INTERNAMENTOS POR POR COVID-19 EM DOIS DIFERENTES MOMENTOS DA PANDEMIA EM UM HOSPITAL TERCIÁRIO NO SUL DO BRASIL: IMPACTO DA VARIANTE GAMMA Article Swipe
Natália Ramos Domino
,
Sônia Mara Raboni
,
Felipe Zhen
,
Emanueli Cristini Souza da Costa
,
Luciane Aparecida Pereira
,
Vitor Lyu Moriya
,
Bruna Amaral Lapinscki
,
Guilherme Eiji Yamaguto
,
Meri Bordignon Nogueira
,
Ricardo Rasmussen Petterle
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1016/j.bjid.2023.102921
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1016/j.bjid.2023.102921
Introdução: A pandemia causada pelo SARS-CoV-2 atingiu virtualmente todos os países do mundo. No Brasil, devido à diversidade regional e socioeconômica, houve diferenças na evolução dos casos e óbitos nas diferentes regiões. O surgimento de variantes de interesse (VOI) levantou preocupações a respeito de cepas mais contagiosas e virulentas. Neste estudo, buscamos traçar o perfil clínico e epidemiológico da população hospitalizada por COVID-19 em um hospital no sul do Brasil em dois diferentes momentos da pandemia, correlacionando com as variantes predominantes em cada período. Métodos: Foi realizado um estudo retrospectivo de março de 2020 a julho de 2021. Os dados epidemiológicos, clínicos e de desfecho foram coletados através da ficha de notificação do Sistema de Informação de Vigilância Epidemiológica (SIVEP-Gripe) e revisão de prontuário. Amostras respiratórias positivas para SARS-CoV-2 foram genotipadas por RT-qPCR, e as variantes foram caracterizadas usando sistemas de genotipagem por sondas. Resultados: Dados de 2.887 indivíduos foram analisados, sendo 1.495 da primeira onda e 1.392 da segunda onda. Houve predomínio do sexo masculino nas duas ondas e a mediana de idade foi significativamente mais baixa na segunda onda do que na primeira (59 anos e 52 anos, respectivamente; p < 0.001). O genótipo Wild foi predominante na primeira onda, enquanto o genótipo Gamma foi predominante na segunda onda. A prevalência geral de comorbidades foi semelhante nos dois períodos. Doenças cardiovasculares e diabetes tipo 2 foram mais frequentes na primeira onda, enquanto obesidade foi mais frequente na segunda onda. Não houve diferença estatisticamente significativa entre as duas ondas em relação à frequência de sintomas relatados no momento da admissão, sendo dessaturação, dispneia e tosse os sintomas mais comuns. A mediana de tempo entre o início dos sintomas e a admissão hospitalar aumentou da primeira para segunda onda (p < 0.001). Não houve diferença estatisticamente significativa entre as duas ondas em relação à gravidade da doença e os desfechos clínicos, com taxa de fatalidade em torno de 22% observada nos dois períodos. Conclusão: A pandemia de COVID-19 no Brasil foi caracterizada por picos de casos e óbitos, cada qual com características clínicas e epidemiológicas distintas, decorrentes de novas variantes virais. Apesar disso, não houve aparente aumento na gravidade da doença com o surgimento dessas novas variantes.
Related Topics
Concepts
Medicine
Coronavirus disease 2019 (COVID-19)
Gynecology
Internal medicine
Disease
Infectious disease (medical specialty)
Metadata
- Type
- article
- Language
- pt
- Landing Page
- https://doi.org/10.1016/j.bjid.2023.102921
- OA Status
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- Related Works
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- OpenAlex ID
- https://openalex.org/W4388665048
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4388665048Canonical identifier for this work in OpenAlex
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https://doi.org/10.1016/j.bjid.2023.102921Digital Object Identifier
- Title
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INTERNAMENTOS POR POR COVID-19 EM DOIS DIFERENTES MOMENTOS DA PANDEMIA EM UM HOSPITAL TERCIÁRIO NO SUL DO BRASIL: IMPACTO DA VARIANTE GAMMAWork title
- Type
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articleOpenAlex work type
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ptPrimary language
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2023Year of publication
- Publication date
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2023-10-01Full publication date if available
- Authors
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Natália Ramos Domino, Sônia Mara Raboni, Felipe Zhen, Emanueli Cristini Souza da Costa, Luciane Aparecida Pereira, Vitor Lyu Moriya, Bruna Amaral Lapinscki, Guilherme Eiji Yamaguto, Meri Bordignon Nogueira, Ricardo Rasmussen PetterleList of authors in order
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https://doi.org/10.1016/j.bjid.2023.102921Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.1016/j.bjid.2023.102921Direct OA link when available
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Medicine, Coronavirus disease 2019 (COVID-19), Gynecology, Internal medicine, Disease, Infectious disease (medical specialty)Top concepts (fields/topics) attached by OpenAlex
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