Factores demográficos y comorbilidades asociadas a severidad de COVID-19 en un hospital chileno: el rol clave del nivel socioeconómico / Comorbidities and demographic factors associated with severe COVID-19 outcomes in a Chilean hospital
Rev. méd. Chile
;
149(8): 1141-1149, ago. 2021. ilus, tab
Artículo
en Español
| LILACS
| ID: biblio-1389576
ABSTRACT
Background:
Several risk factors are associated with COVID-19 severity and death, such as advanced age, male sex, and the presence of comorbidities.Aim:
To study the effect of these risk factors and socioeconomic variables on the outcome of Chilean patients admitted with COVID-19 to a Chilean public hospital. Material andMethods:
Review of medical records of patients admitted to a Chilean public hospital with a positive PCR test for COVID-19, Chile from March to June 2020. The outcome variable was severity (ICU admission or death). The exposure variables were age, sex, socioeconomic level, and comorbidities. A multivariable logistic regression analysis was performed.Results:
Of 1,141 confirmed cases, 266 cases had a severe evolution (23.3%), including 147 deaths (fatality 12.9%). Advanced age and low socioeconomic status were the variables most strongly associated with severity. An age of 80 years or over had an odds ratio (OR) = 11.1 [95% confidence intervals (CI) 5.22-23.53]. The OR [95% CI] for a low socioeconomic level was 3.1 [1.1-8.5]. The figure for male sex was 2.13 [1.5-3.0], for chronic kidney disease was 2.65 [1.49-4.73], for obesity was 2.36 [1.65-3.39], and for diabetes 1.78 [1.22-2.61]. No significant association with severity was found for high blood pressure, chronic pulmonary disease, cardiovascular disease, or smoking.Conclusions:
Following age, a low socioeconomic level was the factor with the higher association with a poor outcome or severe evolution of COVID-19.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
COVID-19
Tipo de estudio:
Factores de riesgo
Límite:
Anciano
/
Aged80
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
CESFAM Apoquindo/CL
/
Hospital El Carmen/CL
/
Hospital Roberto del Río/CL
/
Hospital de Palena/CL
/
Universidad de Chile/CL
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