
| 10.1016/j.ijid.2021.01.019
http://scihub22266oqcxt.onion/10.1016/j.ijid.2021.01.019
 33444752!7801187!33444752
free
free
free
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Int+J+Infect+Dis 2021 ; 107 (�): 300-310 Nephropedia Template TP
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Clinical characteristics and outcomes of patients hospitalized with COVID-19 in Brazil: Results from the Brazilian COVID-19 registry #MMPMID33444752Marcolino MS; Ziegelmann PK; Souza-Silva MVR; Nascimento IJB; Oliveira LM; Monteiro LS; Sales TLS; Ruschel KB; Martins KPMP; Etges APBS; Molina I; Polanczyk CAInt J Infect Dis 2021[Jun]; 107 (�): 300-310 PMID33444752show ga
OBJECTIVES: To describe the clinical characteristics, laboratory results, imaging findings, and in-hospital outcomes of COVID-19 patients admitted to Brazilian hospitals. METHODS: A cohort study of laboratory-confirmed COVID-19 patients who were hospitalized from March 2020 to September 2020 in 25 hospitals. Data were collected from medical records using Research Electronic Data Capture (REDCap) tools. A multivariate Poisson regression model was used to assess the risk factors for in-hospital mortality. RESULTS: For a total of 2,054 patients (52.6% male; median age of 58 years), the in-hospital mortality was 22.0%; this rose to 47.6% for those treated in the intensive care unit (ICU). Hypertension (52.9%), diabetes (29.2%), and obesity (17.2%) were the most prevalent comorbidities. Overall, 32.5% required invasive mechanical ventilation, and 12.1% required kidney replacement therapy. Septic shock was observed in 15.0%, nosocomial infection in 13.1%, thromboembolism in 4.1%, and acute heart failure in 3.6%. Age >= 65 years, chronic kidney disease, hypertension, C-reactive protein >/= 100mg/dL, platelet count < 100x10(9)/L, oxygen saturation < 90%, the need for supplemental oxygen, and invasive mechanical ventilation at admission were independently associated with a higher risk of in-hospital mortality. The overall use of antimicrobials was 87.9%. CONCLUSIONS: This study reveals the characteristics and in-hospital outcomes of hospitalized patients with confirmed COVID-19 in Brazil. Certain easily assessed parameters at hospital admission were independently associated with a higher risk of death. The high frequency of antibiotic use points to an over-use of antimicrobials in COVID-19 patients.|*SARS-CoV-2[MESH]|Adult[MESH]|Aged[MESH]|Aged, 80 and over[MESH]|Brazil/epidemiology[MESH]|COVID-19/epidemiology/*mortality[MESH]|Cohort Studies[MESH]|Comorbidity[MESH]|Female[MESH]|Hospitalization[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Registries[MESH]
  
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