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Factors associated with admission to the intensive care unit and mortality in patients with COVID-19, Colombia.
Machado-Alba, Jorge Enrique; Valladales-Restrepo, Luis Fernando; Machado-Duque, Manuel Enrique; Gaviria-Mendoza, Andrés; Sánchez-Ramírez, Nicolás; Usma-Valencia, Andrés Felipe; Rodríguez-Martínez, Esteban; Rengifo-Franco, Eliana; Forero-Supelano, Víctor Hugo; Gómez-Ramirez, Diego Mauricio; Sabogal-Ortiz, Alejandra.
  • Machado-Alba JE; Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira-Audifarma S.A, Pereira, Risaralda, Colombia.
  • Valladales-Restrepo LF; Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira-Audifarma S.A, Pereira, Risaralda, Colombia.
  • Machado-Duque ME; Grupo de Investigación Biomedicina, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia.
  • Gaviria-Mendoza A; Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira-Audifarma S.A, Pereira, Risaralda, Colombia.
  • Sánchez-Ramírez N; Grupo de Investigación Biomedicina, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia.
  • Usma-Valencia AF; Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira-Audifarma S.A, Pereira, Risaralda, Colombia.
  • Rodríguez-Martínez E; Grupo de Investigación Biomedicina, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Colombia.
  • Rengifo-Franco E; Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira-Audifarma S.A, Pereira, Risaralda, Colombia.
  • Forero-Supelano VH; Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira-Audifarma S.A, Pereira, Risaralda, Colombia.
  • Gómez-Ramirez DM; Semillero de Investigación en Farmacología Geriátrica, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Risaralda, Colombia.
  • Sabogal-Ortiz A; Semillero de Investigación en Farmacología Geriátrica, Facultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, Risaralda, Colombia.
PLoS One ; 16(11): e0260169, 2021.
Article in English | MEDLINE | ID: covidwho-1526694
ABSTRACT

INTRODUCTION:

Coronavirus disease 2019 (COVID-19) has affected millions of people worldwide, and several sociodemographic variables, comorbidities and care variables have been associated with complications and mortality.

OBJECTIVE:

To identify the factors associated with admission to intensive care units (ICUs) and mortality in patients with COVID-19 from 4 clinics in Colombia.

METHODS:

This was a follow-up study of a cohort of patients diagnosed with COVID-19 between March and August 2020. Sociodemographic, clinical (Charlson comorbidity index and NEWS 2 score) and pharmacological variables were identified. Multivariate analyses were performed to identify variables associated with the risk of admission to the ICU and death (p<0.05).

RESULTS:

A total of 780 patients were analyzed, with a median age of 57.0 years; 61.2% were male. On admission, 54.9% were classified as severely ill, 65.3% were diagnosed with acute respiratory distress syndrome, 32.4% were admitted to the ICU, and 26.0% died. The factors associated with a greater likelihood of ICU admission were severe pneumonia (OR 9.86; 95%CI5.99-16.23), each 1-point increase in the NEWS 2 score (OR1.09; 95%CI1.002-1.19), history of ischemic heart disease (OR3.24; 95%CI1.16-9.00), and chronic obstructive pulmonary disease (OR2.07; 95%CI1.09-3.90). The risk of dying increased in those older than 65 years (OR3.08; 95%CI1.66-5.71), in patients with acute renal failure (OR6.96; 95%CI4.41-11.78), admitted to the ICU (OR6.31; 95%CI3.63-10.95), and for each 1-point increase in the Charlson comorbidity index (OR1.16; 95%CI1.002-1.35).

CONCLUSIONS:

Factors related to increasing the probability of requiring ICU care or dying in patients with COVID-19 were identified, facilitating the development of anticipatory intervention measures that favor comprehensive care and improve patient prognosis.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Admission / Hospital Mortality / COVID-19 / Intensive Care Units Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: South America / Colombia Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0260169

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Admission / Hospital Mortality / COVID-19 / Intensive Care Units Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: South America / Colombia Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0260169