Fatores associados ao óbito em pacientes com COVID-19 internados em Unidade de Terapia Intensiva Adulto

Gabriela Müller Generoso; Catiele Raquel Schmidt; Edna Ribeiro de Jesus; Julia Estela Willrich Boell; Greici Capellari Fabrizzio; Michelle Mariah Malkiewiez; Elisiane Lorenzini

doi:10.15253/2175-6783.20242593312

Autores

Gabriela Müller Generoso Universidade Federal de Santa Catarina https://orcid.org/0000-0003-1652-4178
Catiele Raquel Schmidt Universidade Federal de Santa Catarina https://orcid.org/0000-0001-7711-4370
Edna Ribeiro de Jesus Universidade Federal de Santa Catarina https://orcid.org/0000-0001-8699-8972
Julia Estela Willrich Boell Universidade Federal de Santa Catarina https://orcid.org/0000-0001-5956-9590
Greici Capellari Fabrizzio Universidade Federal de Santa Catarina https://orcid.org/0000-0002-3848-5694
Michelle Mariah Malkiewiez Universidade Federal de Santa Catarina https://orcid.org/0000-0003-3690-0126
Elisiane Lorenzini Universidade Federal de Santa Catarina https://orcid.org/0000-0001-8426-2080

DOI:

https://doi.org/10.15253/2175-6783.20242593312

Palavras-chave:

COVID-19; Enfermagem; SARS-CoV-2; Internação Hospitalar; Unidades de Terapia Intensiva.

Resumo

Objetivo: identificar os fatores associados ao óbito em pacientes diagnosticados com COVID-19 internados em unidade de terapia intensiva. Métodos: estudo transversal, com pacientes internados por COVID-19 em duas Unidades de Terapia Intensiva de dois hospitais públicos. Foi realizada coleta de dados em 222 prontuários eletrônicos e analisados por meio dos testes t de Student, Exato de Fisher, Qui-quadrado de Pearson e Regressão múltipla de Poisson com variância robusta. Resultados: prevaleceram pacientes do sexo masculino, com média de idade de 63,4±15,6 anos, cor branca (92,9%), casados ou com companheiro (64,6%), com escolaridade em nível de ensino fundamental (64,4%). Os fatores que impactaram de forma significativa sobre o desfecho óbito com maior razão de prevalência foram: dispneia com esforço respiratório (p=0,009), acometimento pulmonar-padrão tomográfico acima de 75% (p=0,006), insuficiência renal aguda com necessidade de hemodiálise (p=0,001) e pacientes acima de 65 anos (p=0,001). Conclusão: a idade foi identificada como principal fator independente para óbito. Contribuições para a prática: conhecer as características das hospitalizações em unidade crítica de pacientes com COVID-19 fornece subsídios para a prestação de cuidados de enfermagem qualificados, promovendo a segurança do paciente.

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