Abstract

The aim of this article is to assess the odds ratio of hospitalization and mortality due to COVID-19 in people with obesity using data from residents of Espírito Santo, Brazil. An observational, quantitative, cross-sectional study was carried out from the database available on the official channel of the State Health Secretariat of Espírito Santo. Crude odds ratio estimates (ORs) referring to the association between variables were calculated, as well as adjusted odds ratios (adjusted odds ratios-OR adj.) and their respective 95% confidence intervals (CI 95%). The results indicate that men, non-white, no education or with lower education level and age over 40 years old were more likely to be hospitalized and died of COVID-19. People with obesity are at risk of hospitalization and death due to COVID-19 54% and 113% higher than people who do not have obesity. People with obesity had a higher chance of hospitalization when they were over 40 years old, had breathing difficulty, and the comorbidities diabetes (2.18 higher) and kidney disease (4.10 higher). The odds ratio of death for people with obesity over 60 years old was 12.51 higher, and those who were hospitalized was 17.9 higher compared to those who were not hospitalized.

Highlights

  • The hospitalization and mortality rates due to COVID-19 have varied considerably due to several aspects, such as age group, current comorbidities, socioeconomic conditions, among other characteristics [1–6]

  • The COVID-19 Panel is a system developed by government and powered by the eSUS/Health Surveillance System, which records all suspected and/or confirmed cases of COVID-19 in the state of Espırito Santo (ESPIRITO SANTO, 2020) from notification forms filled out by health professionals from health units throughout the state

  • This study included all patients confirmed by COVID-19 in Espırito Santo, until September 10th, 2020, which corresponded to 118,138 cases, according to Fig 1

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Summary

Introduction

The hospitalization and mortality rates due to COVID-19 have varied considerably due to several aspects, such as age group, current comorbidities, socioeconomic conditions, among other characteristics [1–6]. Chronic diseases such as diabetes, coronary heart -disease and obesity have been associated with the worst prognosis for the disease [7–11]. Risk of hospitalization and mortality due to COVID-19 in Brazil painel-covid-19-es. The authors confirm that they did not have any special access privileges

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