结论：年龄、性别和既往合并症诊断与Covid-19的不利结果有关。接种流感疫苗可为感染 SARS-CoV-2 的老年人提供保护。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista da Escola de Enfermagem da U S P

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