<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932026000100214</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2026.e13122614</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo asociados a formas severas de COVID-19: un estudio post pandemia]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors associated with severe forms of COVID-19: a post-pandemic study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva Jara]]></surname>
<given-names><![CDATA[Ramón Abundio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vaceque Depps]]></surname>
<given-names><![CDATA[Agustina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zárate Gaona]]></surname>
<given-names><![CDATA[Diana Estela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Pacífico Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Centro Médico Nacional - Hospital Nacional ]]></institution>
<addr-line><![CDATA[Itagua ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<volume>13</volume>
<numero>1</numero>
<fpage>214</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932026000100214&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932026000100214&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932026000100214&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el COVID-19 es una enfermedad producida por el virus del SARS-CoV2, causante de la pandemia del coronavirus con el desarrollo de neumonía grave e insuficiencia respiratoria.  Objetivo: determinar los factores de riesgo asociados a formas severas de COVID-19 en pacientes internados con el diagnóstico de infección por SARS-CoV-2 en el Hospital Nacional de Itauguá de 2023 a 2024.  Metodología: se aplicó un diseño observacional descriptivo, retrospectivo, de corte transversal, en pacientes de ambos sexos, mayores de 18 años, que fueron internados por neumonía a SARS-CoV2 o diagnosticados con dicha infección durante su internación en el Hospital Nacional de Itauguá en el periodo 2023-2024.  Resultados: se incluyeron 51 pacientes, con una media de 58 ± 16 años, el 56,9% eran hombres y 58,8% provenían de zonas urbanas. Los síntomas más frecuentes fueron la tos y la dificultad respiratoria, con un 45,1% por igual. Solo el 3,9% tenía el esquema de vacunación completo. El 76,5% tenía enfermedades cardiovasculares, el 41,2% tuvo una forma severa de COVID-19 y 3,9% falleció. El 61,2% que tenía el esquema vacunal incompleto desarrolló neumonía. Las formas graves de COVID-19 fueron más frecuentes en pacientes mayores de 60 años con enfermedades respiratorias (p 0,015 y 0,040; respectivamente). Se identificaron la edad mayor a 60 años y las enfermedades respiratorias como factores de riesgo independientes para desarrollar formas graves de COVID-19.  Conclusiones:  los síntomas más frecuentes fueron la tos y dificultad respiratoria. La mayor parte de los pacientes tenía el esquema de vacunación incompleto y cursaron una forma severa de COVID-19, pero se registraron escasos óbitos. Las formas graves de COVID-19 fueron más frecuentes en pacientes mayores de 60 años con enfermedades respiratorias. Se encontró que dichas condiciones médicas fueron factores de riesgo independiente para COVID-19 severo y crítico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  COVID-19 is a disease caused by the SARS-CoV2 virus, which is responsible for the coronavirus pandemic, leading to severe pneumonia and respiratory failure.  Objective:  To determine the risk factors associated with severe forms of COVID-19 in patients hospitalized with a diagnosis of SARS-CoV-2 infection at the National Hospital of Itauguá from 2023 to 2024.  Methodology:  A descriptive, retrospective, cross-sectional observational design was applied to patients of both sexes, over 18 years of age, who were hospitalized for SARS-CoV2 pneumonia or diagnosed with this infection during their hospitalization at the National Hospital of Itauguá in the period 2023-2024.  Results: Fifty-one patients were included, with a mean age of 58 ± 16 years; 56.9% were men and 58.8% came from urban areas. The most frequent symptoms were cough and respiratory distress, with 45.1% for each. Only 3.9% had completed the full vaccination schedule. Seventy-six-point five percent had cardiovascular disease, 41.2% had a severe form of COVID-19, and 3.9% died. Sixty-one-point two percent who had an incomplete vaccination schedule developed pneumonia. Severe forms of COVID-19 were more common in patients over 60 years of age with respiratory diseases (p 0.015 and 0.040, respectively). Age over 60 years and respiratory diseases were identified as independent risk factors for developing severe forms of COVID-19.  Conclusions:  The most common symptoms were cough and shortness of breath. Most patients had incomplete vaccination schedules and developed severe COVID-19, but few deaths were recorded. Severe forms of COVID-19 were more common in patients over 60 years of age with respiratory diseases. These medical conditions were found to be independent risk factors for severe and critical COVID-19.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="es"><![CDATA[neumonía viral]]></kwd>
<kwd lng="es"><![CDATA[cobertura de vacunación]]></kwd>
<kwd lng="es"><![CDATA[vacunas contra la COVID-19]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[viral pneumonia]]></kwd>
<kwd lng="en"><![CDATA[vaccination coverage]]></kwd>
<kwd lng="en"><![CDATA[COVID-19 vaccines]]></kwd>
</kwd-group>
</article-meta>
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