Associação entre comprometimento pulmonar, fatores de risco e desfechos em pacientes com covid-19 atendidos em hospital de referência na Paraíba

Autores

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2022.192731

Palavras-chave:

COVID-19, Fatores de risco, Infecções por coronavírus, Tomografia computadorizada por Raios X

Resumo

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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Biografia do Autor

  • Roberto Magliano de Morais Filho, Faculdade de Medicina Nova Esperança – FAMENE, João Pessoa, (PB), Brasil

    Graduado em Medicina

  • Wanessa Alves de Carvalho, Universidade Federal da Paraíba. Centro de Ciências Médicas, João Pessoa, (PB), Brasil

    Graduanda em Medicina

  • Andressa Alves de Carvalho, Universidade Federal da Paraíba. Centro de Ciências Médicas, João Pessoa, (PB), Brasil

    Graduanda em Medicina

  • Amanda de Assunção Santiago Fernandes, Universidade Federal da Paraíba. Centro de Ciências Médicas, João Pessoa, (PB), Brasil

    Graduanda em Medicina

  • Bianca Ferreira dos Santos , Universidade Federal da Paraíba. Centro de Ciências Médicas, João Pessoa, (PB), Brasil

    Graduanda em Medicina

  • André Luís Celestino Ferreira, Universidade Federal da Paraíba. Centro de Ciências Médicas, João Pessoa, (PB), Brasil

    Graduando em Medicina

  • Brunna Patrício Santos , Universidade Federal da Paraíba. Centro de Ciências Médicas, João Pessoa, (PB), Brasil

    Graduanda em Medicina

  • Raphael Patrik Borges da Costa, Universidade Federal da Paraíba. Centro de Ciências Médicas, João Pessoa, (PB), Brasil

    Graduando em Medicina

  • Juliana Franceschini Pereira , Universidade Federal de São Paulo. Departamento de Medicina, São Paulo, (SP), Brasil

    Doutora em Ciências

  • Petrúcio Abrantes Sarmento , Universidade Federal da Paraíba. Centro de Ciências Médicas, João Pessoa, (PB), Brasil

    Especialista em Cirurgia Torácica

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Publicado

2022-07-04 — Atualizado em 2022-07-06

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1.
Associação entre comprometimento pulmonar, fatores de risco e desfechos em pacientes com covid-19 atendidos em hospital de referência na Paraíba. Medicina (Ribeirão Preto) [Internet]. 6º de julho de 2022 [citado 28º de março de 2024];55(2):e-192731. Disponível em: https://www.revistas.usp.br/rmrp/article/view/192731