住院患者新冠肺炎死亡率:基于不同危险因素的预测模型

IF 2 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Risk Management and Healthcare Policy Pub Date : 2025-09-20 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S539309
Irma Luz Yupari-Azabache, Ruben Kenny Briceno, Jorge Luis Díaz-Ortega, Nelida Milly Otiniano, Susana Edita Paredes-Díaz
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引用次数: 0

摘要

自2020年以来,COVID-19严重影响了世界人口,造成大量死亡,并对卫生保健系统产生了巨大的社会经济影响。本研究旨在分析基于不同危险因素的COVID-19死亡率预测模型。患者和方法:对2000例住院患者进行回顾性、横断面研究。生物学和临床因素(体征和症状)、实验室/诊断结果和合并症被考虑在内。使用SPSS第29版统计软件包对信息进行处理,采用介绍方法进行双变量和多变量的二元逻辑回归分析。结果:死者多为男性,60岁以上,O型血阳性,高血压、2型糖尿病、肥胖。最常见的症状为发热、不适、呼吸急促和疲劳,严重患者最常见的断层扫描表现为双侧磨玻璃,BiRad评分为5级。结论:该模型的预后率为76%。纳入COVID-19死亡率预测模型的变量包括年龄、发热、咳嗽、喉咙痛、疲劳、呼吸短促、CT扫描单侧实变、血红蛋白水平、白细胞计数、淋巴细胞、血小板、尿素和铁蛋白。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mortality Due to Covid-19 in Hospitalized Patients: A Prediction Model Based on Different Risk Factors.

Purpose: Since 2020, COVID-19 severely affected the world population, generating numerous deaths and a great socioeconomic impact that affected the healthcare system. This investigation aimed to analyze a prediction model for COVID-19 mortality on the basis of different risk factors.

Patients and methods: Retrospective, cross-sectional study in a sample of 2000 hospitalized patients. Biological and clinical factors (signs and symptoms), laboratory/diagnostic results and comorbidities were taken into account. The SPSS version 29 statistical package was used to process the information, performing a bivariate and multivariate analysis with binary logistic regression using the intro methods.

Results: Most of the deceased were male, older than 60 years, blood type O positive, hypertensive, type 2 diabetic, obese. The most common symptoms were fever, malaise, shortness of breath and fatigue, the most common tomography findings were bilateral ground glass with BiRad 5 scale in more seriously impaired patients.

Conclusion: An adequate model was obtained with a 76% prognostic rate. The variables included in the predictive model for COVID-19 mortality were age, fever, productive cough, sore throat, fatigue, shortness of breath, unilateral consolidation on CT scan, hemoglobin level, leucocyte count, lymphocytes, platelets, urea, and ferritin.

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来源期刊
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
期刊介绍: Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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