Association of patient characteristics with clinical outcomes in a cohort of hospitalised patients with SARS-CoV-2 infection in a Greek referral centre for COVID-19.


Journal

Epidemiology and infection
ISSN: 1469-4409
Titre abrégé: Epidemiol Infect
Pays: England
ID NLM: 8703737

Informations de publication

Date de publication:
16 08 2022
Historique:
medline: 15 6 2023
pubmed: 14 6 2023
entrez: 14 6 2023
Statut: epublish

Résumé

Patient-important outcomes related to coronavirus disease 2019 (COVID-19) continue to drive the pandemic response across the globe. Various prognostic factors for COVID-19 severity have emerged and their replication across different clinical settings providing health services is ongoing. We aimed to describe the clinical characteristics and their association with outcomes in patients hospitalised with COVID-19 in the University Hospital of Ioannina. We assessed a cohort of 681 consecutively hospitalised patients with COVID-19 from January 2020 to December 2021. Demographic data, underlying comorbidities, clinical presentation, biochemical markers, radiologic findings, COVID-19 treatment and outcome data were collected at the first day of hospitalisation and up to 90 days. Multivariable Cox regression analyses were performed to investigate the associations between clinical characteristics (hazard ratios (HRs) per standard deviation (s.d.)) with intubation and/or mortality status. The participants' mean age was 62.8 (s.d., 16.9) years and 57% were males. The most common comorbidities were hypertension (45%), cardiovascular disease (19%) and diabetes mellitus (21%). Patients usually presented with fever (81%), cough (50%) and dyspnoea (27%), while lymphopenia and increased inflammatory markers were the most common laboratory abnormalities. Overall, 55 patients (8%) were intubated, and 86 patients (13%) died. There were statistically significant positive associations between intubation or death with age (HR: 2.59; 95% CI 1.52-4.40), lactate dehydrogenase (HR: 1.44; 95% CI 1.04-1.98), pO

Identifiants

pubmed: 37313720
doi: 10.1017/S0950268822001364
pii: S0950268822001364
pmc: PMC9464503
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e160

Références

BMJ Open. 2021 Oct 4;11(10):e051164
pubmed: 34607868
JAMA. 2020 Aug 25;324(8):782-793
pubmed: 32648899
JAMA Netw Open. 2020 Jun 1;3(6):e2012270
pubmed: 32543702
Eur Respir J. 2022 Feb 3;59(2):
pubmed: 34172467
JAMA. 2020 May 26;323(20):2052-2059
pubmed: 32320003
Chest. 2021 Mar;159(3):1019-1040
pubmed: 33129791
Travel Med Infect Dis. 2020 Mar - Apr;34:101623
pubmed: 32179124
Radiology. 2020 Jun;295(3):200463
pubmed: 32077789
BMJ Open. 2021 Aug 16;11(8):e047369
pubmed: 34400452
JAMA. 2012 Jun 20;307(23):2526-33
pubmed: 22797452
J Hematol Oncol. 2020 Oct 8;13(1):133
pubmed: 33032660
JAMA. 2020 Apr 28;323(16):1574-1581
pubmed: 32250385
Clin Microbiol Infect. 2020 Nov;26(11):1525-1536
pubmed: 32758659
Clin Infect Dis. 2021 Dec 6;73(11):e4113-e4123
pubmed: 33337474
MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):458-464
pubmed: 32298251
N Engl J Med. 2020 Apr 30;382(18):1708-1720
pubmed: 32109013
Ann Am Thorac Soc. 2021 Jun;18(6):1020-1026
pubmed: 33395553
Intensive Care Med. 2021 Jan;47(1):60-73
pubmed: 33211135
Intern Emerg Med. 2021 Jun;16(4):989-996
pubmed: 33620680
Hypertension. 2020 Jun;75(6):1334-1357
pubmed: 32370572
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
Lancet. 2020 May 30;395(10238):1715-1725
pubmed: 32405103
Sci Rep. 2020 Nov 26;10(1):20731
pubmed: 33244144
Nutr Metab Cardiovasc Dis. 2021 Mar 10;31(3):745-755
pubmed: 33549450
Circulation. 2019 Sep 10;140(11):e596-e646
pubmed: 30879355
Int J Infect Dis. 2021 Oct;111:37-42
pubmed: 34380089
J Gen Intern Med. 2021 Oct;36(10):3080-3087
pubmed: 34379281
BMC Infect Dis. 2021 Aug 21;21(1):855
pubmed: 34418980
JAMA. 2020 Jun 2;323(21):2195-2198
pubmed: 32329797
PLoS One. 2020 Aug 21;15(8):e0237960
pubmed: 32822413
BMJ. 2020 May 22;369:m1985
pubmed: 32444460
Biomark Res. 2020 Aug 31;8:37
pubmed: 32879731
JAMA. 2021 Aug 10;326(6):499-518
pubmed: 34228774

Auteurs

I Rapti (I)

Department of Internal Medicine, Ioannina University Hospital, University of Ioannina, Ioannina, Greece.

A Asimakopoulos (A)

Clinical and Molecular Epidemiology Unit, Department of Hygiene and Epidemiology, School of Medicine, University of Ioannina, Ioannina, Greece.

A Liontos (A)

Department of Internal Medicine, Ioannina University Hospital, University of Ioannina, Ioannina, Greece.

M Kosmidou (M)

Department of Internal Medicine, Ioannina University Hospital, University of Ioannina, Ioannina, Greece.

E Christaki (E)

Department of Internal Medicine, Ioannina University Hospital, University of Ioannina, Ioannina, Greece.

D Biros (D)

Department of Internal Medicine, Ioannina University Hospital, University of Ioannina, Ioannina, Greece.

O Milionis (O)

Department of Internal Medicine, Ioannina University Hospital, University of Ioannina, Ioannina, Greece.

S Tsourlos (S)

Department of Internal Medicine, Ioannina University Hospital, University of Ioannina, Ioannina, Greece.

E Ntotsikas (E)

Clinical and Molecular Epidemiology Unit, Department of Hygiene and Epidemiology, School of Medicine, University of Ioannina, Ioannina, Greece.

E Ntzani (E)

Clinical and Molecular Epidemiology Unit, Department of Hygiene and Epidemiology, School of Medicine, University of Ioannina, Ioannina, Greece.
Center for Evidence-Based Medicine, Department of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI, USA.

E Evangelou (E)

Clinical and Molecular Epidemiology Unit, Department of Hygiene and Epidemiology, School of Medicine, University of Ioannina, Ioannina, Greece.
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.

K Gartzonika (K)

Microbiology Department, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina 45110, Greece.

I Georgiou (I)

Genetics and IVF Unit, Department of Obstetrics and Gynaecology, Medical School, University of Ioannina, Ioannina 45110, Greece.

I Tzoulaki (I)

Clinical and Molecular Epidemiology Unit, Department of Hygiene and Epidemiology, School of Medicine, University of Ioannina, Ioannina, Greece.
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.

K Tsilidis (K)

Clinical and Molecular Epidemiology Unit, Department of Hygiene and Epidemiology, School of Medicine, University of Ioannina, Ioannina, Greece.
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.

H Milionis (H)

Department of Internal Medicine, Ioannina University Hospital, University of Ioannina, Ioannina, Greece.

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