The Relationship Between Serum Albumin Level and Nutritional Parameters with Mortality Rate, For Icu-Covid-19 Patients at Hazem Mebaireek General Hospital (HMGH), State of Qatar (March to September / 2020)

Abstract

There is limited information available describing the clinical and epidemiological features of COVID-19 patients at (HMGH) in Qatar, also there is lack of reporting about temporal association of Malnutrition and severity of COVID-19. This study was aimed to describe the relationship between serum albumin levels and certain nutritional parameter with mortality rate for ICU-COVID-19 patients. The study was conducted retrospectively on a group of adult patients, who were admitted to ICU at HMGH, from 01/04/ 2020 to 30/09/ 2020, who’s discharged from the hospital, whether recovered or expired, if they met the following inclusion criteria: ICU patients, ≥ 18 years of age, laboratory confirmed positive of COVID-19. Data of ICU-COVID-19 patients at HMGH will be extracted from electronic medical record (EMR). Total of 1059 patients, among them 78 (7.4%) patients were females and 981(92.6%) of them were males. Comparing with nationality 93(8.78%) patients were Qatari and 966(91.21%) were non-Qatari, 951 (89.8%) was survived & 108 (10.2%) were non survived, furthermore 12 (11.1 %) patients from the non-survived patients were Qatari & 96 (88.9 %) were non-Qatari. In the results it found that 136 (12.8%) of patients had Hyperlipidemia, 75 (7.1%) had obesity, 577 (54.5%) with diabetes, 513 (48.41%) with hypertension, & 129 (12.2%) had chronic lung disease. 581 patients had albumin value below 35 gm/L on admission and 768 had below 35 gm/L before discharge. 478 patients had albumin level above 35 gm/L on admission and 291 patients had above 35 gm/L albumin level before discharge. Among non-survived patients who 108 (100%) of them had low serum albumin levels before death and 80 (74.1%) of them had below 35 gm/L albumin and 28 (25.9%) patients had 35 gm/L and above albumin levels on admission. In Qatar there were adequate implementation of interventions, protections & management to face COVID-19 prevention. Our study concluded that male patients & hypoalbuminemia were significantly risk of mortality associated with COVID-19.