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Risk Factors Associated with Mortality among Patients with COVID-19: Analysis of a Cohort of 1213 Patients in a Tertiary Healthcare Center

The presence of cardio-metabolic and respiratory comorbidities, immunosuppression, and chronic kidney disease have been associated with an increase in mortality from COVID-19. The objective of this study is to establish the risk factors associated with 30-day mortality in a cohort of hospitalized pa...

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Detalles Bibliográficos
Autores principales: Romero-Gameros, Carlos Alfonso, Vargas-Ortega, Guadalupe, Rendón-Macias, Mario Enrique, Cuevas-García, Carlos Fredy, Colín-Martínez, Tania, Sánchez-Hurtado, Luis Alejandro, Balcázar-Hernández, Lourdes Josefina, De la Cruz-Rodríguez, Iván Emilio, Pérez-Dionisio, Enid Karina, Retana-Torres, Perla Michelle, García-Montesinos, Elsy Sarahí, López-Moreno, Mayra Alejandra, Intriago-Alor, Marielle, Waizel-Haiat, Salomón, González-Virla, Baldomero
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9144482/
https://www.ncbi.nlm.nih.gov/pubmed/35628907
http://dx.doi.org/10.3390/jcm11102780
Descripción
Sumario:The presence of cardio-metabolic and respiratory comorbidities, immunosuppression, and chronic kidney disease have been associated with an increase in mortality from COVID-19. The objective of this study is to establish the risk factors associated with 30-day mortality in a cohort of hospitalized patients with COVID-19. This paper conducts a retrospective and analytical study of patients hospitalized for COVID-19 in a tertiary care center. A Cox proportional hazard analysis was performed to estimate the association of comorbidities with 30-day mortality. A total of 1215 patients with a median age of 59 years were included. In the adjusted Cox proportional hazards regression model, hypothyroidism, D-dimer ≥ 0.8 μg/mL, LHD ≥ 430 IU/L, CRP ≥ 4.83 ng/mL, and triglycerides ≥ 214 mg/dL were associated with an increased risk of death. The presence of a history of hypothyroidism and biomarkers (D-dimer, lactic dehydrogenase, CRP, and triglycerides) were associated with an increase in mortality in the studied cohort.