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 Detalle_Publicacion

Socio-Demographic Health Determinants Are Associated with Poor Prognosis in Spanish Patients Hospitalized with COVID-19

Abstract: 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.

 Fuente: J Gen Intern Med . 2021 Dec;36(12):3737-3742

Editorial: Springer

 Año de publicación: 2021

Nº de páginas: 6

Tipo de publicación: Artículo de Revista

 DOI: 10.1007/s11606-020-06584-6

ISSN: 0884-8734,1525-1497

Url de la publicación: https://www.doi.org/10.1007/s11606-020-06584-6

Autores/as

MARTÍN-SÁNCHEZ, F JAVIER

VALLS CARBÓ, ADRIÁN

MIRÓ, ÒSCAR

LLORENS, PERE

JIMÉNEZ, SÒNIA

PIÑERA, PASCUAL

BURILLO-PUTZE, GUILLERMO

MARTÍN, ALFONSO

GARCÍA-LAMBERECHTS, JORGE E

JACOB, JAVIER

ALQUÉZAR, AITOR

MARTÍNEZ-VALERO, CARMEN

MIRANDA, JUAN DE D

LÓPEZ PICADO, AMANDA

ARREBOLA, JUAN PEDRO

ESTEBAN LÓPEZ, MARTA

PARVIAINEN, ANNIKA

GONZÁLEZ DEL CASTILLO, JUAN

SPANISH SOCIAL-ENVIRONMENTAL COVID-19 REGISTER