CLINICAL AND EPIDEMIOLOGICAL CHARACTERISTICS OF PATIENTS DIAGNOSED WITH COVID-19 IN A TERTIARY CARE CENTER IN MEXICO CITY: A PROSPECTIVE COHORT STUDY
Por:
Ortiz-Brizuela E., Villanueva-Reza M., González-Lara M.F., Tamez-Torres K.M., Román-Montes C.M., Díaz-Mejía B.A., Pérez-García E., Olivas-Martínez A., Rajme-López S., Martinez-Guerra B.A., de-León-Cividanes N.A., Fernández-García O.A., Guerrero-Torres L., Torres-González L., Carrera-Patiño F.A., Corral-Herrera E.A., Hernández-Alemón A.N., Tovar-Vargas M.L.Á., Serrano-Pinto Y.G., Espejo-Ortiz C.E., Morales-Ortega M.L., Lozano-Cruz ÓA., Cárdenas-Fragoso J.L., Vidal-Mayo J.J., Hernández-Gilsoul T., Rivero-Sigarroa E., Domínguez-Cherit G., Cervantes-Villar L.E., Ramos-Cervantes M.D.P., Ibarra-González V., Calva-Mercado J.J., Sierra-Madero J.G., López-Íñiguez Á., Ochoa-Hein E., Crabtree-Ramírez B.E., Galindo-Fraga A., Guerrero-Almeida M.L., Ruiz-Palacios G.M., Gulías-Herrero A., Sifuentes-Osornio J., Kershenobich-Stalnikowitz D., Ponce-de-León A.
Publicada:
1 ene 2020
Categoría:
Medicine (miscellaneous)
Resumen:
Background: Regional information regarding the characteristics of patients with coronavirus disease (COVID)-19 is needed for a better understanding of the pandemic. Objective: The objective of the study to describe the clinical features of COVID-19 patients diagnosed in a tertiary-care center in Mexico City and to assess differences according to the treatment setting (ambulatory vs. hospital) and to the need of intensive care (IC). Methods: We conducted a prospective cohort, including consecutive patients with COVID-19 from February 26, 2020 to April 11, 2020. Results: We identified 309 patients (140 inpatients and 169 outpatients). The median age was 43 years (interquartile range, 33-54), 59.2% men, and 18.6% healthcare workers (12.3% from our center). The median body mass index (BMI) was 29.00 kg/m2 and 39.6% had obesity. Compared to outpatients, inpatients were older, had comorbidities, cough, and dyspnea more frequently. Twenty-nine (20.7%) inpatients required treatment in the IC unit (ICU). History of diabetes (type 1 or 2) and abdominal pain were more common in ICU patients compared to non-ICU patients. ICU patients had higher BMIs, higher respiratory rates, and lower room-air capillary oxygen saturations. ICU patients showed a more severe inflammatory response as assessed by white blood cell count, neutrophil and platelet count, C-reactive protein, ferritin, procalcitonin, and albumin levels. By the end of the study period, 65 inpatients had been discharged because of improvement, 70 continued hospitalized, and five had died. Conclusions: Patients with comorbidities, either middle-age obese or elderly complaining of fever, cough, or dyspnea, were more likely to be admitted. At admission, patients with diabetes, high BMI, and clinical or laboratory findings consistent with a severe inflammatory state were more likely to require IC. Copyright: © 2020 Permanyer.
Filiaciones:
Ortiz-Brizuela E.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Villanueva-Reza M.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
González-Lara M.F.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Tamez-Torres K.M.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Román-Montes C.M.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Díaz-Mejía B.A.:
Department of Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Pérez-García E.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Olivas-Martínez A.:
Department of Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Rajme-López S.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Martinez-Guerra B.A.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
de-León-Cividanes N.A.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Fernández-García O.A.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Guerrero-Torres L.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Torres-González L.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Carrera-Patiño F.A.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Corral-Herrera E.A.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Hernández-Alemón A.N.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Tovar-Vargas M.L.Á.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Serrano-Pinto Y.G.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Espejo-Ortiz C.E.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Morales-Ortega M.L.:
Department of Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Lozano-Cruz ÓA.:
Department of Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Cárdenas-Fragoso J.L.:
Department of Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Vidal-Mayo J.J.:
Department of Emergency, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Hernández-Gilsoul T.:
Department of Emergency, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Rivero-Sigarroa E.:
Department of Critical Care Unit, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Domínguez-Cherit G.:
Department of Critical Care Unit, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Cervantes-Villar L.E.:
Department of Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Ramos-Cervantes M.D.P.:
Department of Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Ibarra-González V.:
Department of Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Calva-Mercado J.J.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Sierra-Madero J.G.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
López-Íñiguez Á.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Ochoa-Hein E.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Crabtree-Ramírez B.E.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Galindo-Fraga A.:
Department of Hospital Epidemiology
Guerrero-Almeida M.L.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Ruiz-Palacios G.M.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Gulías-Herrero A.:
Department of Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Sifuentes-Osornio J.:
Department of Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Kershenobich-Stalnikowitz D.:
Department of General Director's Office, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
Ponce-de-León A.:
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City, Mexico
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