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Impact of preemptive hospitalization on health outcomes at the temporary COVID-19 hospital in Mexico City: a prospective observational study
INTRODUCTION: In response to the evolution of the coronavirus disease 2019 (COVID-19) pandemic, the admission protocol for the temporary COVID-19 hospital in Mexico City has been updated to hospitalize patients preemptively with an oxygen saturation (SpO(2)) of >90%. METHODS: This prospective, ob...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8404663/ https://www.ncbi.nlm.nih.gov/pubmed/34471535 http://dx.doi.org/10.1177/20499361211040325 |
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author | Vazquez, Rafael Ricardo Valdez Gallardo-Rincón, Héctor Lomelín-Gascon, Julieta Ville Benavides, Rodrigo Juárez, Linda Morales Bello, Héctor Herrera Castañeda, Lidia Moreno Chavarria, Adrian Palacios Castillo, Pablo Escalera Gonzalez, Luis Esteban Ramirez Avendaño, Mónica Arboleya Berlanga, Santiago Treviño Loza, Reyna Albertina Rosas Wyssmann, Renate Victoria Álvarez Lezama, Erika Salinas Romero, Alonso Gutiérrez Ortega, María Dolores Niembro Acosta, Liudmila Villegas Schotman, Ailyn Cendejas Montoya, Jennifer Bertin Rodriguez, Andrea Gonzalez Ramos, Laura María Badel Martinez-Juarez, Luis Alberto Saucedo-Martínez, Rodrigo Montoya, Alejandra Tapia-Conyer, Roberto |
author_facet | Vazquez, Rafael Ricardo Valdez Gallardo-Rincón, Héctor Lomelín-Gascon, Julieta Ville Benavides, Rodrigo Juárez, Linda Morales Bello, Héctor Herrera Castañeda, Lidia Moreno Chavarria, Adrian Palacios Castillo, Pablo Escalera Gonzalez, Luis Esteban Ramirez Avendaño, Mónica Arboleya Berlanga, Santiago Treviño Loza, Reyna Albertina Rosas Wyssmann, Renate Victoria Álvarez Lezama, Erika Salinas Romero, Alonso Gutiérrez Ortega, María Dolores Niembro Acosta, Liudmila Villegas Schotman, Ailyn Cendejas Montoya, Jennifer Bertin Rodriguez, Andrea Gonzalez Ramos, Laura María Badel Martinez-Juarez, Luis Alberto Saucedo-Martínez, Rodrigo Montoya, Alejandra Tapia-Conyer, Roberto |
author_sort | Vazquez, Rafael Ricardo Valdez |
collection | PubMed |
description | INTRODUCTION: In response to the evolution of the coronavirus disease 2019 (COVID-19) pandemic, the admission protocol for the temporary COVID-19 hospital in Mexico City has been updated to hospitalize patients preemptively with an oxygen saturation (SpO(2)) of >90%. METHODS: This prospective, observational, single-center study compared the progression and outcomes of patients who were preemptively hospitalized versus those who were hospitalized based on an SpO(2) ⩽90%. We recorded patient demographics, clinical characteristics, COVID-19 symptoms, and oxygen requirement at admission. We calculated the risk of disease progression and the benefit of preemptive hospitalization, stratified by CALL Score: age, lymphocyte count, and lactate dehydrogenase (<8 and ⩾8) at admission. RESULTS: Preemptive hospitalization significantly reduced the requirement for oxygen therapy (odds ratio 0.45, 95% confidence interval 0.31–0.66), admission to the intensive care unit (ICU) (0.37, 0.23–0.60), requirement for invasive mechanical ventilation (IMV) (0.40, 0.25–0.64), and mortality (0.22, 0.10–0.50). Stratification by CALL score at admission showed that the benefit of preemptive hospitalization remained significant for patients requiring oxygen therapy (0.51, 0.31–0.83), admission to the ICU (0.48, 0.27–0.86), and IMV (0.51, 0.28–0.92). Mortality risk remained significantly reduced (0.19, 0.07–0.48). CONCLUSION: Preemptive hospitalization reduced the rate of disease progression and may be beneficial for improving COVID-19 patient outcomes. |
format | Online Article Text |
id | pubmed-8404663 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-84046632021-08-31 Impact of preemptive hospitalization on health outcomes at the temporary COVID-19 hospital in Mexico City: a prospective observational study Vazquez, Rafael Ricardo Valdez Gallardo-Rincón, Héctor Lomelín-Gascon, Julieta Ville Benavides, Rodrigo Juárez, Linda Morales Bello, Héctor Herrera Castañeda, Lidia Moreno Chavarria, Adrian Palacios Castillo, Pablo Escalera Gonzalez, Luis Esteban Ramirez Avendaño, Mónica Arboleya Berlanga, Santiago Treviño Loza, Reyna Albertina Rosas Wyssmann, Renate Victoria Álvarez Lezama, Erika Salinas Romero, Alonso Gutiérrez Ortega, María Dolores Niembro Acosta, Liudmila Villegas Schotman, Ailyn Cendejas Montoya, Jennifer Bertin Rodriguez, Andrea Gonzalez Ramos, Laura María Badel Martinez-Juarez, Luis Alberto Saucedo-Martínez, Rodrigo Montoya, Alejandra Tapia-Conyer, Roberto Ther Adv Infect Dis Original Research INTRODUCTION: In response to the evolution of the coronavirus disease 2019 (COVID-19) pandemic, the admission protocol for the temporary COVID-19 hospital in Mexico City has been updated to hospitalize patients preemptively with an oxygen saturation (SpO(2)) of >90%. METHODS: This prospective, observational, single-center study compared the progression and outcomes of patients who were preemptively hospitalized versus those who were hospitalized based on an SpO(2) ⩽90%. We recorded patient demographics, clinical characteristics, COVID-19 symptoms, and oxygen requirement at admission. We calculated the risk of disease progression and the benefit of preemptive hospitalization, stratified by CALL Score: age, lymphocyte count, and lactate dehydrogenase (<8 and ⩾8) at admission. RESULTS: Preemptive hospitalization significantly reduced the requirement for oxygen therapy (odds ratio 0.45, 95% confidence interval 0.31–0.66), admission to the intensive care unit (ICU) (0.37, 0.23–0.60), requirement for invasive mechanical ventilation (IMV) (0.40, 0.25–0.64), and mortality (0.22, 0.10–0.50). Stratification by CALL score at admission showed that the benefit of preemptive hospitalization remained significant for patients requiring oxygen therapy (0.51, 0.31–0.83), admission to the ICU (0.48, 0.27–0.86), and IMV (0.51, 0.28–0.92). Mortality risk remained significantly reduced (0.19, 0.07–0.48). CONCLUSION: Preemptive hospitalization reduced the rate of disease progression and may be beneficial for improving COVID-19 patient outcomes. SAGE Publications 2021-08-27 /pmc/articles/PMC8404663/ /pubmed/34471535 http://dx.doi.org/10.1177/20499361211040325 Text en © The Author(s), 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Vazquez, Rafael Ricardo Valdez Gallardo-Rincón, Héctor Lomelín-Gascon, Julieta Ville Benavides, Rodrigo Juárez, Linda Morales Bello, Héctor Herrera Castañeda, Lidia Moreno Chavarria, Adrian Palacios Castillo, Pablo Escalera Gonzalez, Luis Esteban Ramirez Avendaño, Mónica Arboleya Berlanga, Santiago Treviño Loza, Reyna Albertina Rosas Wyssmann, Renate Victoria Álvarez Lezama, Erika Salinas Romero, Alonso Gutiérrez Ortega, María Dolores Niembro Acosta, Liudmila Villegas Schotman, Ailyn Cendejas Montoya, Jennifer Bertin Rodriguez, Andrea Gonzalez Ramos, Laura María Badel Martinez-Juarez, Luis Alberto Saucedo-Martínez, Rodrigo Montoya, Alejandra Tapia-Conyer, Roberto Impact of preemptive hospitalization on health outcomes at the temporary COVID-19 hospital in Mexico City: a prospective observational study |
title | Impact of preemptive hospitalization on health outcomes at the temporary COVID-19 hospital in Mexico City: a prospective observational study |
title_full | Impact of preemptive hospitalization on health outcomes at the temporary COVID-19 hospital in Mexico City: a prospective observational study |
title_fullStr | Impact of preemptive hospitalization on health outcomes at the temporary COVID-19 hospital in Mexico City: a prospective observational study |
title_full_unstemmed | Impact of preemptive hospitalization on health outcomes at the temporary COVID-19 hospital in Mexico City: a prospective observational study |
title_short | Impact of preemptive hospitalization on health outcomes at the temporary COVID-19 hospital in Mexico City: a prospective observational study |
title_sort | impact of preemptive hospitalization on health outcomes at the temporary covid-19 hospital in mexico city: a prospective observational study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8404663/ https://www.ncbi.nlm.nih.gov/pubmed/34471535 http://dx.doi.org/10.1177/20499361211040325 |
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