Hospital characteristics associated with COVID-19 mortality: data from the multicenter cohort Brazilian Registry

• DOI: 10.1007/s11739-022-03092-9
• Publication Date: 2022-09-25T13:02:46Z
• Authors: Maira Viana Rego ...; Patricia Klarmann...; Vandack Nobre; Virginia Mara Rei...; Ana Paula Beck da...; Alexandre Vargas ...; Aline Gabrielle S...; Amanda de Oliveir...; Ana Luiza Bahia A...; André Soares de M...; Andressa Barreto ...; Bárbara Lopes Farace; Bruno Nunes Ribeiro; Carolina Marques ...; Christiane Corrêa...; Cíntia Alcantara ...; Claudete Rempel; Daniel Vitório Si...; Daniela dos Reis ...; Daniela Ponce; Elayne Crestani P...; Emanuele Marianne...; Euler Roberto Fer...; Evelin Paola de A...; Fernanda Barbosa ...; Fernanda Costa do...; Fernando Anschau; Fernando Antonio ...; Fernando Graça Ar...; Filipe Carrilho d...; Frederico Bartolazzi; Gabriela Petry Cr...; Giovanna Grunewal...; Guilherme Fagunde...; Helena Carolina Noal; Helena Duani; Heloisa Reniers V...; Henrique Cerqueir...; Joice Coutinho de...; José Miguel Chatkin; Júlia Drumond Par...; Juliana da Silva ...; Juliana Machado R...; Karen Brasil Ruschel; Lara de Barros Wa...; Leonardo Seixas d...; Liege Barella Zan...; Lílian Santos Pin...; Liliane Souto Pac...; Luanna da Silva M...; Lucas de Deus Sousa; Luis Cesar Souto ...; Luisa Elem Almeid...; Luiz Antonio Nasi; Máderson Alvares ...; Maiara Anschau Fl...; Maíra Dias Souza; Marcelo Carneiro; Mariana Frizzo de...; Marilia Mastrocol...; Matheus Carvalho ...; Mauro Oscar Soare...; Meire Pereira de ...; Milton Henriques ...; Natália da Cunha ...; Neimy Ramos de Ol...; Pedro Guido Soare...; Pedro Ledic Assaf; Petrônio José de ...; Raphael Castro Ma...; Reginaldo Apareci...; Roberta Pozza; Rochele Mosmann M...; Rodolfo Lucas Sil...; Roger Mendes de A...; Rufino de Freitas...; Saionara Cristina...; Silvana Mangeon M...; Silvia Ferreira A...; Talita Fischer Ol...; Tatiana Kurtz; Tatiani Oliveira ...; Thainara Conceiçã...; Yara Cristina Nev...; Yuri Carlotto Ram...; Carísi Anne Polan...; Milena Soriano Ma...
• Keywords: Pandemic

The COVID-19 pandemic caused unprecedented pressure over health care systems worldwide. Hospital-level data that may influence the prognosis in patients still needs to be better investigated. Therefore, this study analyzed regional socioeconomic, hospital, and intensive units (ICU) characteristics associated with in-hospital mortality admitted Brazilian institutions. This multicenter retrospective cohort is part of Registry. We enrolled ≥ 18 years old laboratory-confirmed participating hospitals from March September 2020. Patients' were obtained through hospital records. Hospitals' collected forms filled loco open national databases. Generalized linear mixed models logit link function used for pooling assess association between estimates. built two models, one tested general while other ICU characteristics. All analyses adjusted proportion high-risk at admission. Thirty-one included. mean number beds was 320.4 ± 186.6. These had eligible 6556 admissions during period. Estimated ranged 9.0 48.0%. first model included all 31 showed a private source funding (β = − 0.37; 95% CI 0.71 0.04; p 0.029) location areas high gross domestic product (GDP) per capita 0.40; 0.72 0.08; 0.014) independently lower mortality. second 23 an work shift composed more than 50% intensivists 0.59; 0.98 0.20; 0.003) higher less experienced medical professionals 0.11–0.68; 0.006). impact those increased according In-hospital varied significantly among hospitals. Private-funded located municipalities GDP When analyzing ICU-specific characteristics, teams reduced