SciELO - Scientific Electronic Library Online

 
vol.157 número1COVID-19 e instituciones de cuidados a largo plazo en México: una deuda impostergableAntecedente de inmunización contra influenza en pacientes con COVID-19: impacto en la mortalidad índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • No hay artículos similaresSimilares en SciELO

Compartir


Gaceta médica de México

versión On-line ISSN 2696-1288versión impresa ISSN 0016-3813

Resumen

ALVAREZ-MALDONADO, Pablo et al. Characteristics and mortality of Mexican patients with COVID-19 and mechanical ventilation. Gac. Méd. Méx [online]. 2021, vol.157, n.1, pp.103-107.  Epub 18-Jun-2021. ISSN 2696-1288.  https://doi.org/10.24875/gmm.20000568.

Introduction:

COVID-19 associated mortality in patients who require mechanical ventilation is unknown in the Mexican population.

Objective:

To describe the characteristics of Mexican patients with COVID-19 who required mechanical ventilation.

Methods:

Observational cohort study carried out in an intensive care unit from March 25 to July 17, 2020. Data were obtained from a prospective database and electronic medical records, and were analyzed with the chi-square test, Fisher’s exact test or Mann-Whitney’s U-test.

Results:

One hundred patients required mechanical ventilation; median age was 56 years, 31 % were females and 97 % were Latin American. Most common comorbidities were obesity (36 %), diabetes (26 %), hypertension (20 %), and chronic or end-stage kidney disease (10 %). At the end of the analysis, 11 patients remained in the ICU, 31 had been discharged alive and 58 (65.2 %) died; survivors were younger, had lower scores on severity and organ dysfunction scales, lower levels of C-reactive protein at ICU admission, were less likely to receive hemodialysis and vasopressors, and had longer hospital and ICU stays.

Conclusions:

This study adds information on the presentation and results of SARS-CoV-2-infected patients who require mechanical ventilation.

Palabras llave : COVID-19; SARS-CoV-2; Mechanical ventilation; Mexico; Latin America.

        · resumen en Español     · texto en Español     · Español ( pdf )