ICU admission of COVID-19 patients: Identification of risk factors
Shaimaa H Fouad (1), Mohamed Farouk
Allam (2), Sara Ibrahim (3), Ahmed Ashraf Okba (4), Sylvia W Roman (1), Amr
Hosny (5) & Mayada Moneer (1)
1. Department of Internal Medicine,
Faculty of Medicine, Ain Shams University, Cairo, Egypt.
2. Department of Family Medicine,
Faculty of Medicine, Ain Shams University, Cairo, Egypt.
3. Department of Clinical Pathology,
Faculty of Medicine, Ain Shams University, Cairo, Egypt.
4. Department of Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
5. Department of Anesthesia and
Intensive Care, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Egyptian
Journal of Anaesthesia 2021;37(1):202-207.
DOI: 10.1080/11101849.2021.191943
ABSTRACT
Background. The WHO has declared COVID-19 as a global pandemic
with a rapidly increasing number of patients at a rate exceeding the limits of
health-care resources. Some people seem to be at higher risk of worse prognosis
and increased mortality. Identifying these vulnerable groups is a necessity.
Aim of study. To identify the risk factors associated with ICU
admission in COVID-19 patients.
Methodology. We present a retrospective study where the clinical
data of patients with laboratory-confirmed COVID-19 infection were collected
from Ain-Shams University Isolation-Hospital records on admission from 10 April
2020 to 30 July 2020 to identify risk factors in patients requiring ICU
admission during hospital stay.
Results. Of 323 subjects diagnosed by the RT-PCR as positive
COVID-19, 62 (19.2%) of which were admitted at the ICU. The mean age of the
subjects was 46.6 ± 16 years. Significant morbidities were
associated with higher age groups (p value 0.000), smokers (p value 0.004),
Cairo-residents (p value 0.009), being a health-care provider (p value 0.001)
and hypertensive patients (p value 0.000).
Conclusions. Elderly, smokers, diabetic and hypertensive need
further attention during disease course. Our results call for further
investigations of risk factors for COVID-19 severity; preferably on large
prospective cohorts, to increase their validity.
KEYWORDS: COVID-19; patient stratification; prognosis;
hospital; ICU; severity; risk factors; COVID-19 vaccinations.
Egyptian Journal of Anaesthesia, 2021;37(1):202-207.
DOI: 10.1080/11101849.2021.191943
https://www.tandfonline.com/doi/pdf/10.1080/11101849.2021.1919433?needAccess=true
