• Postgraduate medicine · Aug 2021

    A Gastroenterologist' clinical experience in COVID 19 and in-hospital mortality and length of stay analysis.

    • Francisco Valverde-López, Cristina Tendero-Peinado, Marta Lecuona-Muñoz, Clara Heredia-Carrasco, Patricia Abellán-Alfocea, Eva Julissa Ortega-Suazo, Maria Del Mar Martín-Rodríguez, Antonio Damián Sánchez-Capilla, Virginia Sotorrío-Simó, Rita Jiménez-Rosales, and Eduardo Redondo-Cerezo.
    • Department of Gastroenterology and Hepatology, University Hospital Virgen De Las Nieves, Granada, Spain.
    • Postgrad Med. 2021 Aug 1; 133 (6): 592-598.

    ObjectivesCOVID19 pandemic has forced physicians from different specialties to assist cases overload. Our aim is to assess gastroenterologist's assistance in COVID-19 by assessing mortality, ICU admission, and length of stay, and seek for risk factors for in-hospital mortality and longer hospital stay.MethodsA total of 41 COVID-19 patients assisted by gastroenterologist (GI cohort) and 137 assisted by pulmonologist, internal medicine practitioners, and infectious disease specialists (COVID expert cohort) during October-November 2020 were prospectively collected. Clinical, demographic, imaging, and laboratory markers were collected and compared between both cohorts. Bivariate analysis and logistic regression were performed to search for risk factors of mortality and longer hospital stays.ResultsA total of 27 patients died (15.1%), 11 were admitted to ICU (6.1%). There were no differences between cohorts in mortality (14.6% vs 15.4%;p = 0.90), ICU admission (12.1% vs 4%;p = 0.13), and length of stay (6.67 ± 4 vs 7.15 ± 4.5 days; p = 0.58). PaO2/FiO2 on admission (OR 0.991;CI95% 0.984-0.998) and age > 70 (OR 17.54;CI95% 3.93-78.22) were independently related to mortality. Age > 70, history of malignancy, diabetes, and cardiovascular disease were related to longer hospital stays (p < 0.001, p = 0.03, p = 0.04, p = 0.02 respectively).ConclusionsCOVID-19 assistance was similar between gastroenterologist and COVID experts when assessing mortality, ICU admission, and length of stay. Age>70 and decreased PaO2/FiO2 on admission were independent risk factors of mortality. Age and several comorbidities were related to longer hospital stay.

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