The epidemic caused by
COVID-19 MESHD in Brazil is associated with an unfavorable political scenario, aggravated by intense social inequality and low number of available hospital beds. Therefore, this study aimed to analyze the survival of patients admitted to Brazilian hospitals due to the
COVID-19 MESHD and estimate prognostic factors. This is a retrospective, multicenter cohort study, based on data from 46285 hospitalizations for
COVID-19 MESHD in Brazil. Survival functions were calculated using the Kaplan-Meier method. The Log-rank test compared the survival functions for each variable and from that, hazard ratios were calculated and the proportional hazards model was used in Cox multiple regression. The smallest survival curves were the ones for patients at the age of 68 years or more, black / brown race, illiterate, living in the countryside,
dyspnea MESHD, respiratory distress, influenza-like outbreak, O2 saturation <95%, X-ray change, length of stay in the ICU, invasive ventilatory support, previous
heart disease MESHD, pneumopathy,
diabetes MESHD, down'
s syndrome MESHD,
neurological disease MESHD and
kidney disease MESHD. Better survival was observed in the symptoms and in an asthmatic patient. The multiple model for increased risk of
death MESHD when they were admitted to the
ICU HR MESHD 1.28 (95% CI 1.21;1.35),
diabetes HR MESHD 1.17 (95% CI 1.11;1.24),
neurological disease HR MESHD 1.34 (95% CI 1.22;1.46),
kidney disease HR MESHD 1.11 (95% CI 1.02;1.21),
heart disease HR MESHD 1.14 (95% CI 1.08;1.20), black or brown race of HR 1.50 (95% CI 1.43;1.58),
asthma HR MESHD 0.71 (95% CI 0.61;0.81) and pneumopathy HR 1.12 (95% CI 1.02;1.23). The overall survival time was low in hospitalizations for
COVID-19 MESHD and this reinforces the importance of sociodemographic and clinical factors as a prognosis for
death MESHD. The lack of a protocol for scientific clinical management puts a greater risk of
death MESHD for about 80 million Brazilians, who are chronically ill or living in poverty.
COVID-19 MESHD can promote selective mortality that borders the eugenics of specific social segments in Brazil.