CURB-65 as a predictor of 30-day mortality in patients hospitalized with COVID-19 in Ecuador: COVID-EC study

被引:7
作者
Carriel, J. [1 ,6 ]
Munoz-Jaramillo, R. [2 ]
Bolanos-Ladinez, O. [3 ]
Heredia-Villacreses, F. [3 ]
Menendez-Sanchon, J. [4 ]
Martin-Delgado, J. [5 ]
机构
[1] Hosp Univ Zarzuela, Serv Med Interna, Madrid, Spain
[2] Hosp IESS Ceibos, Serv Gastroenterol, Guayaquil, Ecuador
[3] Hosp Clin San Francisco, Serv Cardiol, Serv Med Intens, Guayaquil, Ecuador
[4] Hosp Gen Guasmo Sur, Serv Med Interna, Guayaquil, Ecuador
[5] Fdn Fomento Invest Sanitaria & Biomed, Grp Invest Atenea, Alicante, Spain
[6] Univ Catolica Santiago Guayaquil, Fac Ciencias Med, Inst Invest & Innovat Salud Integral, Guayaquil, Ecuador
来源
REVISTA CLINICA ESPANOLA | 2022年 / 222卷 / 01期
关键词
Pneumonia; Coronavirus; SARS-CoV-2; COVID-19; CURB-65; Mortality; SCORE;
D O I
10.1016/j.rce.2020.10.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: This article aims to assess the utility of CURB-65 in predicting 30-day mortality in adult patients hospitalized with COVID-19. Methods: This work is a cohort study conducted between March 1 and April 30, 2020 in Ecuador. Results: A total of 247 patients were included (mean age 60 +/- 14 years, 70% men, overall mortality 41.3%). Patients with CURB-65 >= 2 had a higher mortality rate (57 vs. 17%, p < .001) that was associated with other markers of risk: advanced age, hypertension, overweight/obesity, kidney failure, hypoxemia, requirement for mechanical ventilation, or onset of respiratory distress. Conclusions: CURB-65 >= 2 was associated with higher 30-day mortality on the univariate (Kaplan-Meier estimator) and multivariate (Cox regression) analysis. (C) 2020 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.
引用
收藏
页码:37 / 41
页数:5
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