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Gaceta médica de México
versão On-line ISSN 2696-1288versão impressa ISSN 0016-3813
Resumo
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, Fishers exact test or Mann-Whitneys 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.
Palavras-chave : COVID-19; SARS-CoV-2; Mechanical ventilation; Mexico; Latin America.