Evidence map›Paper›PMID 34211701›Full record

ArticleF1000Research2021

Risk factors for mortality in hospitalized patients with COVID-19 from three hospitals in Peru: a retrospective cohort study.

Cristian Díaz-Vélez, Diego Urrunaga-Pastor, Anthony Romero-Cerdán, Eric Ricardo Peña-Sánchez, Jorge Luis Fernández Mogollon, Julio Darwin Cossio Chafloque, Gaston Cristobal Marreros Ascoy, Vicente A Benites-Zapata

Open access · goldAbstract read
In one paragraph

Article in F1000Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.6field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 27 citations in OpenAlex.

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  10. Clinical-epidemiologic variation in patients treated in the first and second wave of COVID-19 in Lambayeque, Peru: A cluster analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 5 countries.

Cristian Díaz-VélezUniversidad Señor de Sipán, Escuela de Medicina, Chiclayo, Peru.ORCID 0000-0003-4593-2509
Diego Urrunaga-PastorUniversidad Científica del Sur, Lima, Peru.ORCID 0000-0002-8339-162X
Anthony Romero-CerdánADIECS Asociación para el Desarrollo de la Investigación Estudiantil en Ciencias de la Salud, Universidad Nacional Mayor de San Marcos, Lima, Peru.
Eric Ricardo Peña-SánchezDirección Ejecutiva de Enfermedades No Transmisibles, Ministerio de Salud, Peru.
Jorge Luis Fernández MogollonHospital Nacional Almanzor Aguinaga Asenjo, EsSalud, Chiclayo, Peru.
Julio Darwin Cossio ChafloqueHospital Nacional Almanzor Aguinaga Asenjo, EsSalud, Chiclayo, Peru.
Gaston Cristobal Marreros AscoyHospital Luis Heysen Incháustegui, Chiclayo, Peru.
Vicente A Benites-ZapataUniversidad San Ignacio de Loyola, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Lima, Peru.ORCID 0000-0002-9158-1108
Hospital Nacional Cayetano Heredia · PEMinisterio de Salud · ARNational University of San Marcos · PEUniversidad Científica del Sur · PEUniversidad San Ignacio de Loyola · PEUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeru was one of the countries with the highest COVID-19 mortality worldwide during the first stage of the pandemic. It is then relevant to evaluate the risk factors for mortality in patients hospitalized for COVID-19 in three hospitals in Peru in 2020, from March to May, 2020.  Methods: We carried out a retrospective cohort study. The population consisted of patients from three Peruvian hospitals hospitalized for a diagnosis of COVID-19 during the March-May 2020 period. Independent sociodemographic variables, medical history, symptoms, vital functions, laboratory parameters and medical treatment were evaluated. In-hospital mortality was assessed as the outcome. We performed Cox regression models (crude and adjusted) to evaluate risk factors for in-hospital mortality. Hazard ratios (HR) with their respective 95% confidence intervals (95% CI) were calculated.  Results: We analyzed 493 hospitalized adults; 72.8% (n=359) were male and the mean age was 63.3 ± 14.4 years. COVID-19 symptoms appeared on average 7.9 ± 4.0 days before admission to the hospital, and the mean oxygen saturation on admission was 82.6 ± 13.8. While 67.6% (n=333) required intensive care unit admission, only 3.3% (n=16) were admitted to this unit, and 60.2% (n=297) of the sample died. In the adjusted regression analysis, it was found that being 60 years old or older (HR=1.57; 95% CI: 1.14-2.15), having two or more comorbidities (HR=1.53; 95% CI: 1.10-2.14), oxygen saturation between 85-80% (HR=2.52; 95% CI: 1.58-4.02), less than 80% (HR=4.59; 95% CI: 3.01-7.00), and being in the middle (HR=1.65; 95% CI: 1.15-2.39) and higher tertile (HR=2.18; 95% CI: 1.51-3.15) of the neutrophil-to-lymphocyte ratio, increased the risk of mortality.  Conclusions: The risk factors found agree with what has been described in the literature and allow the identification of vulnerable groups in whom monitoring and early identification of symptoms should be prioritized in order to reduce mortality.

Indexed as

COVID-19AdultAgedHospitalsHumansMaleMiddle AgedPeruRetrospective StudiesRisk FactorsSARS-CoV-2AdultsCOVID-19Latin America.MortalitySARS-CoV-2

Identifiers

PMID34211701
PMCPMC8207806
OpenAlexW3136180062

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.