tetano
Editor, Senior Moderator
Int J Cardiol Heart Vasc
. 2024 Nov 30:56:101574.
doi: 10.1016/j.ijcha.2024.101574. eCollection 2025 Feb. Clinical characteristics and risk factors for in-hospital mortality of COVID-19 patients in Hubei Province: A multicenter retrospective study
Wu He[SUP] 1 [/SUP], Gen Li[SUP] 1 [/SUP], Ke Xu[SUP] 1 [/SUP], Bo Yu[SUP] 1 [/SUP], Yang Sun[SUP] 1 [/SUP], Kaineng Zhong[SUP] 2 [/SUP], Da Zhou[SUP] 2 [/SUP], Yongcui Yan[SUP] 1 [/SUP], Junfang Wu[SUP] 1 [/SUP], Dao Wen Wang[SUP] 1 [/SUP]
Affiliations
Background: Coronavirus disease (COVID-19) remains one of the most significant factors threatening public health security worldwide. The COVID-19 pandemic has been ongoing for more than 3 years; however, there are few studies on the clinical characteristics and mortality risk factors in patients with COVID-19 based on comprehensive data from multiple centers.
Methods: A total of 53,030 patients with confirmed COVID-19 from 138 hospitals in Hubei Province were included in this study. We compared the clinical characteristics between survivors and non-survivors and analyzed the risk factors for in-hospital mortality.
Results: Among the 53,030 patients with COVID-19, 49,320 (93.0 %) were discharged, and 3,710 (7.0 %) died during hospitalization. Cardiovascular disease was the most common comorbidity, followed by endocrine and digestive diseases. Male sex, >65-year-old, and high diastolic blood pressure, a series of abnormal laboratory test indicators and hyponatremia, hypokalemia, acute respiratory distress syndrome, shock, solid tumor, hematological tumor, and insulin use were independent risk factors for in-hospital mortality of patients with COVID-19. In addition, male sex, older age, and higher disease severity were associated with increased mortality in patients with COVID-19.
Conclusion: Patients with early COVID-19 in Hubei Province had high mortality and a high proportion of severe cases and initial comorbidities. Cardiovascular disease was the most common comorbidity in patients with COVID-19. Male sex, older age, comorbidities, and abnormal laboratory data have been identified as independent risk factors for in-hospital mortality in patients with COVID-19. Therefore, there should be an increased focus on patients with COVID-19 with these risk factors.
Keywords: COVID-19; Clinical characteristics; In-hospital mortality; Risk factors; SARS-CoV-2.
. 2024 Nov 30:56:101574.
doi: 10.1016/j.ijcha.2024.101574. eCollection 2025 Feb. Clinical characteristics and risk factors for in-hospital mortality of COVID-19 patients in Hubei Province: A multicenter retrospective study
Wu He[SUP] 1 [/SUP], Gen Li[SUP] 1 [/SUP], Ke Xu[SUP] 1 [/SUP], Bo Yu[SUP] 1 [/SUP], Yang Sun[SUP] 1 [/SUP], Kaineng Zhong[SUP] 2 [/SUP], Da Zhou[SUP] 2 [/SUP], Yongcui Yan[SUP] 1 [/SUP], Junfang Wu[SUP] 1 [/SUP], Dao Wen Wang[SUP] 1 [/SUP]
Affiliations
- PMID: 39687686
- PMCID: PMC11648888
- DOI: 10.1016/j.ijcha.2024.101574
Background: Coronavirus disease (COVID-19) remains one of the most significant factors threatening public health security worldwide. The COVID-19 pandemic has been ongoing for more than 3 years; however, there are few studies on the clinical characteristics and mortality risk factors in patients with COVID-19 based on comprehensive data from multiple centers.
Methods: A total of 53,030 patients with confirmed COVID-19 from 138 hospitals in Hubei Province were included in this study. We compared the clinical characteristics between survivors and non-survivors and analyzed the risk factors for in-hospital mortality.
Results: Among the 53,030 patients with COVID-19, 49,320 (93.0 %) were discharged, and 3,710 (7.0 %) died during hospitalization. Cardiovascular disease was the most common comorbidity, followed by endocrine and digestive diseases. Male sex, >65-year-old, and high diastolic blood pressure, a series of abnormal laboratory test indicators and hyponatremia, hypokalemia, acute respiratory distress syndrome, shock, solid tumor, hematological tumor, and insulin use were independent risk factors for in-hospital mortality of patients with COVID-19. In addition, male sex, older age, and higher disease severity were associated with increased mortality in patients with COVID-19.
Conclusion: Patients with early COVID-19 in Hubei Province had high mortality and a high proportion of severe cases and initial comorbidities. Cardiovascular disease was the most common comorbidity in patients with COVID-19. Male sex, older age, comorbidities, and abnormal laboratory data have been identified as independent risk factors for in-hospital mortality in patients with COVID-19. Therefore, there should be an increased focus on patients with COVID-19 with these risk factors.
Keywords: COVID-19; Clinical characteristics; In-hospital mortality; Risk factors; SARS-CoV-2.