ICU admission of COVID-19 patients: Identification of risk factors

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