Análise do perfil clínico e epidemiológico das internações por pneumonia adquirida na comunidade no período de 2011 a 2021 em um hospital do sul de Santa Catarina
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Data
2023-11
Tipo de documento
Artigo Científico
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Área do conhecimento
Ciências da Saúde
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Acesso embargado
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Autores
VIEIRA, Carolina Steiner
Orientador
KOCK, Kelser de Souza
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Resumo
Objetivo: Descrever o perfil clínico e epidemiológico dos pacientes internados por pneumonia adquirida na comunidade (PAC) em um hospital do sul do Brasil entre 2011 e 2021. Métodos: Estudo de coorte retrospectivo envolvendo pacientes >18 anos internados com o CID J18. Foram utilizados dados secundários em forma de prontuário eletrônico para coleta dos dados e realizada a testagem de variáveis pelo teste T de student ou qui-quadrado de Pearson. O nível de significância estatística adotado foi de 5% (valor de p <0,05). Resultados: Foram incluídos 355 pacientes, dos quais a maioria era da etnia branca, sexo feminino, com idade média de 66,5 anos e possuíam alguma comorbidade associada. A mediana de tempo de internação foi de 8 dias e 16% dos pacientes pontuaram como grave (3-4) no escore CURB-65. 17,5% necessitaram de UTI e 24,8% do total foi à óbito. Conclusões: Predominaram pacientes com idade > 65 anos, brancos, com comorbidades e do gênero feminino. A única comorbidade associada diretamente com o desfecho de óbito foi a insuficiência renal aguda e crônica. Dos exames laboratoriais, os níveis de proteína C reativa (PCR) foram os com média acima do padrão. A média dos sinais vitais estavam dentro da normalidade. O escore CURB-65 se mostrou efetivo como preditor de mortalidade.
Objective: To describe the clinical and epidemiological profile of patients hospitalized for community-acquired pneumonia (CAP) in a hospital in southern Brazil between 2011 and 2021. Methods: Retrospective cohort study involving patients >18 years old hospitalized with ICD J18. Secondary data in the form of electronic medical records was used to collect data. Variables were tested using the Student's T test or Pearson's chi-square test. The statistical significance level adopted was 5% (p value <0.05). Results: 355 patients were included, the majority of whom were white, female, with an average age of 66.5 years and that had comorbidities associated. The median length of stay in the hospital was 8 days and 16% of patients scored as severe (3-4) on the CURB-65 score. 17.5% required ICU and 24.8% of the total died. Conclusions: Patients aged > 65 years, white, with comorbidities and female predominated. The only comorbidity directly associated with the outcome of death was acute and chronic renal failure. From laboratory tests, C-reactive protein (CRP) levels were those with an average above the standard. The average vital signs were within normal limits. The CURB-65 score proved to be an effective predictor of mortality.
Objective: To describe the clinical and epidemiological profile of patients hospitalized for community-acquired pneumonia (CAP) in a hospital in southern Brazil between 2011 and 2021. Methods: Retrospective cohort study involving patients >18 years old hospitalized with ICD J18. Secondary data in the form of electronic medical records was used to collect data. Variables were tested using the Student's T test or Pearson's chi-square test. The statistical significance level adopted was 5% (p value <0.05). Results: 355 patients were included, the majority of whom were white, female, with an average age of 66.5 years and that had comorbidities associated. The median length of stay in the hospital was 8 days and 16% of patients scored as severe (3-4) on the CURB-65 score. 17.5% required ICU and 24.8% of the total died. Conclusions: Patients aged > 65 years, white, with comorbidities and female predominated. The only comorbidity directly associated with the outcome of death was acute and chronic renal failure. From laboratory tests, C-reactive protein (CRP) levels were those with an average above the standard. The average vital signs were within normal limits. The CURB-65 score proved to be an effective predictor of mortality.
Palavras-chave
pneumonia, mortalidade, comorbidade, pacientes internados