Al Balwi Wala M, AlGhamdi Nouf, Alshahrani Reem, Abdelrahman Ihssan H, Mahmoud Sami, Al-Hamad Ali, Al Hamzah Salma, Al Jraid Fahad, Al Turki Maha, Al Balwi Mohammed A
Department of Clinical Nutrition, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Centre, National Guard Health Affairs, Riyadh, Saudi Arabia.
Ann Thorac Med. 2023 Apr-Jun;18(2):98-102. doi: 10.4103/atm.atm_435_22. Epub 2023 Apr 25.
Coronavirus disease 2019 (COVID-19) became a global pandemic that may be associated with significant associated risk factors.
The aim of this study was to evaluate the factors predisposing risk to death in COVID-19 patients.
This is a retrospective study that presents the demographic, clinical presentation, and laboratory findings on our patients to determine risk factors contributing to their COVID-19 outcome.
We used logistic regression (odds ratios) to examine associations between clinical findings and risk of death in COVID-19 patients. All analyses were done using STATA 15.
A total of 206 COVID-19 patients were investigated, 28 of them died, and 178 survived. Expired patients were older (74.04 ± 14.45 vs. 55.56 ± 18.41 in those who survived) and mainly of male gender (75% vs. 42% in those who survived). The following factors were strong predictors of death: hypertension (OR: 5.48, 95% CI: 2.10-13.59, < 0.001), cardiac disease (OR: 5.08, 95% CI: 1.88-13.74, = 0.001), and hospital admission (OR: 39.75, 95% CI: 5.28-299.12, < 0.001). In addition, blood group B was more frequent in expired patients (OR: 2.27, 95% CI: 0.78-5.95, = 0.065).
Our work adds to the current knowledge about the factors predisposing to death in COVID-19 patient. In our cohort, expired patients were of older age and male gender plus they were more likely to have hypertension, cardiac disease, and hospital severe disease. These factors might be used to evaluate risk of death in patients recently diagnosed of COVID-19.
2019年冠状病毒病(COVID-19)成为一场全球大流行疾病,可能与重大相关风险因素有关。
本研究旨在评估COVID-19患者死亡的易感因素。
这是一项回顾性研究,展示了我们患者的人口统计学、临床表现和实验室检查结果,以确定导致其COVID-19病情转归的风险因素。
我们使用逻辑回归(比值比)来研究COVID-19患者临床检查结果与死亡风险之间的关联。所有分析均使用STATA 15完成。
共调查了206例COVID-19患者,其中28例死亡,178例存活。死亡患者年龄较大(74.04±14.45岁,而存活患者为55.56±18.41岁),且主要为男性(75%,而存活患者为42%)。以下因素是死亡的强预测因素:高血压(比值比:5.48,95%置信区间:2.10 - 13.59,P<0.001)、心脏病(比值比:5.08,95%置信区间:1.88 - 13.74,P = 0.001)以及住院(比值比:39.75,95%置信区间:5.28 - 299.12,P<0.001)。此外,血型为B型在死亡患者中更常见(比值比:2.27,95%置信区间:0.78 - 5.95,P = 0.065)。
我们的研究为当前关于COVID-19患者死亡易感因素的知识增添了内容。在我们的队列中,死亡患者年龄较大且为男性,此外他们更有可能患有高血压、心脏病以及病情严重需住院治疗。这些因素可用于评估近期诊断为COVID-19患者的死亡风险。