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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

versión On-line ISSN 2312-3893

Resumen

SILVA JARA, Ramón Abundio; VACEQUE DEPPS, Agustina  y  ZARATE GAONA, Diana Estela. Risk factors associated with severe forms of COVID-19: a post-pandemic study. Rev. virtual Soc. Parag. Med. Int. [online]. 2026, vol.13, n.1, e13122614.  Epub 18-Mar-2026. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2026.e13122614.

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.

Palabras clave : COVID-19; SARS-CoV-2; viral pneumonia; vaccination coverage; COVID-19 vaccines.

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