Risk factors associated with mortality in severely ill COVID-19 patients: cohort study
Background: Patients diagnosed with COVID-19 who require intensive care unit (ICU) demand multidisciplinary care, which is decisive for their intervention and prognosis. The objective of this study was to identify the risk factors for mortality in critically ill COVID-19 patients in Bogota, Colombia...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Distribuna
2023-11-01
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| Series: | Revista de Nutrición Clínica y Metabolismo |
| Subjects: | |
| Online Access: | https://revistanutricionclinicametabolismo.org/index.php/nutricionclinicametabolismo/article/view/527 |
| _version_ | 1797486840716984320 |
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| author | Ricardo Alfonso Merchán Chaverra Jhoana Patricia Ruiz-Jiménez Diana Marcela Sotelo-Vergara Mónica Vanessa Carrillo-Ramirez Jennyfer Carolina Jacome-Suarez Jorge Medina-Parra Jorge Iván Alvarado-Sanchez Iván Camilo Alarcón-Amaya |
| author_facet | Ricardo Alfonso Merchán Chaverra Jhoana Patricia Ruiz-Jiménez Diana Marcela Sotelo-Vergara Mónica Vanessa Carrillo-Ramirez Jennyfer Carolina Jacome-Suarez Jorge Medina-Parra Jorge Iván Alvarado-Sanchez Iván Camilo Alarcón-Amaya |
| author_sort | Ricardo Alfonso Merchán Chaverra |
| collection | DOAJ |
| description | Background: Patients diagnosed with COVID-19 who require intensive care unit (ICU) demand multidisciplinary care, which is decisive for their intervention and prognosis. The objective of this study was to identify the risk factors for mortality in critically ill COVID-19 patients in Bogota, Colombia.
Methods: This was a retrospective descriptive study (from March 2020 to February 2021) which included critically ill COVID-19 patients admitted to the ICU. Electronic medical records were reviewed, and demographic and clinical data were collected. A logistic regression model was performed. Mortality was considered as the dependent variable, and the clinical and demographic variables as explanatory factors.
Results: We included 562 patients with an overall mortality of 42%, associated comorbidities such as diabetes mellitus (51%), grade 2 obesity (75%), and age over 65 years (51%). The logistic regression model showed that patients over 65 years of age [odds ratio (OR): 3.23 (2.28 - 4.59)]; diabetes mellitus [OR: 1.68 (1.16 - 2.44)], and grade 2 obesity [OR: 3.5 (1.31 - 9.77)] were risk factors for mortality in COVID-19 patients at the ICU.
Conclusion: This study reported that age over 65 years, diabetes mellitus, and grade 2 obesity were risk factors for death in critically ill COVID-19 patients.
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| first_indexed | 2024-03-09T23:38:57Z |
| format | Article |
| id | doaj.art-6752c3787a2149cf91caf822db4a614e |
| institution | Directory Open Access Journal |
| issn | 2619-3906 |
| language | English |
| last_indexed | 2024-03-09T23:38:57Z |
| publishDate | 2023-11-01 |
| publisher | Distribuna |
| record_format | Article |
| series | Revista de Nutrición Clínica y Metabolismo |
| spelling | doaj.art-6752c3787a2149cf91caf822db4a614e2023-11-23T16:54:46ZengDistribunaRevista de Nutrición Clínica y Metabolismo2619-39062023-11-016410.35454/rncm.v6n4.527Risk factors associated with mortality in severely ill COVID-19 patients: cohort studyRicardo Alfonso Merchán Chaverra0Jhoana Patricia Ruiz-Jiménez1Diana Marcela Sotelo-Vergara2Mónica Vanessa Carrillo-Ramirez3Jennyfer Carolina Jacome-SuarezJorge Medina-Parra4Jorge Iván Alvarado-Sanchez5Iván Camilo Alarcón-Amaya61Unidad de Cuidado Intensivo, Clínica Infantil Santa María del Lago, Clínica Colsanitas, Grupo Keralty, Bogotá, Colombia 2Grupo de Investigación en Nutrición Clínica y Rehabilitación, Fundación Universitaria Sanitas, Clínica Colsanitas, Grupo Keralty, Bogotá, Colombia 3Fundación Universitaria Sanitas, Facultad de Medicina, Bogotá, Colombia 4Vicepresidencia Científica y de investigación , Clínicas Colsanitas, Grupo Keralty, Bogota, Colombia 7Centro Latinoamericano de Nutrición (CELAN), Chía (Cundinamarca), Colombia1Unidad de Cuidado Intensivo, Clínica Infantil Santa María del Lago, Clínica Colsanitas, Grupo Keralty, Bogotá, Colombia 2Grupo de Investigación en Nutrición Clínica y Rehabilitación, Fundación Universitaria Sanitas, Clínica Colsanitas, Grupo Keralty, Bogotá, Colombia1Unidad de Cuidado Intensivo, Clínica Infantil Santa María del Lago, Clínica Colsanitas, Grupo Keralty, Bogotá, Colombia 2Grupo de Investigación en Nutrición Clínica y Rehabilitación, Fundación Universitaria Sanitas, Clínica Colsanitas, Grupo Keralty, Bogotá, Colombia1Unidad de Cuidado Intensivo, Clínica Infantil Santa María del Lago, Clínica Colsanitas, Grupo Keralty, Bogotá, Colombia 2Grupo de Investigación en Nutrición Clínica y Rehabilitación, Fundación Universitaria Sanitas, Clínica Colsanitas, Grupo Keralty, Bogotá, ColombiaFundación Universitaria Sanitas, Facultad de Medicina, Bogotá, Colombia5Departamento de Ciencias Fisiológicas, Universidad Nacional de Colombia 6Unidad de Cuidado Intensivo, Fundación Santa fe de Bogotá, Colombia1Unidad de Cuidado Intensivo, Clínica Infantil Santa María del Lago, Clínica Colsanitas, Grupo Keralty, Bogotá, ColombiaBackground: Patients diagnosed with COVID-19 who require intensive care unit (ICU) demand multidisciplinary care, which is decisive for their intervention and prognosis. The objective of this study was to identify the risk factors for mortality in critically ill COVID-19 patients in Bogota, Colombia. Methods: This was a retrospective descriptive study (from March 2020 to February 2021) which included critically ill COVID-19 patients admitted to the ICU. Electronic medical records were reviewed, and demographic and clinical data were collected. A logistic regression model was performed. Mortality was considered as the dependent variable, and the clinical and demographic variables as explanatory factors. Results: We included 562 patients with an overall mortality of 42%, associated comorbidities such as diabetes mellitus (51%), grade 2 obesity (75%), and age over 65 years (51%). The logistic regression model showed that patients over 65 years of age [odds ratio (OR): 3.23 (2.28 - 4.59)]; diabetes mellitus [OR: 1.68 (1.16 - 2.44)], and grade 2 obesity [OR: 3.5 (1.31 - 9.77)] were risk factors for mortality in COVID-19 patients at the ICU. Conclusion: This study reported that age over 65 years, diabetes mellitus, and grade 2 obesity were risk factors for death in critically ill COVID-19 patients. https://revistanutricionclinicametabolismo.org/index.php/nutricionclinicametabolismo/article/view/527COVID-19MortalityComorbidityNutritionObesity |
| spellingShingle | Ricardo Alfonso Merchán Chaverra Jhoana Patricia Ruiz-Jiménez Diana Marcela Sotelo-Vergara Mónica Vanessa Carrillo-Ramirez Jennyfer Carolina Jacome-Suarez Jorge Medina-Parra Jorge Iván Alvarado-Sanchez Iván Camilo Alarcón-Amaya Risk factors associated with mortality in severely ill COVID-19 patients: cohort study Revista de Nutrición Clínica y Metabolismo COVID-19 Mortality Comorbidity Nutrition Obesity |
| title | Risk factors associated with mortality in severely ill COVID-19 patients: cohort study |
| title_full | Risk factors associated with mortality in severely ill COVID-19 patients: cohort study |
| title_fullStr | Risk factors associated with mortality in severely ill COVID-19 patients: cohort study |
| title_full_unstemmed | Risk factors associated with mortality in severely ill COVID-19 patients: cohort study |
| title_short | Risk factors associated with mortality in severely ill COVID-19 patients: cohort study |
| title_sort | risk factors associated with mortality in severely ill covid 19 patients cohort study |
| topic | COVID-19 Mortality Comorbidity Nutrition Obesity |
| url | https://revistanutricionclinicametabolismo.org/index.php/nutricionclinicametabolismo/article/view/527 |
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