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282371

Predictor Factors of Mortality among Hospitalized COVID-19 Patients: Retrospective Cohort Study in A Quarantine Hospital

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Last updated: 24 Dec 2024

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Abstract

Background: Over 630 million COVID-19 instances have been documented worldwide, and there have been close to 6.5 million fatalities. The primary methods for evaluating the effects of various variables on the COVID-19 mortality rate have centred on individual comorbidities and risk factors related to ageing. Objective: We looked at the connection between COVID-19 degree upon admittance to a quarantined hospital and risk of patient death with an emphasis on several prospective therapies in order to present additional evidences. Patients and methods: 338 participants who were admitted to Ain Shams University Hospitals were the subjects of a retrospective cohort analysis from April 20, 2020, to July 30, 2020, of whom 317 individuals had documented outcomes (hospital discharge or fatal prognosis). Applying logistic regression analysis, it was possible to determine the adjusted hazard variables for fatal outcome. Results: At the univariate stage, individuals who were elderly, smokers, hypertensives, diabetics, and individuals with chronic kidney disease (CKD), as well as those taking steroids, tocilizumab, or enoxaparin sodium, were more likely to have a fatal outcome. Diabetes mellitus (DM) is a strong indicator of death due to its high prevalence (65%) in COVID-19 participants who did not survive. The multivariable investigation suggests only 2 factors from the risk categories significantly related with fatal outcome in the univariate study: older age and steroid use. Conclusion: The use of steroids may be more indicative of the degree of the illness than a terminal prognosis. Steroids are frequently administered to participants who have severe respiratory problems or indications, therefore cause effect bias is extremely possible. Additional research is required to verify the advantages of various drugs in COVID-19 individuals.  

DOI

10.21608/ejhm.2023.282371

Keywords

COVID-19, hospital, ICU, severity, risk factors, mortality, Ain Shams university

Authors

First Name

Shaimaa H

Last Name

Fouad

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Orcid

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First Name

Mayada

Last Name

Moneer

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Orcid

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First Name

Sara

Last Name

Ibrahim

MiddleName

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First Name

Ahmed Ashraf

Last Name

Okba

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First Name

Amr

Last Name

Hosny

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First Name

Sylvia W

Last Name

Roman

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Orcid

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First Name

Inas

Last Name

Ali

MiddleName

Abd El Rahim

Affiliation

Family & Community Medicine Department, Faculty of Medicine, Misr University for Science & Technology MUST, Giza, Egypt

Email

inas.abdelrahim@must.edu.eg

City

-

Orcid

0000-0002-8499-5919

First Name

Mohamed Farouk

Last Name

Allam

MiddleName

-

Affiliation

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Email

farouk.allam@med.asu.edu.eg

City

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Orcid

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Volume

90

Article Issue

1

Related Issue

38787

Issue Date

2023-01-01

Receive Date

2023-01-26

Publish Date

2023-01-01

Page Start

1,472

Page End

1,475

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_282371.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=282371

Order

220

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Predictor Factors of Mortality among Hospitalized COVID-19 Patients: Retrospective Cohort Study in A Quarantine Hospital

Details

Type

Article

Created At

30 Jan 2023