Risk factors for death by COVID-19, public hospital in Ciudad Juárez, México

墨西哥华雷斯城公立医院 COVID-19 死亡的危险因素

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Abstract

BACKGROUND: On March 11, 2020, a COVID-19 pandemic was declared for a novel coronavirus named SARS-CoV-2 virus. This virus induces a severe inflammatory response, producing death in patients with COVID-19 disease, in México, in 2021, COVID-19 mortality becomes the second cause of death, with higher mortality in persons with previous conditions like chronic non-communicable diseases. OBJECTIVE: To identify the risk factors associated with deaths in patients diagnosed with COVID-19 from January 1 to December 31, 2021, hospitalized in a clinic of IMSS in Ciudad Juárez, Chihuahua, México. MATERIAL AND METHODS: An observational, cross-sectional, analytical study was used. Information from patients with confirmed diagnostic of COVID-19 was collected from the SINOLAVE platform and medical records. To identify risk factors, univariate and multivariate logistic regression was used. RESULTS: A total of 277 patients were included, 51.62% were male, the rest were female. Death from COVID-19 were associated with age (OR: 1.03; 95%CI: 1.01 - 1.06, p ≤ 0.001), chronic kidney disease (OR: 3.20; 95%CI: 1.58 - 6.48, p ≤ 0.001) chronic neurological diseases (OR: 5.27; 95%CI: 1.30 - 20.03, p ≤ 0.05), and chronic obstructive pulmonary diseases (OR: 12.24; 95%CI: 1.44 - 103.82, p ≤ 0.05); the proportion of death by sex were similar in the study. CONCLUSION: Age, chronic kidney disease, chronic neurological disease, and chronic obstructive pulmonary diseases were associated with death in patients with COVID-19. It's important to prevent and control chronic non-communicable diseases; the distribution was similar in both sexes.

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