Publications by authors named "Luanna Silva Monteiro Menezes"

Background: Proper analysis and interpretation of health care data can significantly improve patient outcomes by enhancing services and revealing the impacts of new technologies and treatments. Understanding the substantial impact of temporal shifts in these data is crucial. For example, COVID-19 vaccination initially lowered the mean age of at-risk patients and later changed the characteristics of those who died.

View Article and Find Full Text PDF

Background: Although dementia has emerged as an important risk factor for severe SARS-CoV-2 infection, results on COVID-19-related complications and mortality are not consistent. We examined the clinical presentations and outcomes of COVID-19 in a multicentre cohort of in-hospital patients, comparing those with and without dementia.

Methods: This retrospective observational study comprises COVID-19 laboratory-confirmed patients aged ≥ 60 years admitted to 38 hospitals from 19 cities in Brazil.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate the ABC-SPH score's ability to predict invasive mechanical ventilation (IMV) needs in COVID-19 patients and compare it to other existing predictive scores.
  • Researchers conducted a retrospective analysis involving 9,350 adult COVID-19 patients across 32 hospitals in Brazil, focusing on data from 2020 to 2022 to assess and recalibrate the ABC-SPH score.
  • Results showed that the ABC-SPH score outperformed other scores like CURB-65 and STSS in predicting IMV, particularly in patients under 80, and recalibration efforts significantly improved its prediction accuracy.
View Article and Find Full Text PDF

Background: Despite no evidence showing benefits of hydroxychloroquine and chloroquine with or without azithromycin for COVID-19 treatment, these medications have been largely prescribed in Brazil.

Objectives: To assess outcomes, including in-hospital mortality, electrocardiographic abnormalities, hospital length-of-stay, admission to the intensive care unit, and need for dialysis and mechanical ventilation, in hospitalized COVID-19 patients who received chloroquine or hydroxychloroquine, and to compare outcomes between those patients and their matched controls.

Methods: A retrospective multicenter cohort study that included consecutive laboratory-confirmed COVID-19 patients from 37 Brazilian hospitals from March to September 2020.

View Article and Find Full Text PDF

Objective: To evaluate clinical characteristics and outcomes of COVID-19 patients infected with HIV, and to compare with a paired sample without HIV infection.

Methods: This is a substudy of a Brazilian multicentric cohort that comprised two periods (2020 and 2021). Data was obtained through the retrospective review of medical records.

View Article and Find Full Text PDF

Background: Cardiovascular complications of COVID-19 are important aspects of the disease's pathogenesis and prognosis. Evidence on the prognostic role of troponin and myocardial injury in Latin American hospitalized COVID-19 patients is still scarce.

Objectives: To evaluate myocardial injury as independent predictor of in-hospital mortality and invasive mechanical ventilation support in hospitalized patients, from the Brazilian COVID-19 Registry.

View Article and Find Full Text PDF

Objectives: To analyze the clinical characteristics and outcomes of admitted patients with the hospital- versus community-manifested COVID-19 and to evaluate the risk factors related to mortality in the first population.

Methods: This retrospective cohort included consecutive adult patients with COVID-19, hospitalized between March and September 2020. The demographic data, clinical characteristics, and outcomes were extracted from medical records.

View Article and Find Full Text PDF

Background: The assessment of clinical prognosis of pregnant COVID-19 patients at hospital presentation is challenging, due to physiological adaptations during pregnancy. Our aim was to assess the performance of the ABC-SPH score to predict in-hospital mortality and mechanical ventilation support in pregnant patients with COVID-19, to assess the frequency of adverse pregnancy outcomes, and characteristics of pregnant women who died.

Methods: This multicenter cohort included consecutive pregnant patients with COVID-19 admitted to the participating hospitals, from April/2020 to March/2022.

View Article and Find Full Text PDF

Background: Scientific data regarding the prevalence of COVID-19 neurological manifestations and prognosis in Latin America countries is still lacking. Therefore, the study aims to understand neurological manifestations of SARS-CoV 2 infection and outcomes in the Brazilian population.

Methods: This study is part of the Brazilian COVID-19 Registry, a multicentric cohort, including data from 37 hospitals.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigated acute kidney injury (AKI) in hospitalized COVID-19 patients, focusing on predicting the need for kidney replacement therapy (KRT) as a measure of disease severity.
  • - Researchers used a large cohort of 5212 adult patients, employing statistical methods like generalized additive models and LASSO regression to develop a prognostic score named MMCD, identifying four key predictors for KRT.
  • - The MMCD score demonstrated high accuracy in predicting KRT requirements across various cohorts and is accessible via an online risk calculator, potentially aiding healthcare professionals in managing COVID-19 patients.
View Article and Find Full Text PDF

Background: It is not clear whether previous thyroid diseases influence the course and outcomes of COVID-19.

Methods: The study is a part of a multicentric cohort of patients with confirmed COVID-19 diagnosis from 37 hospitals. Matching for age, sex, number of comorbidities, and hospital was performed for the paired analysis.

View Article and Find Full Text PDF