FATORES ASSOCIADOS AO ÓBITO POR COVID-19 EM HOSPITAIS PÚBLICOS E PRIVADOS NO ESTADO DE MATO GROSSO DO SUL

Abstract

To identify factors associated with in-hospital deaths of COVID-19 patients in pub- lic and private hospitals in Mato Grosso do Sul during the pandemic. Methods: A cross-sec- tional study with three-stage sampling using clinical-epidemiological data collected from the medical records of hospitalized patients who tested positive for COVID-19 from 2020 to 2022. Multivariate binary logistic regression was used to estimate crude and adjusted odds ratios. Results: We obtained a sample of 966 patients, with a mean age of 56 years (± 19.7), 53.2% male, 56.4% self-declared as black/brown, and 86.12% hospitalized in public units. In-hospital mortality was 21.9%, higher in the public units (22.8%) compared to 6.4% in the private sector. Variables associated with death were: "presence of comorbidities" (OR = 1.51; 95% CI: 1.01 – 2.27) and "clinical spectrum at hospital admission" (severe: OR = 58.26; 95% CI: 20.97 – 242.84; Ignored: OR = 12.16; 95% CI: 3.84 – 54.37). Conclusion: Patient severity at hospital admission and pre-existing diseases were risk factors for death, regardless of the type of hospital unit. The higher percentage of patients admitted to public units reflects the overburdening of the Unified Health System, exacerbated by structural, geographical, and socioeconomic ine- qualities.