Titre :

Risk factors of mortality among patients hospitalised with COVID-19 in a critical care or hospital care unit: analysis of the French national medicoadministrative database

Auteur(s) :

Ouattara, E. [Auteur]
Bruandet, Amelie [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Borde, A. [Auteur]
Lenne, Xavier [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Binder-Foucard, F. [Auteur]
Le-Bourhis-Zaimi, M. [Auteur]
Muller, J. [Auteur]
Tran Ba Loc, P. [Auteur]
Séguret, F. [Auteur]
Tezenas Du Montcel, S. [Auteur]
Gilleron, V. [Auteur]

Titre de la revue :

BMJ open respiratory research

Nom court de la revue :

BMJ Open Respir Res

Numéro :

8

Pagination :

e001002

Date de publication :

2021

ISSN :

2052-4439

Mot(s)-clé(s) en anglais :

COVID-19
respiratory infection
viral infection

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Objective To explore mortality risk factors for patients hospitalised with COVID-19 in a critical care unit (CCU) or a hospital care unit (HCU). Design Retrospective cohort analysis using the French national (Programme ...
Lire la suite >Objective To explore mortality risk factors for patients hospitalised with COVID-19 in a critical care unit (CCU) or a hospital care unit (HCU). Design Retrospective cohort analysis using the French national (Programme de médicalisation des systèmes d’information) database. Setting Any public or private hospital in France. Participants 98 366 patients admitted with COVID-19 for more than 1 day during the first semester of 2020 were included. The underlying conditions were retrieved for all contiguous stays. Main outcome measures In-hospital mortality and associated risk factors were assessed using frailty Cox models. Results Among the 98 366 patients included, 25 765 (26%) were admitted to a CCU. The median age was 66 (IQR: 55–76) years in CCUs and 74 (IQR: 57–85) years in HCUs. Age was the main risk factor of death in both CCUs and HCUs, with adjusted HRs (aHRs) in CCUs increasing from 1.60 (95% CI 1.35 to 1.88) for 46 to 65 years to 8.17 (95% CI 6.86 to 9.72) for ≥85 years. In HCUs, the aHR associated with age was more than two times higher. The gender was not significantly associated with death, aHR 1.03 (95% CI 0.98 to 1.09, p=0.2693) in CCUs. Most of the underlying chronic conditions were risk factors for death, including malignant neoplasm (CCU: 1.34 (95% CI 1.25 to 1.43); HCU: 1.41 (95% CI 1.35 to 1.47)), cirrhosis without transplant (1.41 (95% CI 1.22 to 1.64); 1.27 (95% CI 1.12 to 1.45)) and dementia (1.30 (95% CI 1.16 to 1.46); 1.07 (95% CI 1.03 to 1.12)). Conclusion This analysis confirms the role of age as the major risk factor of death in patients with COVID-19 irrespective to admission to critical care and therefore supports the current vaccination policies targeting older individuals.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2023-11-15T05:40:13Z
2024-04-22T09:46:10Z