Vaccination status and clinical outcome of COVID-19 in hospitalized patients

Objective: to analyze the relationship between the vaccination status of patients hospitalized for COVID-19 and clinical outcomes. Methods: retrospective cohort study conducted at a referral hospital for COVID-19, including 305 patients ≥ 5 years of age admitted to wards and/or intensive care units...

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Main Authors: Priscila Poli, Gustavo Diego Magno, Silvia Carla da Silva André Uehara
Format: Article
Language:English
Published: Universidade Federal do Ceará 2025-08-01
Series:Rev Rene
Subjects:
Online Access:https://periodicos.ufc.br/rene/article/view/95529/252043
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author Priscila Poli
Gustavo Diego Magno
Silvia Carla da Silva André Uehara
author_facet Priscila Poli
Gustavo Diego Magno
Silvia Carla da Silva André Uehara
author_sort Priscila Poli
collection DOAJ
description Objective: to analyze the relationship between the vaccination status of patients hospitalized for COVID-19 and clinical outcomes. Methods: retrospective cohort study conducted at a referral hospital for COVID-19, including 305 patients ≥ 5 years of age admitted to wards and/or intensive care units with a diagnosis of COVID-19. Hospitalization data were collected from electronic medical records, and vaccination status data were obtained from the VaciVida system. The analysis was performed using Poisson regression models. Results: the comparison between patients who did not receive any vaccine doses and those who received a booster dose showed a relative risk of 1.46 (p = 0.160), suggesting an increased risk of death among the unvaccinated; however, this was not statistically significant. The comparison between unvaccinated individuals and those with an incomplete vaccination schedule revealed a relative risk of 2.42 (p = 0.350). Conclusion: it was observed that most patients who died or required intensive care did not have a complete vaccination schedule, which points to a possible trend toward worse outcomes among unvaccinated individuals. Contributions to practice: the findings underscore the importance of vaccination and active surveillance of clinical factors associated with severity to inform management in patients with COVID-19.
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spelling doaj-art-720c533fb65347299caaf6566c6893e52025-08-20T03:40:44ZengUniversidade Federal do CearáRev Rene2175-67832025-08-0126e9552910.36517/2175-6783.20252695529Vaccination status and clinical outcome of COVID-19 in hospitalized patientsPriscila Poli0https://orcid.org/0000-0002-8090-9403Gustavo Diego Magno1https://orcid.org/0000-0003-3656-9170Silvia Carla da Silva André Uehara2https://orcid.org/0000-0002-0236-5025Universidade Federal de São CarlosUniversidade Federal de São CarlosUniversidade Federal de São CarlosObjective: to analyze the relationship between the vaccination status of patients hospitalized for COVID-19 and clinical outcomes. Methods: retrospective cohort study conducted at a referral hospital for COVID-19, including 305 patients ≥ 5 years of age admitted to wards and/or intensive care units with a diagnosis of COVID-19. Hospitalization data were collected from electronic medical records, and vaccination status data were obtained from the VaciVida system. The analysis was performed using Poisson regression models. Results: the comparison between patients who did not receive any vaccine doses and those who received a booster dose showed a relative risk of 1.46 (p = 0.160), suggesting an increased risk of death among the unvaccinated; however, this was not statistically significant. The comparison between unvaccinated individuals and those with an incomplete vaccination schedule revealed a relative risk of 2.42 (p = 0.350). Conclusion: it was observed that most patients who died or required intensive care did not have a complete vaccination schedule, which points to a possible trend toward worse outcomes among unvaccinated individuals. Contributions to practice: the findings underscore the importance of vaccination and active surveillance of clinical factors associated with severity to inform management in patients with COVID-19.https://periodicos.ufc.br/rene/article/view/95529/252043covid-19hospitalizationoutcome expectationscovid-19 vaccines
spellingShingle Priscila Poli
Gustavo Diego Magno
Silvia Carla da Silva André Uehara
Vaccination status and clinical outcome of COVID-19 in hospitalized patients
Rev Rene
covid-19
hospitalization
outcome expectations
covid-19 vaccines
title Vaccination status and clinical outcome of COVID-19 in hospitalized patients
title_full Vaccination status and clinical outcome of COVID-19 in hospitalized patients
title_fullStr Vaccination status and clinical outcome of COVID-19 in hospitalized patients
title_full_unstemmed Vaccination status and clinical outcome of COVID-19 in hospitalized patients
title_short Vaccination status and clinical outcome of COVID-19 in hospitalized patients
title_sort vaccination status and clinical outcome of covid 19 in hospitalized patients
topic covid-19
hospitalization
outcome expectations
covid-19 vaccines
url https://periodicos.ufc.br/rene/article/view/95529/252043
work_keys_str_mv AT priscilapoli vaccinationstatusandclinicaloutcomeofcovid19inhospitalizedpatients
AT gustavodiegomagno vaccinationstatusandclinicaloutcomeofcovid19inhospitalizedpatients
AT silviacarladasilvaandreuehara vaccinationstatusandclinicaloutcomeofcovid19inhospitalizedpatients