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Factors Possibly Associated with Mortality in Intubated COVID-19 Patients: A Retrospective Study.
Ramírez-Plascencia, Lilia Esther; Vázquez-León, Ana Paulina; Villaseñor-Magaña, Almendra; Correa-Valdéz, Marisela; Carrillo-Ibarra, Sandra; Sifuentes-Franco, Sonia.
Afiliação
  • Ramírez-Plascencia LE; Anaesthesiology Service, Civil Hospital of Guadalajara Dr. Juan I. Menchaca, Guadalajara 44340, Mexico.
  • Vázquez-León AP; Anaesthesiology Service, Civil Hospital of Guadalajara Dr. Juan I. Menchaca, Guadalajara 44340, Mexico.
  • Villaseñor-Magaña A; Anaesthesiology Service, Civil Hospital of Guadalajara Dr. Juan I. Menchaca, Guadalajara 44340, Mexico.
  • Correa-Valdéz M; Anaesthesiology Service, Civil Hospital of Guadalajara Dr. Juan I. Menchaca, Guadalajara 44340, Mexico.
  • Carrillo-Ibarra S; University Center for Health Sciences, University of Guadalajara, Guadalajara 44340, Mexico.
  • Sifuentes-Franco S; School of Health Sciences, Universidad del Valle de México, Zapopan 45010, Mexico.
Pathogens ; 11(2)2022 Feb 11.
Article em En | MEDLINE | ID: mdl-35215178
In Mexico, there is a high mortality rate among patients intubated because of COVID-19. The objective of this study was to investigate the associations of age, comorbidities, and biochemical parameters with the in-hospital mortality of COVID-19 patients. A retrospective study of 79 intubated patients admitted to one hospital in Jalisco, Mexico, between July 2020 and January 2021 was performed. Demographic and clinical characteristics were collected. The mean age was 57.7 (±12.8) years, with 83.5% non-survivors and 16.5% survivors. Age, lactate dehydrogenase (LDH) and D-dimer levels were found to be significantly higher in the non-survivor group (p = 0.011, p = 0.026, p = 0.007, respectively). Patients ≥58 years had a high risk of mortality (OR = 7.017). Significant correlations were also found in some of the study variables: LDH levels and leukocyte count (r = 0.388, p = 0.034) and CRP levels and fibrinogen (r = 0.692, p ˂ 0.001) in the patients ˂58 years. Leukocyte count with LDH levels (r = 0.381, p = 0.024) were significant in the group ≥58 years. No significant difference was observed in the presence of diabetes mellitus (DM) and hypertension. In conclusion, according to logistic regression analysis, age over 58 years represents the main factor associated with mortality in these patients.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Observational_studies / Risk_factors_studies Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Observational_studies / Risk_factors_studies Idioma: En Ano de publicação: 2022 Tipo de documento: Article