The Influence of Sex on Characteristics and Outcomes of Coronavirus-19 Patients: A Retrospective Cohort Study

Background: The influence of sex on the clinical characteristics and prognosis of coronavirus disease (COVID-19) patients is variable. This study aimed to evaluate COVID-19 management based on sex differences. Methods: We retrospectively reviewed COVID-19 patients who were admitted to the tertiary h...

Full description

Bibliographic Details
Main Authors: Song-I Lee, Chaeuk Chung, Dongil Park, Da Hyun Kang, Ye-Rin Ju, Jeong Eun Lee
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/3/1118
_version_ 1797624077524926464
author Song-I Lee
Chaeuk Chung
Dongil Park
Da Hyun Kang
Ye-Rin Ju
Jeong Eun Lee
author_facet Song-I Lee
Chaeuk Chung
Dongil Park
Da Hyun Kang
Ye-Rin Ju
Jeong Eun Lee
author_sort Song-I Lee
collection DOAJ
description Background: The influence of sex on the clinical characteristics and prognosis of coronavirus disease (COVID-19) patients is variable. This study aimed to evaluate COVID-19 management based on sex differences. Methods: We retrospectively reviewed COVID-19 patients who were admitted to the tertiary hospital between January 2020 and March 2021. Logistic regression analysis was used to evaluate the factors associated with in-hospital mortality. Results: During the study period, 584 patients were admitted to our hospital. Among them, 305 patients (52.2%) were female, and 279 patients (47.8%) were male. Males were younger than females, and frailty scale was lower in males than in females. Fever was more common in males, and there was no difference in other initial symptoms. Among the underlying comorbidities, chronic obstructive disease was more common in males, and there were no significant differences in other comorbidities. Moreover, treatment, severity, and outcome did not significantly differ between the groups. The risk factors for in-hospital mortality were age, high white blood cell count, and c-reactive protein level. Conclusions: We found no definite sex differences in the clinical characteristics and outcomes of COVID-19 patients. However, a better understanding of sex-dependent differences in COVID-19 patients could help in understanding and treating patients.
first_indexed 2024-03-11T09:38:13Z
format Article
id doaj.art-b19eaf5ca6b548f98e279fb04399ba10
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-11T09:38:13Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-b19eaf5ca6b548f98e279fb04399ba102023-11-16T17:12:01ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-01123111810.3390/jcm12031118The Influence of Sex on Characteristics and Outcomes of Coronavirus-19 Patients: A Retrospective Cohort StudySong-I Lee0Chaeuk Chung1Dongil Park2Da Hyun Kang3Ye-Rin Ju4Jeong Eun Lee5Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon 35015, Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon 35015, Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon 35015, Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon 35015, Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon 35015, Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon 35015, Republic of KoreaBackground: The influence of sex on the clinical characteristics and prognosis of coronavirus disease (COVID-19) patients is variable. This study aimed to evaluate COVID-19 management based on sex differences. Methods: We retrospectively reviewed COVID-19 patients who were admitted to the tertiary hospital between January 2020 and March 2021. Logistic regression analysis was used to evaluate the factors associated with in-hospital mortality. Results: During the study period, 584 patients were admitted to our hospital. Among them, 305 patients (52.2%) were female, and 279 patients (47.8%) were male. Males were younger than females, and frailty scale was lower in males than in females. Fever was more common in males, and there was no difference in other initial symptoms. Among the underlying comorbidities, chronic obstructive disease was more common in males, and there were no significant differences in other comorbidities. Moreover, treatment, severity, and outcome did not significantly differ between the groups. The risk factors for in-hospital mortality were age, high white blood cell count, and c-reactive protein level. Conclusions: We found no definite sex differences in the clinical characteristics and outcomes of COVID-19 patients. However, a better understanding of sex-dependent differences in COVID-19 patients could help in understanding and treating patients.https://www.mdpi.com/2077-0383/12/3/1118COVID-19sexoutcome
spellingShingle Song-I Lee
Chaeuk Chung
Dongil Park
Da Hyun Kang
Ye-Rin Ju
Jeong Eun Lee
The Influence of Sex on Characteristics and Outcomes of Coronavirus-19 Patients: A Retrospective Cohort Study
Journal of Clinical Medicine
COVID-19
sex
outcome
title The Influence of Sex on Characteristics and Outcomes of Coronavirus-19 Patients: A Retrospective Cohort Study
title_full The Influence of Sex on Characteristics and Outcomes of Coronavirus-19 Patients: A Retrospective Cohort Study
title_fullStr The Influence of Sex on Characteristics and Outcomes of Coronavirus-19 Patients: A Retrospective Cohort Study
title_full_unstemmed The Influence of Sex on Characteristics and Outcomes of Coronavirus-19 Patients: A Retrospective Cohort Study
title_short The Influence of Sex on Characteristics and Outcomes of Coronavirus-19 Patients: A Retrospective Cohort Study
title_sort influence of sex on characteristics and outcomes of coronavirus 19 patients a retrospective cohort study
topic COVID-19
sex
outcome
url https://www.mdpi.com/2077-0383/12/3/1118
work_keys_str_mv AT songilee theinfluenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy
AT chaeukchung theinfluenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy
AT dongilpark theinfluenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy
AT dahyunkang theinfluenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy
AT yerinju theinfluenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy
AT jeongeunlee theinfluenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy
AT songilee influenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy
AT chaeukchung influenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy
AT dongilpark influenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy
AT dahyunkang influenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy
AT yerinju influenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy
AT jeongeunlee influenceofsexoncharacteristicsandoutcomesofcoronavirus19patientsaretrospectivecohortstudy