Profile and Outcomes of Hospitalized COVID-19 Patients during the Prevalence of the Omicron Variant According to the Brazilian Regions: A Retrospective Cohort Study from 2022

We investigated the clinical–epidemiological profile and outcomes of COVID-19 patients hospitalized in 2022, during the Omicron variant/subvariant prevalence, in different Brazilian regions to identify the most vulnerable subgroups requiring special attention. Data from COVID-19 patients were extrac...

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Main Authors: Pedro Dutra Drummond, Daniel Bortot de Salles, Natália Satchiko Hojo de Souza, Daniela Carine Ramires Oliveira, Daniel Ludovico Guidoni, Fernanda Sumika Hojo de Souza
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/10/1568
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author Pedro Dutra Drummond
Daniel Bortot de Salles
Natália Satchiko Hojo de Souza
Daniela Carine Ramires Oliveira
Daniel Ludovico Guidoni
Fernanda Sumika Hojo de Souza
author_facet Pedro Dutra Drummond
Daniel Bortot de Salles
Natália Satchiko Hojo de Souza
Daniela Carine Ramires Oliveira
Daniel Ludovico Guidoni
Fernanda Sumika Hojo de Souza
author_sort Pedro Dutra Drummond
collection DOAJ
description We investigated the clinical–epidemiological profile and outcomes of COVID-19 patients hospitalized in 2022, during the Omicron variant/subvariant prevalence, in different Brazilian regions to identify the most vulnerable subgroups requiring special attention. Data from COVID-19 patients were extracted from the national Information System for Epidemiological Surveillance of Influenza (SIVEP-Gripe database), and analyses stratified by region and age group were conducted. The constructed dataset encompassed clinical–epidemiological information, intensive care unit admission, invasive and non-invasive ventilation requirements, vaccination status, and evolution (cure or death). It was observed that there were significant differences in the vaccination rates between regions, in the occurrence of unfavorable outcomes, and in the pattern of comorbidities in young patients. The north region had higher rates of unvaccinated patients and a lower percentage of those vaccinated with three doses in all age groups compared to other regions. The northeast region had the highest rates of patients admitted to the ICU for all age groups, while the north and northeast were the most affected by IMV requirements and in-hospital death in all age groups. This study showed that extended vaccination coverage, especially booster doses, can protect different population segments from developing severe disease since lower vaccination coverage was observed in regions with higher fatality rates.
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spelling doaj.art-3f4bf755c8034ae6a4ce6017efef4e142023-11-19T18:24:40ZengMDPI AGVaccines2076-393X2023-10-011110156810.3390/vaccines11101568Profile and Outcomes of Hospitalized COVID-19 Patients during the Prevalence of the Omicron Variant According to the Brazilian Regions: A Retrospective Cohort Study from 2022Pedro Dutra Drummond0Daniel Bortot de Salles1Natália Satchiko Hojo de Souza2Daniela Carine Ramires Oliveira3Daniel Ludovico Guidoni4Fernanda Sumika Hojo de Souza5Department of Computing, Federal University of Ouro Preto, Morro do Cruzeiro Campus, Ouro Preto 35400-000, MG, BrazilDepartment of Computing, Federal University of Ouro Preto, Morro do Cruzeiro Campus, Ouro Preto 35400-000, MG, BrazilLaboratory of Immunopathology, Oswaldo Cruz Foundation—Minas, Av. Augusto de Lima 1715, Belo Horizonte 30190-002, MG, BrazilDepartment of Mathematics and Statistics, Federal University of São João del-Rei, Praça Frei Orlando 170, São João del Rei 36307-352, MG, BrazilDepartment of Computing, Federal University of Ouro Preto, Morro do Cruzeiro Campus, Ouro Preto 35400-000, MG, BrazilDepartment of Computing, Federal University of Ouro Preto, Morro do Cruzeiro Campus, Ouro Preto 35400-000, MG, BrazilWe investigated the clinical–epidemiological profile and outcomes of COVID-19 patients hospitalized in 2022, during the Omicron variant/subvariant prevalence, in different Brazilian regions to identify the most vulnerable subgroups requiring special attention. Data from COVID-19 patients were extracted from the national Information System for Epidemiological Surveillance of Influenza (SIVEP-Gripe database), and analyses stratified by region and age group were conducted. The constructed dataset encompassed clinical–epidemiological information, intensive care unit admission, invasive and non-invasive ventilation requirements, vaccination status, and evolution (cure or death). It was observed that there were significant differences in the vaccination rates between regions, in the occurrence of unfavorable outcomes, and in the pattern of comorbidities in young patients. The north region had higher rates of unvaccinated patients and a lower percentage of those vaccinated with three doses in all age groups compared to other regions. The northeast region had the highest rates of patients admitted to the ICU for all age groups, while the north and northeast were the most affected by IMV requirements and in-hospital death in all age groups. This study showed that extended vaccination coverage, especially booster doses, can protect different population segments from developing severe disease since lower vaccination coverage was observed in regions with higher fatality rates.https://www.mdpi.com/2076-393X/11/10/1568COVID-19 vaccinesvariants of concernvaccinationoutcomesBrazil
spellingShingle Pedro Dutra Drummond
Daniel Bortot de Salles
Natália Satchiko Hojo de Souza
Daniela Carine Ramires Oliveira
Daniel Ludovico Guidoni
Fernanda Sumika Hojo de Souza
Profile and Outcomes of Hospitalized COVID-19 Patients during the Prevalence of the Omicron Variant According to the Brazilian Regions: A Retrospective Cohort Study from 2022
Vaccines
COVID-19 vaccines
variants of concern
vaccination
outcomes
Brazil
title Profile and Outcomes of Hospitalized COVID-19 Patients during the Prevalence of the Omicron Variant According to the Brazilian Regions: A Retrospective Cohort Study from 2022
title_full Profile and Outcomes of Hospitalized COVID-19 Patients during the Prevalence of the Omicron Variant According to the Brazilian Regions: A Retrospective Cohort Study from 2022
title_fullStr Profile and Outcomes of Hospitalized COVID-19 Patients during the Prevalence of the Omicron Variant According to the Brazilian Regions: A Retrospective Cohort Study from 2022
title_full_unstemmed Profile and Outcomes of Hospitalized COVID-19 Patients during the Prevalence of the Omicron Variant According to the Brazilian Regions: A Retrospective Cohort Study from 2022
title_short Profile and Outcomes of Hospitalized COVID-19 Patients during the Prevalence of the Omicron Variant According to the Brazilian Regions: A Retrospective Cohort Study from 2022
title_sort profile and outcomes of hospitalized covid 19 patients during the prevalence of the omicron variant according to the brazilian regions a retrospective cohort study from 2022
topic COVID-19 vaccines
variants of concern
vaccination
outcomes
Brazil
url https://www.mdpi.com/2076-393X/11/10/1568
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