• Medientyp: E-Artikel
  • Titel: Performance status: A key factor in predicting mortality in the first wave of COVID-19 in South-East Scotland
  • Beteiligte: Mutch, Callum P; Ross, Daniella A; Bularga, Anda; Nicola Rose Cave, Roo; Chase-Topping, Margo E; Anand, Atul; Mills, Nicholas L; Koch, Oliver; Mackintosh, Claire L; Perry, Meghan R
  • Erschienen: SAGE Publications, 2022
  • Erschienen in: Journal of the Royal College of Physicians of Edinburgh
  • Sprache: Englisch
  • DOI: 10.1177/14782715221120137
  • ISSN: 1478-2715; 2042-8189
  • Schlagwörter: Education ; General Medicine
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  • Beschreibung: <jats:sec><jats:title>Background:</jats:title><jats:p> COVID-19 mortality risk factors have been established in large cohort studies; long-term mortality outcomes are less documented. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> We performed multivariable logistic regression to identify factors associated with in-patient mortality and intensive care unit (ICU) admission in symptomatic COVID-19 patients admitted to hospitals in South-East Scotland from 1st March to 30th June 2020. One-year mortality was reviewed. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> Of 726 patients (median age 72; interquartile range: 58–83 years, 55% male), 104 (14%) required ICU admission and 199 (27%) died in hospital. A further 64 died between discharge and 30th June 2021 (36% overall 1-year mortality). Stepwise logistic regression identified age &gt;79 (odds ratio (OR), 4.77 (95% confidence interval (CI), 1.96–12.75)), male sex (OR, 1.83 (95% CI, 1.21–2.80)) and higher European Cooperative Oncology Group/World Health Organization performance status as associated with higher mortality risk. </jats:p></jats:sec><jats:sec><jats:title>Discussion:</jats:title><jats:p> Poor functional baseline was the predominant independent risk factor for mortality in COVID-19. More than one-third of individuals had died by 1 year following admission. </jats:p></jats:sec>