RT info:eu-repo/semantics/article
T1 Cause-specific death in hospitalized individuals infected with SARS-CoV-2: more than just acute respiratory failure or thromboembolic events
A1 Cobos-Siles, Marta
A1 Cubero-Morais, Pablo
A1 Arroyo-Jimenez, Irene
A1 Rey-Hernandez, Maria
A1 Hernandez-Gomez, Laura
A1 Vargas-Parra, Derly Judith
A1 Gonzalez-Fernandez, Maria
A1 Cazorla-Gonzalez, Marina
A1 Gabella-Martin, Miriam
A1 Ruiz-Albi, Tomas
A1 Berezo-Garcia, Jose Angel
A1 Garcia-Cruces-Mendez, Jesus Fernando
A1 Miramontes González, José Pablo
A1 Corral-Gudino, Luis
K1 Age distribution; COVID-19; Cause of death; Frail elderly; Hospital mortality; Risk facto
K1 3205 Medicina Interna
K1 3205.05 Enfermedades Infecciosas
AB Infection with SARS-CoV-2 is becoming the leading cause of death in most countries during the 2020 pandemic. The objective of this study is to assess the association between COVID-19 and cause-specific death. The design is retrospective cohort study. We included data from inpatients diagnosed with COVID-19 between March 18 and April 21, 2020, who died during their hospital stay. Demographic, clinical and management data were collected. Causes of death were ascertained by review of medical records. The sample included 128 individuals. The median age was 84 (IQR 75-89), 57% were men. In 109 patients, the death was caused by SARS-CoV-2 infection, whereas in 19 (14.8%, 95 CI 10-22%), the infection acted only as a precipitating factor to decompensate other pathologies. This second group of patients was older (88y vs 82, p < 0.001). In age-adjusted analysis, they had a greater likelihood of heart failure (OR 3.61 95% CI 1.15-11.32), dependency in activities of daily living (OR 12.07 95% CI 1.40-103.86), frailty (OR 8.73 95% CI 1.37-55.46). The presence of X-ray infiltrates was uncommon (OR 0.07, 95% CI 0.02-0.25). A higher percentage of patient deaths from causes unrelated to COVID-19 complications occurred during the two first weeks of the pandemic. Fifteen percent of patients with COVID-19 infection died from decompensation of other pathologies and the cause of death was unrelated to COVID-19 severe complications. Most of these patients had more comorbidities and were frail and elderly. These findings can partially explain the excess mortality in older people.
PB Springer
SN 1828-0447
YR 2020
FD 2020
LK https://uvadoc.uva.es/handle/10324/65042
UL https://uvadoc.uva.es/handle/10324/65042
LA eng
NO Internal and Emergency Medicine, September 2020, vol 15, p. 1533-1544
NO Producción Científica
DS UVaDOC
RD 23-may-2024