Title
Factors associated with mortality due to COVID-19 in patients from a public hospital in Tacna, Peru
Other title
Factores asociados a la muerte por covid-19 en pacientes admitidos en un hospital público en Tacna, Perú
Date Issued
01 April 2021
Access level
open access
Resource Type
journal article
Author(s)
Hueda-Zavaleta M.
Bardales-Silva F.
Flores-Palacios R.
Barreto-Rocchetti L.
Publisher(s)
Instituto Nacional de Salud
Abstract
Objective: To describe the clinical, laboratory and treatment characteristics of COVID-19 patients and to determine the factors associated with mortality during hospital stay. Materials and Methods: Retrospective cohort study of adult COVID-19 inpatients. The clinical, laboratory and treatment data were obtained from the medical records of patients from the Hospital Nivel III Daniel Alcides Carrión in Tacna. For the survival analysis we used the Cox proportional hazards model, and we calculated crude and adjusted hazard ratios (HR) with 95% confidence intervals (95% CI). Results: We evaluated 351 patients; 74.1% of them were men. The most common comorbidities were obesity (31.6%), hypertension (27.1%) and diabetes mellitus (24.5%). The median time of hospitalization was 8 days (IQR: 4-15). From the total of patients, 32.9% died during follow-up. The multivariate analysis showed an increased risk of dying associated with the following: Age ≥65 years, HR = 3.55 (95% CI: 1.70-7.40); increase in lactate dehydrogenase >720 U/L, HR = 2.08 (95% CI: 1.34-3.22); and oxygen saturation less than 90%, mainly when it was less than 80%, HR = 4.07 (95% CI: 2.10-7.88). In addition, the use of colchicine during treatment showed a protective effect, HR = 0.46 (95% CI: 0.23-0.91). Conclusions: Risk factors for mortality due to COVID-19 included being older than 65 years, having oxygen saturation less than 90%, and elevated lactate dehydrogenase >720 U/L; colchicine treatment could improve the prognosis of patients.
Start page
214
End page
223
Volume
38
Issue
2
Language
Spanish
OCDE Knowledge area
Enfermedades infecciosas
Epidemiología
Salud pública, Salud ambiental
Subjects
Scopus EID
2-s2.0-85113834144
PubMed ID
Source
Revista Peruana de Medicina Experimental y Salud Publica
ISSN of the container
17264634
Sources of information:
Directorio de Producción Científica
Scopus