Associação entre comprometimento pulmonar, fatores de risco e desfechos em pacientes com covid-19 atendidos em hospital de referência na Paraíba
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2022.192731Palavras-chave:
COVID-19, Fatores de risco, Infecções por coronavírus, Tomografia computadorizada por Raios XResumo
Objetivo: Avaliar a associação entre o grau de comprometimento pulmonar (CP) na TC de tórax dos pacientes com COVID-19 com fatores de risco e desfechos. Métodos: Estudo observacional e retrospectivo com 284 pacientes com COVID-19. Avaliou-se idade, sexo, quadro clínico, saturação na admissão, fatores de risco, tempo de sintomas, porcentagem de CP, tempo de internação em enfermaria, UTI e de IOT, e óbito. Foram divididos três grupos conforme o grau de CP. Resultados: 167 pacientes possuíam comprometimento <25%; 80, 25-50%; e 37, >50%. O grupo com maior comprometimento pulmonar possuía maior idade, mais homens e maior presença de tosse, dispneia e alguma comorbidade. Também apresentou menor saturação à admissão, maior necessidade de IOT, internação em enfermaria ou UTI e maior mortalidade. O CP, IOT e idade foram fatores preditores de mortalidade. Conclusões: O grau de CP aparenta estar significativamente associado a alguns parâmetros clínicos, necessidade de internação, intubação e óbito.
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Copyright (c) 2022 Roberto Magliano de Morais Filho, Wanessa Alves de Carvalho, Andressa Alves de Carvalho, Amanda de Assunção Santiago Fernandes, Bianca Ferreira dos Santos , André Luís Celestino Ferreira, Brunna Patrício Santos , Raphael Patrik Borges da Costa, Juliana Franceschini Pereira , Petrúcio Abrantes Sarmento
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
