Risk Factors for Mortality of Hospitalized Adult Patients with COVID-19 Pneumonia: A Two-Year Cohort Study in a Private Tertiary Care Center in Mexico

Carlos Axel López-Pérez, Francisco J. Santa Cruz-Pavlovich, Juan Eduardo Montiel-Cortés, Adriana Núñez-Muratalla, Ruth Bibani Morán-González, Ricardo Villanueva-Gaona, Xochitl Franco-Mojica, Denisse Gabriela Moreno-Sandoval, Joselyn Anacaren González-Bañuelos, Alan Ulises López-Pérez, Marily Flores-González, Cristina Grijalva-Ruiz, Edna Daniela Valdez-Mendoza, Luis Renee González-Lucano and Martín López-Zendejas ()
Additional contact information
Carlos Axel López-Pérez: Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Zapopan 45201, Mexico
Francisco J. Santa Cruz-Pavlovich: Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Zapopan 45201, Mexico
Juan Eduardo Montiel-Cortés: Departamento de Medicina Interna, Hospital San Javier, Guadalajara 44670, Mexico
Adriana Núñez-Muratalla: Departamento de Medicina Interna, Hospital San Javier, Guadalajara 44670, Mexico
Ruth Bibani Morán-González: Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Zapopan 45201, Mexico
Ricardo Villanueva-Gaona: Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Zapopan 45201, Mexico
Xochitl Franco-Mojica: Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Zapopan 45201, Mexico
Denisse Gabriela Moreno-Sandoval: Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Zapopan 45201, Mexico
Joselyn Anacaren González-Bañuelos: Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Zapopan 45201, Mexico
Alan Ulises López-Pérez: Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Zapopan 45201, Mexico
Marily Flores-González: Departamento de Medicina Interna, Hospital San Javier, Guadalajara 44670, Mexico
Cristina Grijalva-Ruiz: Departamento de Medicina Interna, Hospital San Javier, Guadalajara 44670, Mexico
Edna Daniela Valdez-Mendoza: Departamento de Medicina Interna, Hospital San Javier, Guadalajara 44670, Mexico
Luis Renee González-Lucano: Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Zapopan 45201, Mexico
Martín López-Zendejas: Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Zapopan 45201, Mexico

IJERPH, 2023, vol. 20, issue 5, 1-14

Abstract: During the COVID-19 pandemic, the high prevalence of comorbidities and the disparities between the public and private health subsystems in Mexico substantially contributed to the severe impact of the disease. The objective of this study was to evaluate and compare the risk factors at admission for in-hospital mortality of patients with COVID-19. A 2-year retrospective cohort study of hospitalized adult patients with COVID-19 pneumonia was conducted at a private tertiary care center. The study population consisted of 1258 patients with a median age of 56 ± 16.5 years, of whom 1093 recovered (86.8%) and 165 died (13.1%). In the univariate analysis, older age ( p < 0.001), comorbidities such as hypertension ( p < 0.001) and diabetes ( p < 0.001), signs and symptoms of respiratory distress, and markers of acute inflammatory response were significantly more frequent in non-survivors. The multivariate analysis showed that older age ( p < 0.001), the presence of cyanosis ( p = 0.005), and previous myocardial infarction ( p = 0.032) were independent predictors of mortality. In the studied cohort, the risk factors present at admission associated with increased mortality were older age, cyanosis, and a previous myocardial infarction, which can be used as valuable predictors for patients’ outcomes. To our knowledge, this is the first study analyzing predictors of mortality in COVID-19 patients attended in a private tertiary hospital in Mexico.

Keywords: COVID-19; cohort; mortality; Mexico (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/20/5/4450/pdf (application/pdf)
https://www.mdpi.com/1660-4601/20/5/4450/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:20:y:2023:i:5:p:4450-:d:1085533

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().