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particular interest, published recently, have been highlighted as:• Of importance. •• Of major importance
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This meta-analysis of ten studies shows the main clinical characteristics of hospitalized patients with COVID-19
Purpose of ReviewThis study compares the survival and clinical profile of hospitalized adults with COVID-19 in two clinics in the city of Medellín, Colombia, with a prospective study with 198 patients in clinic A and 201 in clinic B. Comparisons were made with chi-square and Mann–Whitney U, factors associated with survival were identified with a Cox regression.Recent FindingsThe proportion of deaths was 7.1% in clinic A with a mean survival of 51.9 days (95% CI = 45–59); in clinic B 13.9% of patients died with mean survival of 37.8 days (95% CI = 32–43). The most prevalent comorbidities were hypertension (41.6%), diabetes (23.8%), obesity (15.0%), hypothyroidism (13.0%), dyslipidemia (11.0%), and chronic lung disease (10.8%) with similar proportions in both clinics. There were also differences by the clinic in the most prevalent complications: bacterial pneumonia (18.8%), acute renal failure (14.3%), and encephalopathy (9.5%). There were no differences in the days of hospitalization, mechanical ventilation (clinic A 23.7% and clinic B 29.4%) and admission to the ICU (25.3% in A and 32.3% in B).SummaryWe evidence the heterogeneity of the survival and the clinical profile of the patients who are cared for by two institutions of the same city. These findings demonstrate the need to conduct unique studies for each institution, which poses a significant challenge for hospital epidemiology programs due to the impossibility of extrapolating evidence from other healthcare institutions and the need to implement personalized medicine programs given the clinical diversity of patients hospitalized for COVID-19.
Current Clinical Microbiology Reports – Springer Journals
Published: Jun 1, 2022
Keywords: COVID-19; Provision of healthcare; Medical information; Epidemiology
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