RT info:eu-repo/semantics/article
T1 Mortality and critical conditions in COVID-19 patients at private hospitals: weekend effect?
A1 González‐Gancedo, Jacob
A1 Morales Cané, Ignacio
A1 Rodríguez Muñoz, Pedro Manuel
A1 Hidalgo Lopezosa, Pedro
A1 Valverde León, María del Rocío
A1 Fernández Martínez, María Elena
A1 Fabbian, Fabio
A1 Rodríguez Borrego, María Aurora
A1 López Soto, Pablo Jesús
A2 Enfermeria
K1 Enfermería
K1 COVID-19
K1 D-dimer
K1 Comorbilities
K1 Critical care
K1 Intensive care units
AB OBJECTIVE: The aim of the study was to find factors associated with the mortality of admission to the intensive care unit (ICU) in patients with COVID-19. MATERIALS AND METHODS: Retrospective observational study with a database of 1987 patients with COVID-19 who had attended the emergency department of a private hospital network between February 2020 and April 2020 were analyzed. Clinical variables and some laboratory parameters were studied. The Charlson and Elixhauser comorbidity indices were calculated. The dependent variables were mortality and admission to the ICU. A descriptive and correlational analysis was performed. Logistic regression models and Kaplan-Meier survival curves were established. RESULTS: Positive correlations were observed between age, creatinine, and D-dimer levels, as well as with the scores obtained with the Charlson and Elixhauser indices. Differences in the levels of these parameters were also observed when analyzing variables such as mortality, sex or admission to the ICU. Mortality was associated with high creatinine and D-dimer levels and advanced age. Survival curves indicated longer survival in patients not admitted to the ICU, admitted to the hospital during the week, and in those with lower creatinine and D-dimer levels. CONCLUSIONS: Mortality in Spanish patients with COVID-19 admitted to private hospitals was associated with high creatinine and D-dimer levels and advanced age. Longer survival was obtained on weekdays. This study provides valuable information on the management and nursing care of these patients in order to optimize resources in pandemic situations.
PB Verduci
LK https://hdl.handle.net/10612/17498
UL https://hdl.handle.net/10612/17498
NO González-Gancedo J, Morales-Cané I, Rodríguez-Muñoz PM, Hidalgo-Lopezosa P, Del Rocío Valverde-León M, Fernández-Martínez ME, Fabbian F, Rodríguez-Borrego MA, López-Soto PJ. Mortality and critical conditions in COVID-19 patients at private hospitals: weekend effect? Eur Rev Med Pharmacol Sci. 2021 Apr;25(8):3377-3385. doi: 10.26355/eurrev_202104_25750. PMID: 339286
DS BULERIA. Repositorio Institucional de la Universidad de León
RD Jul 6, 2024