Factors associated with mortality of patients diagnosed with covid-19 in an emergency department

Authors

  • José Victor Soares da Silva
  • Iara Caroline Moura Conceição da Silva
  • Elen Maysa de Almeida Silva Secretaria de Estado de Saúde do Distrito Federal
  • Nayara da Silva Lisboa Secretaria de Estado de Saúde do Distrito Federal
  • Luana Vieira Toledo

DOI:

https://doi.org/10.51723/hrj.v5i25.1079

Keywords:

Mortality, Emergency Medical Services., COVID-19

Abstract

Objective: To analyze the factors associated with mortality among patients diagnosed with COVID-19 in a public emergency department in the Distrito Federal. Methods: A cross-sectional study was conducted based on the analysis of 382 electronic medical records of patients diagnosed with COVID, considering the periods of highest incidence from March 2020 to May 2021. Patients over 14 years, diagnosed with COVID-19 and admitted to the emergency department, were included. Patients who did not present data related to the outcome of the emergency department visit, had incomplete medical records, or had an inconclusive diagnosis of COVID-19 were excluded. Data were summarized in Google Forms and later in Microsoft Excel 2013 software. Descriptive and inferential analysis was performed using SPSS Statistics 23 softwares. Results: The majority of participants were male, aged 61 to 80 years, and were classified with acute respiratory syndrome. Among the variables associated with mortality, the most notable were classification with severe acute respiratory syndrome, age group, orotracheal intubation, waiting time in the emergency department for admission to an intensive care unit bed, and use of antibiotics. The average length of stay for patients who died in the emergency department was 6.08 days, and for those intubated, it was seven days. Conclusions: The use of secondary data may suffer from information bias, and the omission of records in medical records complicates data collection and analysis.

Author Biographies

Iara Caroline Moura Conceição da Silva

Nurse from the Universidade do Estado da  Bahia. Specialist through the Multiprofessional Residency Program in Emergency and Trauma of the State Health Department of the Federal District. Works as an Emergency Nurse at the Hospital Regional de Guanambi - BA."

Elen Maysa de Almeida Silva, Secretaria de Estado de Saúde do Distrito Federal

Nurse from Universidade Paulista. Specialist through the Multiprofessional Residency Program in Emergency and Trauma of the Secretaria de Estado de Saúde do Distrito Federal. Employed by the Secretaria de Estado de Saúde do Distrito Federal.

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Published

2024-08-30

How to Cite

Soares da Silva, J. V., Moura Conceição da Silva, I. C., de Almeida Silva, E. M., da Silva Lisboa, N., & Vieira Toledo, L. (2024). Factors associated with mortality of patients diagnosed with covid-19 in an emergency department. Health Residencies Journal, 5(25). https://doi.org/10.51723/hrj.v5i25.1079