Sociodemographic, laboratory, image data and predictors of gravity risk in patients with COVID-19

• Published in: PloS one Vol. 16; no. 8; p. e0256331
• Main Authors: Costa, Víctor de Oliveira, Nicolini, Eveline Montessi, da Costa, Bruna Malaquias Arguelles, Ferreira, Victor Hugo Perches, Tonisi, Ana Julia Rodrigues, Machado, Nathália Munck, Moura, Marcos de Assis, Montessi, Jorge, de Castro Ferreira, Lincoln Eduardo Villela Vieira, Campos, Rogério Leal, Costa, Patricia Moreira, Campos, Maria Antônia
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 19-08-2021; Public Library of Science (PLoS)
• Subjects: Adolescent; Adult; Age Factors; Aged; Biology and Life Sciences; Brazil; Brazil - epidemiology; Child; Child, Preschool; Coronaviruses; Cough; COVID-19; COVID-19 - diagnostic imaging; COVID-19 - epidemiology; COVID-19 Drug Treatment; Data analysis; Data collection; Demographic aspects; Electronic health records; Emergency medical care; Emergency medical services; Emergency Service, Hospital; Epidemics; Epidemiology; Female; Fever; Generalized linear models; Health risks; Hospitalization; Hospitals; Humans; Hypertension; Infant; Infant, Newborn; Intensive care; Laboratories; Local population; Male; Medical records; Medical research; Medicine and Health Sciences; Middle Aged; Nose; Observational studies; Patients; Regression models; Retrospective Studies; Risk analysis; Risk factors; SARS-CoV-2; Severe acute respiratory syndrome coronavirus 2; Severity of Illness Index; Sex Factors; Software; Statistics; Supervision; Tomography, X-Ray Computed; Vital signs; Brazil
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0256331

The effects, severity, and prognosis of COVID-19 infections do not follow a linear pattern in different locations, but change according to the epidemiological data and social issues in each region.
The purpose of the current study is to provide the clinical and epidemiological standard of the population affected by COVID-19 in the city of Juiz de Fora, MG to better understand the disease and its risk factors, in order to enable more appropriate conduct for patients.
A retrospective observational study was carried out from March to August of 2020, with 266 participants admitted to the emergency department of the Instituto de Clínicas e Cirurgia de Juiz de Fora-Hospital Monte Sinai. Data were tabulated, analyzed, and classified according to the outcome using an ordinal regression model.
Among the 266 admitted patients, the most common findings were ground-glass opacifications on chest CT (78.8%), cough (75.6%), fever (58.4%), and rhinorrhea (34.5%). There were greater severity and greater need for hospitalization and admission to the ICU in patients who were male, tachypneic at the time of admission, with older age, and with underlying diseases.
Collected data allowed for a better understanding of the disease, its severity criteria, and its pattern of affection in Juiz de Fora, MG. More studies based on the analysis of the behavior of COVID-19 in different regions must be carried out, to improve treatment and support to local populations.