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Clinical-epidemiological profile of COVID-19 and its relationship with chronic diseases in the state of Pernambuco/Brazil

2023; Matthias-Grünewald-Verlag; Volume: 23; Issue: 20 Linguagem: Inglês

10.53660/clm-2339-23r44

0010-5236

Vitória Regina Lago Lacerda, Paulo de Oliveira Arnaud Ferreira, Marcus Vinícius Braga Silva, Arthur Makoto Ueoka Pereira, Leonardo César Soares Lima, Marco Antonio D'Almeida Gomes dos Santos Sousa, Elem Cristina Rodrigues Chaves, Maria Helena Rodrigues de Mendonça,

Education during COVID-19 pandemic

Objective: To analyze the clinical-epidemiological and laboratory profile of COVID-19 and the relationship with chronic diseases in Pernambuco/Brazil. Methodology: Descriptive and analytical study of the population affected by COVID-19, in Pernambuco, between 08/28-18/11/2020. Results: There was a prevalence of COVID-19 between 31 and 60 years (p<0.0001); with higher records in Health Units (E-SUS) for women (57.58%; p<0.0001) and Emergency Care (F-SUS) for men (51.73%; p<0.0001). Among symptomatic patients in the E-SUS, cough (26.2%), fever (22.3%) and odynophagia (19.4%) prevailed - mild profile (78.5%; p<0.0001); and, in the F-SUS, saturation <95% (36.3%) and dyspnea (28.6%) - severe profile (63.8%; p<0.0001). In clinical evolution, patients under 60 years of age had a favorable outcome in the absence of comorbidities (79.6%; p<0.0001); in those over 60 years of age, the outcome was death among those without comorbidity (61.2%; p0.0083), two comorbidities (72.9%; p0.0001), three or more comorbidities (81.8%; p0.0005) and for cardiovascular diseases (63.6%; p0.0036). Conclusion: It was possible to observe a distinct clinical profile between E-SUS and F-SUS care, and vulnerability in >60 years with or without comorbidity. Keywords: COVID-19; Comorbidity; Pernambuco