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Mortality and Survival Factors in Patients with Moderate and Severe Pneumonia Due to COVID-19.
- Source :
- Healthcare (2227-9032); Apr2023, Vol. 11 Issue 7, p932, 14p
- Publication Year :
- 2023
-
Abstract
- During the pandemic, some mortality-related factors were age, sex, comorbidities (obesity, diabetes mellitus, and hypertension), recovery time, hospitalizations, and biochemical markers. The present work aimed to identify the mortality and survival factors in adults with moderate and severe pneumonia due to COVID-19 during the first and second waves of the pandemic in Mexico at a third-level hospital (High-Specialty Regional Hospital of Ixtapaluca (HRAEI), Ixtapaluca, Estado de Mexico, Mexico). A database was generated using information from the electronic clinical records of patients hospitalized from December 2021 to August 2022. Survival analysis was performed associating age, sex, longer recovery times, and some drugs. The risk factors found were age in the patients between 40 and 60 years (OR = 1.70), male sex (OR = 1.53), the presence of comorbidities (OR = 1.66) and hypertension (OR = 2.19), work occupation (construction workers OR = 5.22, factory workers OR = 3.13, unemployed OR = 2.93), the prehospital use of metamizole sodium (OR = 2.17), cough (OR = 1.73), and in-hospital oxygen therapy (reservoir mask OR = 6.6). The survival factors found in this study were working in the healthcare field (OR = 0.26), the prehospital use of certain medications (paracetamol OR = 0.65, dexamethasone OR = 0.55, and azithromycin OR = 0.47), presenting ageusia (OR = 0.5) and hyporexia (OR = 0.34), and the time using in-hospital oxygen therapy (device 1 OR = 0.72). Prehospital treatment needs to be reevaluated as dexamethasone and azithromycin proved to be protective factors. Likewise, providing aggressive oxygen therapy during hospital admission decreased mortality risk. [ABSTRACT FROM AUTHOR]
- Subjects :
- COMPLICATIONS of alcoholism
NONSTEROIDAL anti-inflammatory agents
SUBSTANCE abuse
OCCUPATIONS
AZITHROMYCIN
BODY mass index
SEX distribution
HYPERTENSION
OXYGEN therapy
SCIENTIFIC observation
SEVERITY of illness index
TERTIARY care
AGE distribution
EMERGENCY medicine
RETROSPECTIVE studies
VIRAL pneumonia
LONGITUDINAL method
MEDICAL records
ACQUISITION of data
CONVALESCENCE
RESEARCH
OSELTAMIVIR
SURVIVAL analysis (Biometry)
COUGH
SOCIODEMOGRAPHIC factors
LENGTH of stay in hospitals
COVID-19 pandemic
COMORBIDITY
ACETAMINOPHEN
DEXAMETHASONE
DISEASE risk factors
DISEASE complications
SYMPTOMS
ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 22279032
- Volume :
- 11
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Healthcare (2227-9032)
- Publication Type :
- Academic Journal
- Accession number :
- 163041578
- Full Text :
- https://doi.org/10.3390/healthcare11070932