Perfil clínico e epidemiológico de pacientes com COVID-19 atendidos no Hospital Universitário Getúlio Vargas durante a pandemia

Abstract

In December 2019, an epidemic of infections caused by a new coronavirus (SARS-CoV-2) began in China, with a clinical spectrum ranging from asymptomatic infection to severe pneumonia. The objective of this study was to analyze the clinical and epidemiological profile of patients infected with COVID-19 hospitalized in clinical beds and intensive care units at Hospital Universitário Getúlio Vargas. A retrospective descriptive study was carried out from April 2020 to March 2021. The research was submitted to the Research Ethics Committee (CEP/UFAM), approved with CAAE: 50063621.8.0000.5020. A total of 68 participants were included in the study, predominantly in the age group 71-75 years, 51.5% male (n=35), 92.6% brown (n=63), 42.6% married (n =29), 41.1% had completed higher education (n=28) and 61.76% were born in Manaus (n=42). As for associated comorbidities, 58.8% had systemic arterial hypertension (n=40) and 41.1% had diabetes mellitus (n=28). The main symptoms observed were dyspnea (73.5%), fever (72%), dry cough (50%), myalgia (36.7%), diarrhea (22%) and chest pain (19.1%). As for the diagnosis, 48.5% underwent rapid test for COVID (n=33) and 41.1% RT-PCR collected by nasal swab (n=28) with a positive result. Regarding prognosis, 75% of patients (n=51) were discharged for home treatment, 3% (n=2) with cardiovascular complications and 22% (n=15) died. The most susceptible population groups were the elderly and people with preexisting medical conditions, such as cardiovascular diseases, hypertension and diabetes, associated with a significant increase in the risk of hospitalization and a high mortality rate in this population.