tetano
Editor, Senior Moderator
J Clin Med
. 2021 Feb 18;10(4):825.
doi: 10.3390/jcm10040825.
The SADDEN DEATH Study: Results from a Pilot Study in Non-ICU COVID-19 Spanish Patients
Carlos Nicol?s P?rez-Garc?a[SUP] 1 [/SUP], Daniel Enr?quez-V?zquez[SUP] 1 [/SUP], Manuel M?ndez-Bail?n[SUP] 2 [/SUP], Carmen Olmos[SUP] 1 [/SUP], Juan Carlos G?mez-Polo[SUP] 1 [/SUP], Rosario Iguar?n[SUP] 1 [/SUP], Noem? Ramos-L?pez[SUP] 2 [/SUP], Jos? Luis Garc?a-Klepzig[SUP] 2 [/SUP], Marcos Ferr?ndez-Escarabajal[SUP] 1 [/SUP], Adri?n Jer?nimo[SUP] 1 [/SUP], Eduardo Mart?nez-G?mez[SUP] 1 [/SUP], Judit Font-Urgelles[SUP] 3 [/SUP], Marcos Fragiel-Saavedra[SUP] 2 [/SUP], Pilar Paz-Arias[SUP] 2 [/SUP], Teresa Romero-Delgado[SUP] 1 [/SUP], Zaira G?mez-?lvarez[SUP] 1 [/SUP], Julia Play?n-Escribano[SUP] 1 [/SUP], Esther Ja?n[SUP] 2 [/SUP], Gianna Vargas[SUP] 4 [/SUP], Elizabeth Gonz?lez[SUP] 4 [/SUP], Eva Orviz[SUP] 2 [/SUP], Irene Burruezo[SUP] 2 [/SUP], Alberto Calvo[SUP] 2 [/SUP], ?ngel Nieto[SUP] 2 [/SUP], ?ngel Molino[SUP] 2 [/SUP], No?l Lorenzo-Villalba[SUP] 5 [/SUP], Emmanuel Andr?s[SUP] 5 [/SUP], Carlos Macaya[SUP] 1 [/SUP], Isidre Vilacosta[SUP] 1 [/SUP]
Affiliations
Abstract
Introduction: The worldwide pandemic, coronavirus disease 2019 (COVID-19) is a novel infection with serious clinical manifestations, including death. Our aim is to describe the first non-ICU Spanish deceased series with COVID-19, comparing specifically between unexpected and expected deaths. Methods: In this single-centre study, all deceased inpatients with laboratory-confirmed COVID-19 who had died from March 4 to April 16, 2020 were consecutively included. Demographic, clinical, treatment, and laboratory data, were analyzed and compared between groups. Factors associated with unexpected death were identified by multivariable logistic regression methods. Results: In total, 324 deceased patients were included. Median age was 82 years (IQR 76-87); 55.9% males. The most common cardiovascular risk factors were hypertension (78.4%), hyperlipidemia (57.7%), and diabetes (34.3%). Other common comorbidities were chronic kidney disease (40.1%), chronic pulmonary disease (30.3%), active cancer (13%), and immunosuppression (13%). The Confusion, BUN, Respiratory Rate, Systolic BP and age ?65 (CURB-65) score at admission was >2 in 40.7% of patients. During hospitalization, 77.8% of patients received antivirals, 43.3% systemic corticosteroids, and 22.2% full anticoagulation. The rate of bacterial co-infection was 5.5%, and 105 (32.4%) patients had an increased level of troponin I. The median time from initiation of therapy to death was 5 days (IQR 3.0-8.0). In 45 patients (13.9%), the death was exclusively attributed to COVID-19, and in 254 patients (78.4%), both COVID-19 and the clinical status before admission contributed to death. Progressive respiratory failure was the most frequent cause of death (92.0%). Twenty-five patients (7.7%) had an unexpected death. Factors independently associated with unexpected death were male sex, chronic kidney disease, insulin-treated diabetes, and functional independence. Conclusions: This case series provides in-depth characterization of hospitalized non-ICU COVID-19 patients who died in Madrid. Male sex, insulin-treated diabetes, chronic kidney disease, and independency for activities of daily living are predictors of unexpected death.
Keywords: COVID-19; mortality; unexpected death.
. 2021 Feb 18;10(4):825.
doi: 10.3390/jcm10040825.
The SADDEN DEATH Study: Results from a Pilot Study in Non-ICU COVID-19 Spanish Patients
Carlos Nicol?s P?rez-Garc?a[SUP] 1 [/SUP], Daniel Enr?quez-V?zquez[SUP] 1 [/SUP], Manuel M?ndez-Bail?n[SUP] 2 [/SUP], Carmen Olmos[SUP] 1 [/SUP], Juan Carlos G?mez-Polo[SUP] 1 [/SUP], Rosario Iguar?n[SUP] 1 [/SUP], Noem? Ramos-L?pez[SUP] 2 [/SUP], Jos? Luis Garc?a-Klepzig[SUP] 2 [/SUP], Marcos Ferr?ndez-Escarabajal[SUP] 1 [/SUP], Adri?n Jer?nimo[SUP] 1 [/SUP], Eduardo Mart?nez-G?mez[SUP] 1 [/SUP], Judit Font-Urgelles[SUP] 3 [/SUP], Marcos Fragiel-Saavedra[SUP] 2 [/SUP], Pilar Paz-Arias[SUP] 2 [/SUP], Teresa Romero-Delgado[SUP] 1 [/SUP], Zaira G?mez-?lvarez[SUP] 1 [/SUP], Julia Play?n-Escribano[SUP] 1 [/SUP], Esther Ja?n[SUP] 2 [/SUP], Gianna Vargas[SUP] 4 [/SUP], Elizabeth Gonz?lez[SUP] 4 [/SUP], Eva Orviz[SUP] 2 [/SUP], Irene Burruezo[SUP] 2 [/SUP], Alberto Calvo[SUP] 2 [/SUP], ?ngel Nieto[SUP] 2 [/SUP], ?ngel Molino[SUP] 2 [/SUP], No?l Lorenzo-Villalba[SUP] 5 [/SUP], Emmanuel Andr?s[SUP] 5 [/SUP], Carlos Macaya[SUP] 1 [/SUP], Isidre Vilacosta[SUP] 1 [/SUP]
Affiliations
- PMID: 33670462
- DOI: 10.3390/jcm10040825
Abstract
Introduction: The worldwide pandemic, coronavirus disease 2019 (COVID-19) is a novel infection with serious clinical manifestations, including death. Our aim is to describe the first non-ICU Spanish deceased series with COVID-19, comparing specifically between unexpected and expected deaths. Methods: In this single-centre study, all deceased inpatients with laboratory-confirmed COVID-19 who had died from March 4 to April 16, 2020 were consecutively included. Demographic, clinical, treatment, and laboratory data, were analyzed and compared between groups. Factors associated with unexpected death were identified by multivariable logistic regression methods. Results: In total, 324 deceased patients were included. Median age was 82 years (IQR 76-87); 55.9% males. The most common cardiovascular risk factors were hypertension (78.4%), hyperlipidemia (57.7%), and diabetes (34.3%). Other common comorbidities were chronic kidney disease (40.1%), chronic pulmonary disease (30.3%), active cancer (13%), and immunosuppression (13%). The Confusion, BUN, Respiratory Rate, Systolic BP and age ?65 (CURB-65) score at admission was >2 in 40.7% of patients. During hospitalization, 77.8% of patients received antivirals, 43.3% systemic corticosteroids, and 22.2% full anticoagulation. The rate of bacterial co-infection was 5.5%, and 105 (32.4%) patients had an increased level of troponin I. The median time from initiation of therapy to death was 5 days (IQR 3.0-8.0). In 45 patients (13.9%), the death was exclusively attributed to COVID-19, and in 254 patients (78.4%), both COVID-19 and the clinical status before admission contributed to death. Progressive respiratory failure was the most frequent cause of death (92.0%). Twenty-five patients (7.7%) had an unexpected death. Factors independently associated with unexpected death were male sex, chronic kidney disease, insulin-treated diabetes, and functional independence. Conclusions: This case series provides in-depth characterization of hospitalized non-ICU COVID-19 patients who died in Madrid. Male sex, insulin-treated diabetes, chronic kidney disease, and independency for activities of daily living are predictors of unexpected death.
Keywords: COVID-19; mortality; unexpected death.