Marek Kos, Renata Hatalska-Żerebiec, Małgorzata Jurczyk-Stachyra, Karol Paciura, Justyna Janeczko, Robert Podsiadły, Piotr Sobolewski
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引用次数: 0
Abstract
Introduction: Factors influencing mortality in patients with COVID-19 treated in a community hospital in a rural region in south-eastern Poland during the first and the second wave of the pandemic were analyzed.
Methods: A retrospective observational study based on a hospital-based registry of Holy Spirit Specialist Hospital in Sandomierz was conducted. The study population consisted of patients treated between 1 March 2020 and 31 May 2021.
Results: We analyzed data of 24 057 Caucasian patients including 798 patients with COVID-19. During both waves of the COVID-19 pandemic 22.4% of patients hospitalized in the community hospital in Sandomierz died due to COVID-19. The multivariate logistic regression model showed that older age (p<0.001), fever (p<0.001), diagnosis of sepsis (p<0.001) and high levels of C-reactive protein (p=0.041) were factors related to mortality. In the group of patients in whom oxygen therapy (p<0.001) and invasive mechanical ventilation (p<0.001) were used more frequently, mortality was higher, whereas treatment with convalescent plasma increased the chance of survival (p<0.001).
Conclusion: Fever and high laboratory values of inflammation, in particular coexisting sepsis, worsened the prognosis in patients with COVID-19. Most traditional methods of treating the infection did not affect the course of the disease.
期刊介绍:
Rural and Remote Health is a not-for-profit, online-only, peer-reviewed academic publication. It aims to further rural and remote health education, research and practice. The primary purpose of the Journal is to publish and so provide an international knowledge-base of peer-reviewed material from rural health practitioners (medical, nursing and allied health professionals and health workers), educators, researchers and policy makers.