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Epidemiology of hospitalized patients with COVID-19 in a tertiary care hospital.
Torre, Guadalupe Maza-De La; Montelongo-Mercado, Edgardo A; Noyola-Villalobos, Héctor F; García-Ruiz, Antonio; Hernández-Díaz, Sergio; Santiago-Torres, Martha; Moreno-Delgado, Luis F; Carrera-Altamirano, Ricardo; Muñoz-Monroy, Omar E; Martínez-Cuazitl, Adriana; Martínez-González, Mayra A; Vázquez-Medina, Martín U; Alvarado-Uribe, Óscar; Torres-Vázquez, Julián; Figueroa-Peña, Aldo; Martínez-Salazar, Iván N.
  • Torre GM; Directorate.
  • Montelongo-Mercado EA; Sub-directorate-General.
  • Noyola-Villalobos HF; Medical Sub-directorate.
  • García-Ruiz A; Technical Sub-directorate.
  • Hernández-Díaz S; Teaching and Research Area Head Office.
  • Santiago-Torres M; Medical Area Head Office.
  • Moreno-Delgado LF; Surgery Area Head Office.
  • Carrera-Altamirano R; Sub-directorate-General Liaison Group Head Office.
  • Muñoz-Monroy OE; Internal Medicine Department Head Office.
  • Martínez-Cuazitl A; Department of Research.
  • Martínez-González MA; Department of Research.
  • Vázquez-Medina MU; Department of Research.
  • Alvarado-Uribe Ó; Surgical Residents Head Office.
  • Torres-Vázquez J; Medical Residents Head Office.
  • Figueroa-Peña A; Escuela Militar de Graduados de Sanidad. Secretaría de la Defensa, Hospital Central Militar, Mexico City, Mexico.
  • Martínez-Salazar IN; Department of Research.
Gac Med Mex ; 157(3): 237-244, 2021.
Article in English | MEDLINE | ID: covidwho-1535079
ABSTRACT

INTRODUCTION:

COVID-19, caused by the betacoronavirus SARS-CoV-2, has overwhelmed the world's health systems.

OBJECTIVE:

To describe the epidemiological characteristics of patients treated in a tertiary care hospital.

METHODS:

A retrospective cohort study of patients diagnosed with or suspected of having COVID-19 from March 23 to July 31, 2020 was conducted.

RESULTS:

4,401 patients were hospitalized at Central Military Hospital, out of which 35 % were beneficiaries, 26 % civilians, 28 % active military personnel, and only 11 %, retired military personnel. Male gender predominated, both in hospitalized patients and in those who died, as well as the O+ group and absence of comorbidities; among the observed comorbidities, the main ones were overweight and diabetes. Hospitalized patients' median age was 49 years, while median age of those who died was 62 years; women older than 51 years had a higher risk of dying. Adjusted case fatality rate was 18.5 %; 50 % died within the first six days.

CONCLUSIONS:

In this study, the epidemiological characteristics and main comorbidities in Mexican patients with SARS-CoV-2 infection were identified.
RESUMEN

INTRODUCCIÓN:

COVID-19, causada por el betacoronavirus SARS-CoV-2, ha saturado los sistemas de salud del mundo.

OBJETIVO:

Describir las características epidemiológicas de los pacientes atendidos en un hospital de tercer nivel.

MÉTODOS:

Se realizó una cohorte retrospectiva de pacientes con diagnóstico o sospecha de COVID-19, del 23 de marzo al 31 de julio de 2020.

RESULTADOS:

En el Hospital Central Militar se hospitalizaron 4401 pacientes, 35 % derechohabientes, 26 % civiles, 28 % militares en activo y solo 11 %, militares retirados. Predominó el sexo masculino, tanto en los pacientes hospitalizados como en los que fallecieron, el grupo O+ y la ausencia de comorbilidades; entre las comorbilidades que se observaron, las principales fueron el sobrepeso y la diabetes. La mediana de edad de los pacientes hospitalizados fue de 49 años, mientras que 62 años fue la edad de quienes fallecieron; las mujeres mayores de 51 años tuvieron mayor riesgo de fallecer. La tasa de letalidad ajustada fue de 18.5 %; 50 % falleció durante los primeros seis días.

CONCLUSIONES:

En este estudio se lograron identificar las características epidemiológicas y se destacaron las principales comorbilidades en pacientes mexicanos con infección por SARS-CoV-2.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus / Overweight / COVID-19 / Hospitalization Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Mexico Language: English Journal: Gac Med Mex Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus / Overweight / COVID-19 / Hospitalization Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Mexico Language: English Journal: Gac Med Mex Year: 2021 Document Type: Article