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Revista mexicana de medicina familiar
versão On-line ISSN 2696-1296versão impressa ISSN 2007-9710
Resumo
FERNANDEZ-ORTEGA, Miguel A. et al. HOSPITAL ADMISSION OXIMETRY AND C-REACTIVE PROTEIN: PROGNOSIS OF MORTALITY DUE TO COVID-19. Rev. Mex. med. familiar [online]. 2022, vol.9, n.3, pp.86-92. Epub 30-Jan-2023. ISSN 2696-1296. https://doi.org/10.24875/rmf.22000025.
Background:
Several authors have identified factors associated with severe cases and death due to COVID-19; these include age, sex, comorbidities, and various elevated inflammatory markers such as D-dimer, C-reactive protein (CRP), and interleukin 6.
Objective:
To identify prognostic factors associated with severity and death in hospitalized subjects with COVID-19 pneumonia.
Methods:
Cross-sectional, analytical, prospective study, based on 111 patients admitted with a diagnosis of COVID-19 pneumonia, with oximetry higher than 70% and less than 90%. Multivariate discriminant analysis was an “outcome”, the dependent variable was the “outcome” (death or hospital discharge); the model was calculated using the stepwise inclusion method with five independent variables: age, C-reactive protein, ferritin, oximetry on admission and comorbidities.
Results:
111 subjects with a diagnosis of COVID-19 pneumonia were studied. Of these, 59 (53.15%) were diabetic, of whom 42 (71%) presented complications. There were two statistically significant variables in the comparison of averages according to outcome: C-reactive protein values (p<0.000) and oximetry at hospital admission (p=0.048).
Conclusions:
Increased C-reactive protein between the fourth and seventh day of hospitalization, and admission oximetry below 80% were associated with in-hospital mortality in 71% of cases.
Palavras-chave : SARS-CoV-2; COVID-19; Diabetes complications; C-reactive protein; Pneumonia; Hypoxia.