TY - JOUR
T1 - Clinical characteristics and risk factors for mortality of patients with COVID-19 in a large data set from Mexico
AU - Parra-Bracamonte, Gaspar Manuel
AU - Lopez-Villalobos, Nicolas
AU - Parra-Bracamonte, Francisco E.
N1 - Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/12
Y1 - 2020/12
N2 - Purpose: The purpose of this study was to assess clinical characteristics and risk factors for mortality of patients with coronavirus disease 2019 (COVID-19) from Mexico, given that it currently is in active community transmission. Methods: Multivariate logistic regression model and Kaplan–Meier survival curves were fitted to study odds of death of characteristics and comorbidities in patients with COVID-19 in Mexico. Results: Age, sex, and the most frequent comorbidities diabetes, obesity, and hypertension were significantly associated to the risk of death by COVID-19 (P < .0001). Smoking habit was not identified as a risk factor for death. Less-frequent comorbidities such as chronic obstructive pulmonary disease, chronic kidney disease, and patients with immunosuppressed conditions also showed a significant risk for death (P < .0001). Hospitalized patients and those with pneumonia had serious risks for mortality (P < .0001), and more attention to specific conditions might be considered during clinical admission. Conclusions: A more vulnerable positive patient is depicted by a male patient, older than 41 years, which increases their risk with more prevalent comorbidities such as diabetes, hypertension, and obesity. Some implications on outcomes are discussed.
AB - Purpose: The purpose of this study was to assess clinical characteristics and risk factors for mortality of patients with coronavirus disease 2019 (COVID-19) from Mexico, given that it currently is in active community transmission. Methods: Multivariate logistic regression model and Kaplan–Meier survival curves were fitted to study odds of death of characteristics and comorbidities in patients with COVID-19 in Mexico. Results: Age, sex, and the most frequent comorbidities diabetes, obesity, and hypertension were significantly associated to the risk of death by COVID-19 (P < .0001). Smoking habit was not identified as a risk factor for death. Less-frequent comorbidities such as chronic obstructive pulmonary disease, chronic kidney disease, and patients with immunosuppressed conditions also showed a significant risk for death (P < .0001). Hospitalized patients and those with pneumonia had serious risks for mortality (P < .0001), and more attention to specific conditions might be considered during clinical admission. Conclusions: A more vulnerable positive patient is depicted by a male patient, older than 41 years, which increases their risk with more prevalent comorbidities such as diabetes, hypertension, and obesity. Some implications on outcomes are discussed.
KW - Comorbidity
KW - Mexico
KW - Odds ratio
KW - SARS-CoV-2
KW - Survival probability
UR - http://www.scopus.com/inward/record.url?scp=85090481564&partnerID=8YFLogxK
U2 - 10.1016/j.annepidem.2020.08.005
DO - 10.1016/j.annepidem.2020.08.005
M3 - Artículo
C2 - 32798701
AN - SCOPUS:85090481564
SN - 1047-2797
VL - 52
SP - 93-98.e2
JO - Annals of Epidemiology
JF - Annals of Epidemiology
ER -