Clinical characteristics and risk factors for mortality of patients with COVID-19 in a large data set from Mexico

Gaspar Manuel Parra-Bracamonte, Nicolas Lopez-Villalobos, Francisco E. Parra-Bracamonte

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103 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)93-98.e2
JournalAnnals of Epidemiology
Volume52
DOIs
StatePublished - Dec 2020

Keywords

  • Comorbidity
  • Mexico
  • Odds ratio
  • SARS-CoV-2
  • Survival probability

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