Socio-Demographic Health Determinants Are Associated with Poor Prognosis in Spanish Patients Hospitalized with COVID-19
Por:
Martin-Sanchez, FJ, Carbo, AV, Miro, O., Llorens, P, Jimenez, S., Piñera, P., Burillo-Putze, G, Martin, A, Garcia-Lamberechts, JE, Jacob, J., Alquezar, A, Martinez-Valero, C, Miranda, JD, Picado, AL, Arrebola, JP, Lopez, ME, Parviainen, A, del Castillo, JG
Publicada:
1 dic 2021
Ahead of Print:
1 jul 2021
Resumen:
Introduction Social vulnerability is a known determinant of health in respiratory diseases. Our aim was to identify whether there are socio-demographic factors among COVID-19 patients hospitalized in Spain and their potential impact on health outcomes during the hospitalization. Methods A multicentric retrospective case series study based on administrative databases that included all COVID-19 cases admitted in 19 Spanish hospitals from 1 March to 15 April 2020. Socio-demographic data were collected. Outcomes were critical care admission and in-hospital mortality. Results We included 10,110 COVID-19 patients admitted to 18 Spanish hospitals (median age 68 (IQR 54-80) years old; 44.5% female; 14.8% were not born in Spain). Among these, 779 (7.7%) cases were admitted to critical care units and 1678 (16.6%) patients died during the hospitalization. Age, male gender, being immigrant, and low hospital saturation were independently associated with being admitted to an intensive care unit. Age, male gender, being immigrant, percentile of average per capita income, and hospital experience were independently associated with in-hospital mortality. Conclusions Social determinants such as residence in low-income areas and being born in Latin American countries were associated with increased odds of being admitted to an intensive care unit and of in-hospital mortality. There was considerable variation in outcomes between different Spanish centers.
Filiaciones:
Martin-Sanchez, FJ:
Hosp Clin San Carlos, Dept Emergency, Calle Prof Martin Lagos S-N, Madrid 28040, Spain
Univ Complutense Madrid, Fac Med, Madrid, Spain
Inst Hlth Res Hosp San Carlos, Madrid, Spain
Carbo, AV:
Inst Hlth Res Hosp San Carlos, Madrid, Spain
Miro, O.:
Univ Barcelona, Hosp Clin, Emergency Dept, IDIBAPS, Barcelona, Spain
Llorens, P:
Univ Miguel Hernandez, Hosp Gen Alicante, Emergency Dept, Elche, Alicante, Spain
Jimenez, S.:
Univ Barcelona, Hosp Clin, Emergency Dept, IDIBAPS, Barcelona, Spain
Piñera, P.:
Hosp Reina Sofia, Emergency Dept, Murcia, Spain
Burillo-Putze, G:
Hosp Univ Canarias, Emergency Dept, Tenerife, Spain
Martin, A:
Hosp Severo Ochoa, Emergency Dept, Leganes, Madrid, Spain
Garcia-Lamberechts, JE:
Hosp Clin San Carlos, Dept Emergency, Calle Prof Martin Lagos S-N, Madrid 28040, Spain
Inst Hlth Res Hosp San Carlos, Madrid, Spain
Jacob, J.:
Hosp Univ Bellvitge, Emergency Dept, Barcelona, Spain
Alquezar, A:
Hosp Santa Creu St Pau, Emergency Dept, Barcelona, Spain
Martinez-Valero, C:
Hosp Clin San Carlos, Dept Emergency, Calle Prof Martin Lagos S-N, Madrid 28040, Spain
Inst Hlth Res Hosp San Carlos, Madrid, Spain
Univ Complutense Madrid, Fac Med, Madrid, Spain
Miranda, JD:
Risk Modelling Area, Repsol, Madrid, Spain
Consortium Biomed Res Epidemiol & Publ Hlth CIB, Madrid, Spain
Inst Invest Biosanitaria Granada, Granada, Spain
Picado, AL:
Inst Hlth Res Hosp San Carlos, Madrid, Spain
Arrebola, JP:
Univ Granada, Dept Med Prevent & Salud Publ, Granada, Spain
Lopez, ME:
Inst Salud Carlos III, Ctr Nac Sanidad Ambiental, Madrid, Spain
Parviainen, A:
Univ Granada UGR CSIC, Inst Andaluz Ciencias Tierra, Granada, Spain
del Castillo, JG:
Hosp Clin San Carlos, Dept Emergency, Calle Prof Martin Lagos S-N, Madrid 28040, Spain
Inst Hlth Res Hosp San Carlos, Madrid, Spain
Hospital Clinico Universitario Lozano Blesa, Zaragoza, Spain
Hospital Royo Villanova, Zaragoza, Spain
Complejo Hospitalario de Toledo, Toledo, Spain
Hospital Universitario de Galdakao, Galdakao, Spain
Hospital Universitario Marqués de Valdecilla, Santander, Spain
Hospital Universitario Central de Asturias, Oviedo, Spain
Hospital San Pedro, Logroño, Spain
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