tetano
Editor, Senior Moderator
Asia Pac J Public Health
. 2024 Sep 23:10105395241282634.
doi: 10.1177/10105395241282634. Online ahead of print. Predictors for COVID-19-Specific and Non-COVID-19-Specific Deaths: A Cohort Study in Taiwan
Shang-Yih Chan[SUP] 1 2 3 [/SUP], Hsin-Hao Lai[SUP] 4 5 [/SUP], Yun-Ju Lai[SUP] 2 5 6 7 [/SUP], Chao-Ming Huang[SUP] 3 8 [/SUP], Chu-Chieh Chen[SUP] 2 [/SUP], Shen-Shong Chang[SUP] 5 9 10 [/SUP], Yung-Feng Yen[SUP] 2 3 10 11 12 [/SUP], Yi-Chun Chiu[SUP] 13 14 15 [/SUP]
Affiliations
Predictors for coronavirus disease 2019 (COVID-19)-specific and non-COVID-19-specific deaths have not been extensively studied. This cohort study in Taiwan investigated predictors for COVID-19-specific and non-COVID-19-specific deaths among hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. From January to July 2022, 2196 COVID-19 patients at Taipei City Hospital were consecutively recruited in this cohort study. Among the 175 deceased COVID-19 patients, 147 (84.0%) and 28 (16.0%) had COVID-19-specific and non-COVID-19-specific deaths, respectively. After controlling for other covariates, multinomial logistic regressions showed that age ≥ 65 was significantly associated with higher risks for both COVID-19-specific, adjusted odds ratio (AOR) = 6.21; 95% confidence interval (CI) [3.12, 12.35]; and non-COVID-19-specific deaths (AOR = 6.06; 95% CI [1.34, 27.34]). Fully vaccinated individuals (AOR = 0.50; 95% CI [0.33, 0.74]) and Paxlovid recipients (AOR = 0.45; 95% CI [0.20, 0.98]) had lower COVID-19-specific death risks, while comorbid cancer or end-stage renal disease patients faced higher risks of non-COVID-19-specific deaths. Our study findings suggest that vaccination and Paxlovid treatment are crucial for reducing SARS-CoV-2-specific mortalities, while comorbid patients need careful monitoring to reduce non-COVID-19-specific deaths.
Keywords: COVID-19; Taiwan; cohort study; mortality; risk factor.
. 2024 Sep 23:10105395241282634.
doi: 10.1177/10105395241282634. Online ahead of print. Predictors for COVID-19-Specific and Non-COVID-19-Specific Deaths: A Cohort Study in Taiwan
Shang-Yih Chan[SUP] 1 2 3 [/SUP], Hsin-Hao Lai[SUP] 4 5 [/SUP], Yun-Ju Lai[SUP] 2 5 6 7 [/SUP], Chao-Ming Huang[SUP] 3 8 [/SUP], Chu-Chieh Chen[SUP] 2 [/SUP], Shen-Shong Chang[SUP] 5 9 10 [/SUP], Yung-Feng Yen[SUP] 2 3 10 11 12 [/SUP], Yi-Chun Chiu[SUP] 13 14 15 [/SUP]
Affiliations
- PMID: 39311433
- DOI: 10.1177/10105395241282634
Predictors for coronavirus disease 2019 (COVID-19)-specific and non-COVID-19-specific deaths have not been extensively studied. This cohort study in Taiwan investigated predictors for COVID-19-specific and non-COVID-19-specific deaths among hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. From January to July 2022, 2196 COVID-19 patients at Taipei City Hospital were consecutively recruited in this cohort study. Among the 175 deceased COVID-19 patients, 147 (84.0%) and 28 (16.0%) had COVID-19-specific and non-COVID-19-specific deaths, respectively. After controlling for other covariates, multinomial logistic regressions showed that age ≥ 65 was significantly associated with higher risks for both COVID-19-specific, adjusted odds ratio (AOR) = 6.21; 95% confidence interval (CI) [3.12, 12.35]; and non-COVID-19-specific deaths (AOR = 6.06; 95% CI [1.34, 27.34]). Fully vaccinated individuals (AOR = 0.50; 95% CI [0.33, 0.74]) and Paxlovid recipients (AOR = 0.45; 95% CI [0.20, 0.98]) had lower COVID-19-specific death risks, while comorbid cancer or end-stage renal disease patients faced higher risks of non-COVID-19-specific deaths. Our study findings suggest that vaccination and Paxlovid treatment are crucial for reducing SARS-CoV-2-specific mortalities, while comorbid patients need careful monitoring to reduce non-COVID-19-specific deaths.
Keywords: COVID-19; Taiwan; cohort study; mortality; risk factor.