Survival of critically ill people with COVID-19 and acute kidney injury undergoing hemodialysis in public and private hospitals in Joinville: a cohort study, 2020-2021.

IF 2.5 Q1 Multidisciplinary

Epidemiologia e Servicos de Saude Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI:10.1590/S2237-96222025v34e20240025.en

Elviani Basso Moura, Bruna de Albuquerque Catelano, Fernanda Perito de Aguiar, Helbert do Nascimento Lima, Paulo Henrique Condeixa de França

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Abstract

Objective: To compare the 90-day survival of critically ill people with COVID-19 and acute kidney injury in intensive care units (ICU) of public and private hospitals.

Methods: This was a retrospective cohort study of critically ill people with COVID-19 and acute kidney injury undergoing hemodialysis in Joinville, Santa Catarina state.

Results: The 90-day survival rate in public ICU was 15.7% (95%CI 8.4; 25.1), while in private ICU it was 37.7% (95%CI 24.9; 50.5%). In the multivariate analysis adjusted for sociodemographic variables (Hazard ratio (HR) 2.01; 95%CI 1.31; 3.08) and comorbidities (HR 2.09; 95%CI 1.30; 3.37), admission to a public ICU was associated with a higher risk of death. After including severity of illness, admission to a public ICU was not associated with an increased risk of death compared to private ICU (HR 0.79; 95%CI 0.45; 1.42).

Conclusion: Measures implemented during the COVID-19 pandemic may have reduced inequalities between health systems for critically ill patients with acute kidney injury.

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2020-2021年Joinville公立和私立医院接受血液透析的COVID-19重症患者和急性肾损伤患者的生存率：一项队列研究

目的：比较公立和私立医院重症监护病房（ICU）重症COVID-19患者与急性肾损伤患者的90天生存率。方法：对圣卡塔琳娜州Joinville市接受血液透析的COVID-19合并急性肾损伤危重患者进行回顾性队列研究。结果：公立ICU患者90天生存率为15.7% (95%CI 8.4；25.1)，而私立ICU为37.7% (95%CI 24.9；50.5%)。在调整社会人口变量的多因素分析中(风险比（HR） 2.01；95%可信区间1.31;3.08)和合并症(HR 2.09；95%可信区间1.30;3.37)，入住公立ICU与死亡风险较高相关。在纳入疾病严重程度后，与私立ICU相比，入住公立ICU与死亡风险增加无关(HR 0.79；95%可信区间0.45;1.42)。结论：COVID-19大流行期间实施的措施可能减少了卫生系统之间针对急性肾损伤重症患者的不平等现象。

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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