Sociodemographic, clinical and laboratory factors on admission associated with COVID-19 mortality in hospitalized patients: A retrospective observational study

Rivera-Izquierdo, Mario; del Carmen Valero-Ubierna, María; R-delAmo, Juan Luis; Fernández-García, Miguel Ángel; Martínez-Diz, Silvia; Tahery-Mahmoud, Arezu; Rodríguez-Camacho, Marta; Gámiz-Molina, Ana Belén; Barba-Gyengo, Nicolás; Gámez-Baeza, Pablo; Cabrero-Rodríguez, Celia; Guirado-Ruiz, Pedro Antonio; Martín-Romero, Divina Tatiana; Láinez-Ramos-Bossini, Antonio Jesús; Sánchez-Pérez, María Rosa; Mancera-Romero, José; García-Martín, Miguel; Martín-delosReyes, Luis Miguel; Martínez-Ruiz, Virginia; Lardelli-Claret, Pablo; Jiménez-Mejías, Eladio

BACKGROUND: To identify and quantify associations between baseline characteristics on hospital admission and mortality in patients with COVID-19 at a tertiary hospital in Spain. METHODS AND FINDINGS: This retrospective case series included 238 patients hospitalized for COVID-19 at Hospital Universitario Clínico San Cecilio (Granada, Spain) who were discharged or who died. Electronic medical records were reviewed to obtain information on sex, age, personal antecedents, clinical features, findings on physical examination, and laboratory results for each patient. Associations between mortality and baseline characteristics were estimated as hazard ratios (HR) calculated with Cox regression models. Series mortality was 25.6%. Among patients with dependence for basic activities of daily living, 78.7% died, and among patients residing in retirement homes, 80.8% died. The variables most clearly associated with a greater hazard of death were age (3% HR increase per 1-year increase in age; 95%CI 1–6), diabetes mellitus (HR 2.42, 95%CI 1.43–4.09), SatO(2)/FiO(2) ratio (43% HR reduction per 1-point increase; 95%CI 23–57), SOFA score (19% HR increase per 1-point increase, 95%CI 5–34) and CURB-65 score (76% HR increase per 1-point increase, 95%CI 23–143). CONCLUSIONS: The patients residing in retirement homes showed great vulnerability. The main baseline factors that were independently associated with mortality in patients hospitalized for COVID-19 were older age, diabetes mellitus, low SatO(2)/FiO(2) ratio, and high SOFA and CURB-65 scores.