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Revised

Sociodemographic and clinical characteristics of hospital admissions for COVID-19: A retrospective cohort of patients in two hospitals in the south of Brazil

[version 2; peer review: 1 approved, 1 approved with reservations]
PUBLISHED 18 Dec 2023
Author details Author details
OPEN PEER REVIEW
REVIEWER STATUS

This article is included in the Emerging Diseases and Outbreaks gateway.

This article is included in the Sociology of Health gateway.

This article is included in the Coronavirus (COVID-19) collection.

Abstract

Background

This database aims to present the sociodemographic and clinical profile of a cohort of 799 patients hospitalized with coronavirus disease 2019 (COVID-19) in two hospitals in southern Brazil.

Methods

Data were collected, retrospectively, from November 2020 to January 2021, from the medical records of all hospital admissions that occurred from 1 April 2020 to 31 December 2020. The analysis of these data can contribute to the definition of the clinical and sociodemographic profile of patients with COVID-19.

Data description

This dataset covers 799 patients hospitalized for COVID-19, characterized by the following sociodemographic variables: sex, age group, race, marital status and paid work. The sex variable was collected as sex assigned at birth from medical records data. Clinical variables included: admission to clinical ward, hospitalization in the Intensive Care Unit, COVID-19 diagnosis, number of times hospitalized due to COVID, hospitalization time in days and risk classification protocol. Other clinical variables include: pulmonary impairment; patients ventilation pattern; high-flow oxygen mask; pulmonary thromboembolism; cardiovascular disease; pulmonary sepsis; influenza exam results. Other health problems: diabetes, systemic arterial hypertension, chronic obstructive pulmonary disease, obesity, tabaco smoking, asthma, chronic kidney disease, overweight, vascular accident, sedentary lifestyle, HIV/AIDS, cancer, Alzheimer's disease, Parkinson's disease.

Conclusions

The analysis of these data can contribute to the definition of the clinical and sociodemographic profile of patients with COVID-19. Thus, a great social impact is demonstrated when databases are published. Open data accelerates the research process, facilitates reuse and enriches datasets, in addition to optimizing the application of public resources, that is, enabling more use of the same investment.

Keywords

Coronaviruse, COVID-19, COVID-19 pandemic, COVID-19 Virus Infection, Epidemic by New Coronavirus 2019

Revised Amendments from Version 1

Changes were made according to the reviewer's suggestion: risk classification protocol (green, yellow, red and not informed), the classification was defined in the protocol according to Manchester Triage System. Other clinical variables included: pulmonary impairment according to medical diagnosis based on lung tomography evaluation: <50%, between 50 and 75% or >75%.

See the authors' detailed response to the review by Lirane Elize Defante Ferreto
See the authors' detailed response to the review by Raúl López-Izquierdo

Introduction

The coronavirus disease 2019 (COVID-19) pandemic has been considered the greatest challenge of the present time, associated with the unprecedented crisis in the health area, due to the expressive demand for hospital beds by patients with severe coronavirus conditions, which resulted in the collapse of health systems worldwide.13 Patients affected by COVID-19 have shown clinical and sociodemographic variations, with a mortality rate around 2% in cases where there is massive alveolar damage and progressive respiratory failure.47 Sex and gender variables also influenced COVID-19 epidemiology.8 Its lethality varies, above all, according to age group, clinical conditions and pre-existing comorbidities, such as arterial hypertension, diabetes, previous pulmonary disease, cardiovascular disease, cerebrovascular disease, immunosuppression and cancer.912 Although there are disparities with regard to clinical variables and comorbidities associated with increased risk of hospitalization and mortality from COVID-19, growing evidence shows that patients with pre-existing diseases, and advanced age, are especially at risk of death due to viral infection.1316 Therefore, future analyses of this database can contribute to the analysis of characteristics of hospital admissions of patients affected by COVID-19. This database contains relevant information on the sociodemographic and clinical characteristics of patients hospitalized by COVID-19. The publication of the database promotes open science, the integrity and quality of scientific production and the reuse of data.

Methods

Ethical approval and consent to participate

This research was approved by the Research Ethics Committee of the Federal University of Santa Catarina (UFSC), (opinion No. 4.323.917/2020) Santa Catarina, Brazil. Patients provided written informed consent for data collection and publication.

Research design and method of data collection

This database comes from a cohort of patients who were admitted with a diagnosis of COVID-19 in two hospitals in southern Brazil. Retrospectively, from November 2020 to January 2021, data were collected from medical records of all hospital admissions that occurred from 1 April 2020 to 31 December 2020. Data related to the sex of the patients refer to the biological characteristics at birth from the patients’ medical records. All patients aged 18 years or older were included. This dataset covers 799 hospitalized patients.

Questionnaires hosted in the Survey Monkey platform were used, which contained questions about sociodemographic data, health conditions, and clinical, therapeutic, and outcome data. The variables considered for this study were: sex, age, age group, race, marital status, years of education, number of hospitalizations, hospitalization units, length of hospitalizations, risk classification, whether a COVID-19 test was taken, test used to detect COVID-19, respiratory compromise, ventilatory pattern, evolution, and previous diseases.

The inclusion criteria were: hospital admissions with a medical diagnosis of COVID-19; and being 18 years old or older. Individuals under 18 years of age and those who were not hospitalized due to COVID-19 were excluded.

Data description

Data were characterized by the following variables: sex, age group, race, marital status and paid work. The following clinical variables are included: admission to clinical ward, hospitalization in the Intensive Care Unit (ICU), COVID-19 diagnosis, number of times hospitalized by COVID, hospitalization time in days and risk classification protocol (green, yellow, red and not informed), the classification was defined in the protocol according to Manchester Triage System.17,18 Other clinical variables included: pulmonary impairment according to medical diagnosis based on lung tomography evaluation: <50%, between 50 and 75% or >75%; patients ventilation pattern (presented dyspnea with respiratory effort, dyspnea without effort or without dyspnea); high-flow oxygen mask; pulmonary thromboembolism (PE); cardiovascular disease; pulmonary sepsis (according to medical diagnosis of pulmonary sepsis); influenza exam results. Other health problems (if yes or no): diabetes, systemic arterial hypertension, chronic obstructive pulmonary disease (COPD), obesity, tabaco smoking, asthma, chronic kidney disease, overweight, vascular accident (Stroke), sedentary lifestyle, human immunodeficiency virus (HIV/AIDS), cancer, Alzheimer's disease, Parkinson's disease. The description of these characteristics is provided in Table 1. The analysis and reuse of sociodemographic and clinical profile data can be performed using descriptive statistics and measures of central tendency (mean and median) and variability (standard deviation and interquartile range), as well as absolute and relative distributions (n-%). The symmetry of the continuous distribution can be assessed using the Kolmogorov-Smirnov test. The predictive power of the variables can be analyzed using logistic regression. The opening of data from research projects is one of the most important elements of the research lifecycle for the success of Open Science. This is a sine qua non for reproducibility and scientific progress. Open Data speeds up the research process, facilitates reuse and enriches data sets, in addition to optimizing the application of public resources, in other words, enabling more use of the same investment. Opening data also allows detecting false, biased and inaccurate conclusions, as they are subject to replicability tests. Thus, great social impact is demonstrated when databases are published.19

Table 1. Overview of data file.

LabelName of data file/data setFile types (file extension)Data repository and identifier (DOI or accession number)
Data file 1COVID-19 Hospital Admissions databaseCOVID-19 Hospital Admissions Database.xlsxhttps://doi.org/10.6084/m9.figshare.16746073.v4

Dataset validation

Limitations

This dataset is limited to a retrospective cohort of patients from two hospitals in southern Brazil. This can be considered a limitation. The variables regarding the pulmonary condition, such as sepsis and pulmonary involvement, ended up being defined by the medical group, through a medical report of tomography and clinical medical diagnosis of pulmonary sepsis, which could be seen as a limitation in the study. However, the data are very relevant, as there are few published studies and databases available on COVID-19 in Brazil. Researchers interested in the sociodemographic and clinical profile of patients hospitalized for COVID-19 can extensively explore the variables described here.

Ethical considerations

The present study was approved by the Research Ethics Committee of the Federal University of Santa Catarina (UFSC), (opinion No. 4.323.917/2020) Santa Catarina, Brazil. The basis and necessary information about the study objectives and method were given to all participants before the commencement of the study, and written informed consent was obtained from them. Participants consented to data publication. Participants were assured of the confidentiality of data and that only general statistics would be presented.

Authors’ contributions

ERJ, EL and JEWB made substantial contributions to the conception and design of the work, or the acquisition, analysis or interpretation of data, and to the writing of the work or critically reviewing important intellectual content. They have given final approval to the version and have agreed to be responsible for all aspects of the work, ensuring that issues relating to the accuracy or completeness of any part of the work are properly investigated and resolved. JCRL, FMP, RSV, MAG, TCN, MCSA, MMP, MMM, CRS, WMCJ, VCCW, made substantial contributions to the acquisition of the data and the writing of the paper. They have approved the final version and agree to be responsible for all aspects of the work, ensuring that issues relating to the accuracy or completeness of any part of the work are properly investigated and resolved. All authors read and approved the final manuscript.

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Version 2
VERSION 2 PUBLISHED 07 Jun 2023
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Jesus ERd, Boell JEW, Reckziegel JCL et al. Sociodemographic and clinical characteristics of hospital admissions for COVID-19: A retrospective cohort of patients in two hospitals in the south of Brazil [version 2; peer review: 1 approved, 1 approved with reservations]. F1000Research 2023, 12:627 (https://doi.org/10.12688/f1000research.130532.2)
NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article.
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Open Peer Review

Current Reviewer Status: ?
Key to Reviewer Statuses VIEW
ApprovedThe paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approvedFundamental flaws in the paper seriously undermine the findings and conclusions
Version 2
VERSION 2
PUBLISHED 18 Dec 2023
Revised
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Reviewer Report 23 Jan 2024
Lirane Elize Defante Ferreto, Health Sciences Center, Postgraduate Program in Applied Health Sciences, Public Health Lab and Biosciences and Health Lab, Universidade Estadual do Oeste do Parana, Cascavel, State of Paraná, Brazil 
Approved with Reservations
VIEWS 9
In response to the author's comments, a lingering uncertainty requiring clarification and refinement within the presented text persists. According to the information provided by the author, a sedentary lifestyle was defined as the absence of physical activity, and patients also ... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
Defante Ferreto LE. Reviewer Report For: Sociodemographic and clinical characteristics of hospital admissions for COVID-19: A retrospective cohort of patients in two hospitals in the south of Brazil [version 2; peer review: 1 approved, 1 approved with reservations]. F1000Research 2023, 12:627 (https://doi.org/10.5256/f1000research.160073.r231065)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
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4
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Reviewer Report 03 Jan 2024
Raúl López-Izquierdo, Emergency, Hospital Universitario Río Hortega, Valladolid, Valladolid, Spain 
Approved
VIEWS 4
The authors have ... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
López-Izquierdo R. Reviewer Report For: Sociodemographic and clinical characteristics of hospital admissions for COVID-19: A retrospective cohort of patients in two hospitals in the south of Brazil [version 2; peer review: 1 approved, 1 approved with reservations]. F1000Research 2023, 12:627 (https://doi.org/10.5256/f1000research.160073.r231066)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
Version 1
VERSION 1
PUBLISHED 07 Jun 2023
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22
Cite
Reviewer Report 23 Nov 2023
Raúl López-Izquierdo, Emergency, Hospital Universitario Río Hortega, Valladolid, Valladolid, Spain 
Approved with Reservations
VIEWS 22
This article presents an open database to advance knowledge of the COVID-19 disease. It presents relative data from the beginning of the pandemic until the end of 2020, that is, in the first phase of this. It has been shown, ... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
López-Izquierdo R. Reviewer Report For: Sociodemographic and clinical characteristics of hospital admissions for COVID-19: A retrospective cohort of patients in two hospitals in the south of Brazil [version 2; peer review: 1 approved, 1 approved with reservations]. F1000Research 2023, 12:627 (https://doi.org/10.5256/f1000research.143299.r221267)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
  • Author Response 13 Apr 2024
    Edna Ribeiro de Jesus, Federal University of Santa Catarina, Florianópolis, Brazil
    13 Apr 2024
    Author Response

    Response to reviewer
    We gratefully thank the reviewer for their interest in our paper and for the invitation to revise this manuscript. Thank you very much for your carefully ... Continue reading
COMMENTS ON THIS REPORT
  • Author Response 13 Apr 2024
    Edna Ribeiro de Jesus, Federal University of Santa Catarina, Florianópolis, Brazil
    13 Apr 2024
    Author Response

    Response to reviewer
    We gratefully thank the reviewer for their interest in our paper and for the invitation to revise this manuscript. Thank you very much for your carefully ... Continue reading
Views
38
Cite
Reviewer Report 14 Jun 2023
Lirane Elize Defante Ferreto, Health Sciences Center, Postgraduate Program in Applied Health Sciences, Public Health Lab and Biosciences and Health Lab, Universidade Estadual do Oeste do Parana, Cascavel, State of Paraná, Brazil 
Approved with Reservations
VIEWS 38
The information available can be accessed by researchers who are interested in better understanding health policies, planning health actions, and estimating costs and demands in emergency situations. Database studies of this nature are important as they contribute to improving the ... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
Defante Ferreto LE. Reviewer Report For: Sociodemographic and clinical characteristics of hospital admissions for COVID-19: A retrospective cohort of patients in two hospitals in the south of Brazil [version 2; peer review: 1 approved, 1 approved with reservations]. F1000Research 2023, 12:627 (https://doi.org/10.5256/f1000research.143299.r178045)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
  • Author Response 18 Dec 2023
    Edna Ribeiro de Jesus, Federal University of Santa Catarina, Florianópolis, Brazil
    18 Dec 2023
    Author Response
    Response to reviewer

    We gratefully thank the reviewer for their interest in our paper and for the invitation to revise this manuscript. Thank you very much for your carefully revision
    ... Continue reading
COMMENTS ON THIS REPORT
  • Author Response 18 Dec 2023
    Edna Ribeiro de Jesus, Federal University of Santa Catarina, Florianópolis, Brazil
    18 Dec 2023
    Author Response
    Response to reviewer

    We gratefully thank the reviewer for their interest in our paper and for the invitation to revise this manuscript. Thank you very much for your carefully revision
    ... Continue reading

Comments on this article Comments (0)

Version 2
VERSION 2 PUBLISHED 07 Jun 2023
Comment
Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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