Parâmetros antropométricos e laboratoriais de pacientes com Covid-19 internados em unidade de terapia intensiva

Abstract

The pandemic by the new coronavirus infection represents a challenge for health systems mainly due to the high mortality of the disease. Thus, this study aims to correlate the profile of patients with Covid-19 admitted to the Intensive Care Unit (ICU) of a public hospital in the southwest of Paraná, with anthropometric and laboratory parameters and correlate to the outcome of the disease, during the first wave of the pandemic. This is an epidemiological, crosssectional study in a secondary database of patients with Covid-19 admitted to the ICU between March 2020 and March 2021. Patient medical records were reviewed after authorization was requested from the Technical Directorate of the HRSWAP and approval by the Ethics Committee on Human Research of Unioeste. Data were collected regarding patient identification, admission date, outcome date (discharge or death), length of stay, as well as the presence of chronic diseases and continuous use of medications, in addition to admission laboratory tests and nutritional parameters regarding the initial nutritional diagnosis. The main results indicated inverse correlations between age and anthropometric indicators. The use of a greater number of medications was associated with lower final BMI and CB values. Patients who died were older, had shorter hospital stays, higher creatinine values and lower initial anthropometric indicators. We conclude that mainly elderly patients and those with chronic diseases, and consequent inadequate immune response, presented a worse prognosis in the evolution of Covid-19. Thus, the importance of the evaluation of biochemical and anthropometric parameters is highlighted for the institution of an adequate approach and decrease in mortality of these patients.