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Epidemiological Profile and Social Welfare Index as Factors Associated with COVID-19 Hospitalization and Severity in Mexico City: A Retrospective Analysis

Epidemiological data indicate that Mexico holds the 19th place in cumulative cases (5506.53 per 100,000 inhabitants) of COVID-19 and the 5th place in cumulative deaths (256.14 per 100,000 inhabitants) globally and holds the 4th and 3rd place in cumulative cases and deaths in the Americas region, res...

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Autores principales: Téllez-González, Mario Antonio, Pineda-Juárez, Juan Antonio, Suárez-Cuenca, Juan Antonio, Escamilla-Tilch, Mónica, Santillán-Cortez, Daniel, García, Silvia, Alcaraz-Estrada, Sofía Lizeth, Pérez-Razo, Juan Carlos, Delgado-Quintana, Carlos Alberto, Vargas-Hernández, Joel, Muñoz-López, Sandra, Escarela-Serrano, Maricela, Santosbeña-Lagunes, Maribel, Alanís-Vega, Alejandro, Vázquez-Alvarado, Ricardo Platón, Merino-Rajme, José Alfredo, Mondragón-Terán, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690264/
https://www.ncbi.nlm.nih.gov/pubmed/36429525
http://dx.doi.org/10.3390/ijerph192214803
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author Téllez-González, Mario Antonio
Pineda-Juárez, Juan Antonio
Suárez-Cuenca, Juan Antonio
Escamilla-Tilch, Mónica
Santillán-Cortez, Daniel
García, Silvia
Alcaraz-Estrada, Sofía Lizeth
Pérez-Razo, Juan Carlos
Delgado-Quintana, Carlos Alberto
Vargas-Hernández, Joel
Muñoz-López, Sandra
Escarela-Serrano, Maricela
Santosbeña-Lagunes, Maribel
Alanís-Vega, Alejandro
Vázquez-Alvarado, Ricardo Platón
Merino-Rajme, José Alfredo
Mondragón-Terán, Paul
author_facet Téllez-González, Mario Antonio
Pineda-Juárez, Juan Antonio
Suárez-Cuenca, Juan Antonio
Escamilla-Tilch, Mónica
Santillán-Cortez, Daniel
García, Silvia
Alcaraz-Estrada, Sofía Lizeth
Pérez-Razo, Juan Carlos
Delgado-Quintana, Carlos Alberto
Vargas-Hernández, Joel
Muñoz-López, Sandra
Escarela-Serrano, Maricela
Santosbeña-Lagunes, Maribel
Alanís-Vega, Alejandro
Vázquez-Alvarado, Ricardo Platón
Merino-Rajme, José Alfredo
Mondragón-Terán, Paul
author_sort Téllez-González, Mario Antonio
collection PubMed
description Epidemiological data indicate that Mexico holds the 19th place in cumulative cases (5506.53 per 100,000 inhabitants) of COVID-19 and the 5th place in cumulative deaths (256.14 per 100,000 inhabitants) globally and holds the 4th and 3rd place in cumulative cases and deaths in the Americas region, respectively, with Mexico City being the most affected area. Several modifiable and non-modifiable risk factors have been linked to a poor clinical outcome in COVID-19 infection; however, whether socioeconomic and welfare factors are associated with clinical outcome has been scanty addressed. This study tried to investigate the association of Social Welfare Index (SWI) with hospitalization and severity due to COVID-19. A retrospective analysis was conducted at the Centro Médico Nacional “20 de Noviembre”—ISSSTE, based in Mexico City, Mexico. A total of 3963 patients with confirmed or suspected COVID-19, registered from March to July 2020, were included, retrieved information from the Virology Analysis and Reference Unit Database. Demographic, symptoms and clinical data were analyzed, as well as the SWI, a multidimensional parameter based on living and household conditions. An adjusted binary logistic regression model was performed in order to compare the outcomes of hospitalization, mechanical ventilation requirement (MVR) and mortality between SWI categories: Very high (VHi), high (Hi), medium (M) and low (L). The main findings show that lower SWI were independently associated with higher probability for hospital entry: VHi vs. Hi vs. M vs. L-SWI (0 vs. +0.24 [OR = 1.24, CI(95%) 1.01–1.53] vs. +0.90 [OR = 1.90, CI(95%) 1.56–2.32] vs. 0.73 [OR = 1.73, CI(95%) 1.36–2.19], respectively); Mechanical Ventilation Requirement: VHi vs. M vs. L-SWI (0 vs. +0.45 [OR = 1.45, CI(95%) 1.11–1.87] vs. +0.35 [OR = 1.35, CI(95%) 1.00–1.82]) and mortality: VHi vs. Hi vs. M (0 vs. +0.54 [OR = 1.54, CI(95%) 1.22–1.94] vs. +0.41 [OR = 1.41, CI(95%) 1.13–1.76]). We concluded that SWI was independently associated with the poor clinical outcomes in COVID-19, beyond demographic, epidemiological and clinical characteristics.
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spelling pubmed-96902642022-11-25 Epidemiological Profile and Social Welfare Index as Factors Associated with COVID-19 Hospitalization and Severity in Mexico City: A Retrospective Analysis Téllez-González, Mario Antonio Pineda-Juárez, Juan Antonio Suárez-Cuenca, Juan Antonio Escamilla-Tilch, Mónica Santillán-Cortez, Daniel García, Silvia Alcaraz-Estrada, Sofía Lizeth Pérez-Razo, Juan Carlos Delgado-Quintana, Carlos Alberto Vargas-Hernández, Joel Muñoz-López, Sandra Escarela-Serrano, Maricela Santosbeña-Lagunes, Maribel Alanís-Vega, Alejandro Vázquez-Alvarado, Ricardo Platón Merino-Rajme, José Alfredo Mondragón-Terán, Paul Int J Environ Res Public Health Article Epidemiological data indicate that Mexico holds the 19th place in cumulative cases (5506.53 per 100,000 inhabitants) of COVID-19 and the 5th place in cumulative deaths (256.14 per 100,000 inhabitants) globally and holds the 4th and 3rd place in cumulative cases and deaths in the Americas region, respectively, with Mexico City being the most affected area. Several modifiable and non-modifiable risk factors have been linked to a poor clinical outcome in COVID-19 infection; however, whether socioeconomic and welfare factors are associated with clinical outcome has been scanty addressed. This study tried to investigate the association of Social Welfare Index (SWI) with hospitalization and severity due to COVID-19. A retrospective analysis was conducted at the Centro Médico Nacional “20 de Noviembre”—ISSSTE, based in Mexico City, Mexico. A total of 3963 patients with confirmed or suspected COVID-19, registered from March to July 2020, were included, retrieved information from the Virology Analysis and Reference Unit Database. Demographic, symptoms and clinical data were analyzed, as well as the SWI, a multidimensional parameter based on living and household conditions. An adjusted binary logistic regression model was performed in order to compare the outcomes of hospitalization, mechanical ventilation requirement (MVR) and mortality between SWI categories: Very high (VHi), high (Hi), medium (M) and low (L). The main findings show that lower SWI were independently associated with higher probability for hospital entry: VHi vs. Hi vs. M vs. L-SWI (0 vs. +0.24 [OR = 1.24, CI(95%) 1.01–1.53] vs. +0.90 [OR = 1.90, CI(95%) 1.56–2.32] vs. 0.73 [OR = 1.73, CI(95%) 1.36–2.19], respectively); Mechanical Ventilation Requirement: VHi vs. M vs. L-SWI (0 vs. +0.45 [OR = 1.45, CI(95%) 1.11–1.87] vs. +0.35 [OR = 1.35, CI(95%) 1.00–1.82]) and mortality: VHi vs. Hi vs. M (0 vs. +0.54 [OR = 1.54, CI(95%) 1.22–1.94] vs. +0.41 [OR = 1.41, CI(95%) 1.13–1.76]). We concluded that SWI was independently associated with the poor clinical outcomes in COVID-19, beyond demographic, epidemiological and clinical characteristics. MDPI 2022-11-10 /pmc/articles/PMC9690264/ /pubmed/36429525 http://dx.doi.org/10.3390/ijerph192214803 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Téllez-González, Mario Antonio
Pineda-Juárez, Juan Antonio
Suárez-Cuenca, Juan Antonio
Escamilla-Tilch, Mónica
Santillán-Cortez, Daniel
García, Silvia
Alcaraz-Estrada, Sofía Lizeth
Pérez-Razo, Juan Carlos
Delgado-Quintana, Carlos Alberto
Vargas-Hernández, Joel
Muñoz-López, Sandra
Escarela-Serrano, Maricela
Santosbeña-Lagunes, Maribel
Alanís-Vega, Alejandro
Vázquez-Alvarado, Ricardo Platón
Merino-Rajme, José Alfredo
Mondragón-Terán, Paul
Epidemiological Profile and Social Welfare Index as Factors Associated with COVID-19 Hospitalization and Severity in Mexico City: A Retrospective Analysis
title Epidemiological Profile and Social Welfare Index as Factors Associated with COVID-19 Hospitalization and Severity in Mexico City: A Retrospective Analysis
title_full Epidemiological Profile and Social Welfare Index as Factors Associated with COVID-19 Hospitalization and Severity in Mexico City: A Retrospective Analysis
title_fullStr Epidemiological Profile and Social Welfare Index as Factors Associated with COVID-19 Hospitalization and Severity in Mexico City: A Retrospective Analysis
title_full_unstemmed Epidemiological Profile and Social Welfare Index as Factors Associated with COVID-19 Hospitalization and Severity in Mexico City: A Retrospective Analysis
title_short Epidemiological Profile and Social Welfare Index as Factors Associated with COVID-19 Hospitalization and Severity in Mexico City: A Retrospective Analysis
title_sort epidemiological profile and social welfare index as factors associated with covid-19 hospitalization and severity in mexico city: a retrospective analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690264/
https://www.ncbi.nlm.nih.gov/pubmed/36429525
http://dx.doi.org/10.3390/ijerph192214803
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