Risk factors associated with mortality in patients hospitalized for coronavirus disease 2019 in Rio de Janeiro, Brazil

Rev Soc Bras Med Trop. 2021 Mar 22:54:e0878-2020. doi: 10.1590/0037-8682-0878-2020. eCollection 2021.

Abstract

Introduction: Understanding the mortality-associated risk factors of coronavirus disease 2019 will impact clinical decisions.

Methods: This retrospective longitudinal study included patients hospitalized for coronavirus disease in Rio de Janeiro, Brazil. The Kaplan-Meier method and multivariate Cox regression analysis were used.

Results: Sequential Organ Failure Assessment score of ≥2 (hazard ratio 4.614; 95% confidence interval =2.210-9.634; p<0.001) and neutrophil/lymphocyte ratio of >5 (hazard ratio=2.616; 95% confidence interval=1.303-5.252; p=0.007) were independently associated with mortality.

Conclusions: Sequential Organ Failure Assessment score and neutrophil/lymphocyte ratio on admission can identify coronavirus disease patients at increased risk of death and guide subsequent clinical decisions.

MeSH terms

  • Brazil / epidemiology
  • COVID-19*
  • Humans
  • Longitudinal Studies
  • Retrospective Studies
  • Risk Factors
  • SARS-CoV-2