Factors Associated with Deaths in Hospitalized Cancer Patients and COVID-19 in an Amazon Region: a Cross-sectional Study with Data from Epidemiological Surveillance

Sardinha, Daniele Melo and Marinho, Rebecca Lobato and Alencar, Juliane Lima and Santos, Marina Pereira Queiroz dos and Rodrigues, Rosane do Nascimento and Silva, Paulo Henrique Viana da and Silva, Lucas Vinícius Moraes da and Lobato, Diana da Costa and Ferreira, Milena Farah Damous Castanho and Andrade, Natasha Cristina Oliveira and Soares, Tamires de Nazaré and Garcez, Juliana Conceição Dias and Ferreira, Ana Lúcia da Silva (2022) Factors Associated with Deaths in Hospitalized Cancer Patients and COVID-19 in an Amazon Region: a Cross-sectional Study with Data from Epidemiological Surveillance. Asian Journal of Research in Infectious Diseases, 9 (4). pp. 1-9. ISSN 2582-3221

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Abstract

Background: The COVID-19 pandemic has already affected Brazil dramatically, but the northern region of the country has suffered greater impacts due to regional vulnerability factors.

Objective: To describe the factors associated with deaths in hospitalized cancer patients and COVID-19 in the state of Pará, Brazil.

Methods: Cross-sectional study with data from epidemiological surveillance of acute and severe respiratory syndromes of hospitalized cases notified from January 1, 2020, to December 31, 2020. Clinical and outcome variables, chi-square test, and Odds ratio were analyzed.

Results: 164 cases, lethality represented 94 (57.32%). The mean overall age was 63 years, of survivors was 60 years and of deaths was 66 years. Advanced age was associated with deaths (p-0.039). Male gender was associated with deaths (65.96% - p- 0.006 - OR 2,438 - CI 1,291-4,604). Similarly, the signs and symptoms associated with death were dyspnea (80.85% - p- 0.028 - OR 2,203 - CI 1,080-4,491), respiratory distress (76.60% - p- 0.003 - OR 2,756 - CI 1,410-5,387), O2 saturation <95% represented almost four times to the chances of death (68.09% - p-<0.001 - OR 3,398 - CI 1,798-6,494). Comorbidities were not associated with deaths, however, Immunodeficiency/Immunodepression represented the most frequent in the cases (22.56%), followed by Chronic Cardiovascular Disease (21.95%) and Diabetes Mellitus (18.90%). ICU admission was associated with deaths with the highest odds ratio of the analysis almost five times (42.55% - p- <0.001 - OR 4,444 - CI 2,028-9,739).

Conclusion: In this study, we showed that the lethality was higher than in other studies of hospitalized cancer patients with COVID-19, as well as higher than the overall lethality of COVID-19 among hospitalized patients. The factors associated with deaths are similar to those in the literature, except that immunodeficiency is a specific condition in cancer patients and is associated with an unfavorable outcome.

Item Type: Article
Subjects: Open Archive Press > Medical Science
Depositing User: Unnamed user with email support@openarchivepress.com
Date Deposited: 04 Feb 2023 06:08
Last Modified: 04 Apr 2024 09:33
URI: http://library.2pressrelease.co.in/id/eprint/140

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