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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.

SUBMITTER: Martin-Sanchez FJ 

PROVIDER: S-EPMC8266293 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature

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

Martín-Sánchez F Javier FJ   Valls Carbó Adrián A   Miró Òscar Ò   Llorens Pere P   Jiménez Sònia S   Piñera Pascual P   Burillo-Putze Guillermo G   Martín Alfonso A   García-Lamberechts Jorge E JE   Jacob Javier J   Alquézar Aitor A   Martínez-Valero Carmen C   Miranda Juan de D JD   López Picado Amanda A   Arrebola Juan Pedro JP   López Marta Esteban ME   Parviainen Annika A   González Del Castillo Juan J   Miró Oscar O   Jimenez Sonia S   Ferreras Amez José María JM   Rubio Díaz Rafael R   Gamazo Del Rio Julio Javier JJ   Alonso Héctor H   Herrero Pablo P   Ruiz de Lobera Noemí N   Ibero Carlos C   Mayan Plácido P   Peinado Rosario R   Navarro Bustos Carmen C   Manzanares Jesús Álvarez JÁ   Román Francisco F   Piñera Pascual P   Burillo Guillermo G   Jacob Javier J   Bibiano Carlos C  

Journal of general internal medicine 20210708 12


<h4>Introduction</h4>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.<h4>Methods</h4>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 d  ...[more]

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