Analysis of Risk Factors for In-Hospital Death Due to COVID-19 in Patients Hospitalised at the Temporary Hospital Located at the National Stadium in Warsaw: A Retrospective Analysis

Butkiewicz, Sławomir; Zaczyński, Artur; Hampel, Michał; Pańkowski, Igor; Gałązkowski, Robert; Rzońca, Patryk

doi:10.3390/ijerph19073932

Cited by 7 publications

(6 citation statements)

References 60 publications

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“…The present study reports comprehensive characteristics of patients with SARS-CoV-2 infection admitted to the ED of the Central Clinical Hospital of the Ministry of Interior and Administration in Warsaw. In addition, it complements our previous study concerning COVID-19 patients hospitalized at the temporary hospital in Warsaw [ 69 ]. The findings from the present study can be used for international comparisons aimed at developing the best strategies for the management of patients with COVID-19.…”

Section: Discussionsupporting

confidence: 71%

Retrospective Study to Identify Risk Factors for Severe Disease and Mortality Using the Modified Early Warning Score in 5127 Patients with COVID-19 Admitted to an Emergency Department in Poland Between March 2020 and April 2021

et al. 2022

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Background COVID-19, a disease caused by SARS-CoV-2, has posed a threat to global public health. This retrospective study of 5127 patients with COVID-19 admitted to an Emergency Department in Poland between March 2020 and April 2021 aimed to identify risk factors for severe disease and mortality using the modified early warning score (MEWS). Material/Methods The study was based on a retrospective analysis of patients with SARS-CoV-2 infection admitted to the Emergency Department between March 2020 and April 2021. A total of 5127 cases were included in the final analysis. Identifying the group of high-risk patients with COVID-19 was determined based on the MEWS score. Results Most of the patients studied were male (53.38%). The in-hospital mortality rate among the patients was 21.53%. The factors associated with the risk of in-hospital mortality from COVID-19 were age (>60 years, hazard ratio [HR]=2.27, P <0.001), comorbidities (cancer, HR=1.39, P =0.005; heart failure, HR=1.31, P =0.009; renal failure, HR=1.37, P =0.004), higher MEWS score (MEWS ≥5, HR=1.43, P <0.001), higher percentage of lung parenchyma affected (>50%, HR=2.10, P =0.001), and higher respiratory rate (>24 breaths per min, HR=2.10, P <0.001). Conclusions This study produced real-world data of risk factors for mortality from COVID-19 and the use of the MEWS for a faster identification of patients with COVID-19 requiring more intensive medical care.

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Section: Discussionsupporting

confidence: 71%

Retrospective Study to Identify Risk Factors for Severe Disease and Mortality Using the Modified Early Warning Score in 5127 Patients with COVID-19 Admitted to an Emergency Department in Poland Between March 2020 and April 2021

et al. 2022

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“… 7 , 8 This approach eliminates confirmed asymptomatic carriers or patients with mild cases of COVID-19 as a source of transmission. 8 , 13 , 16 Experiments from some regions have shown that Fangcang shelter hospitals are feasible and do not require a large amount of investment, although further improvements and complete systems are needed in terms of form, regulation, and treatment procedures. 14 , 15 , 17 , 18 The management mode of Shanghai Fangcang shelter hospital has been further optimized and upgraded in the following aspects.…”

Section: Discussionmentioning

confidence: 99%

Clinical Practice and Effectiveness Analysis of the Management of Corona Virus Disease 2019 Infected at Shanghai Fangcang Shelter Hospital: A Descriptive Study

Zhu¹,

Zhu²,

Weng³

et al. 2023

RMHP

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Background The Fangcang shelter hospital has gradually become the primary management mode in China’s fight against this Corona Virus Disease 2019 (COVID-19) in 2020. In early 2022, the Fangcang shelter hospital management model was successfully applied to the new outbreak of COVID-19 in Shanghai also. Although Fangcang shelter hospitals are no longer the prevailing mode of prevention of COVID-19, the management experience of Shanghai makeshift hospitals is worthy of reference for public health. Methods The authors conducted a descriptive statistical analysis of Hall 6-2 of the Shanghai National Convention and Exhibition Center Fangcang shelter hospital. The whole hall of the Fangcang shelter hospital was managed by the one hospital, and the inclusion of third-party management personnel alleviated the shortage of medical personnel human resources. Through practice, a new procedure for treating batch infected people was introduced. Results By optimizing ward management, 72 on-duty doctors, 360 on-duty nurses, 3 sense-control administrators, and 15 administrators cured 18,574 infected people in 40 days, and created a record of a doctor managing 700 infected people without compromising the quality of treatment. There have been no deaths and no complaints from the infected people located in Hall 6-2 of the Shanghai National Convention and Exhibition Center Fangcang shelter hospital. Conclusion Compared with previous data, the new management mode of Fangcang shelter hospitals provides a reference for the management of the new infectious diseases for public health.

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“…In Brazil [ 18 ], the Riocentro Campaign Hospital in Rio of Janeiro had a mortality of 25.5% (194/761 patients) and was associated with age and pulmonary impairment. In Poland [ 16 ], the National Stadium in Warsaw had a mortality of 8.91% (156/1749 patients), identifying 14 factors (some comorbidities, stroke history, chronic obstructive pulmonary disease, and heart failure) that have a significant impact on the prognosis and mortality. In South Africa [ 17 ], the International Convention Centre in Cape Town had a mortality of 5.7% (83/1502 patients), highlighting that the daily communication with the whole care service platform was a critical success factor.…”

Section: Discussionmentioning

confidence: 99%

“…In February 2020, China put the first three temporary hospitals (Fangcang, Huoshenshan, and Leishenshan) into operation in response to insufficient medical resources, limiting the national spread and reducing the number of deaths [ 10–13 ]. In the following weeks, various countries implemented similar measures, mainly in cities with the highest number of cases such as Madrid and Asturias in Spain [ 14 , 15 ], Warsaw in Poland [ 16 ], Cape Town in South Africa [ 17 ], Sao Paulo in Brazil [ 18 ] and New York in the United States of America [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic, clinical and laboratory characteristics and risk factors for mortality of hospitalized COVID-19 patients at alternate care site: a Latin American experience

Alegría-Baños

Rosas-Alvarado²,

Jiménez-López

et al. 2023

Annals of Medicine

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Background The establishment of Alternate Care Sites (ACS) helped the most severely impacted countries expand their response capability. The aim of this study was to evaluate the clinical characteristics and risk factors associated with the mortality of hospitalized COVID-19 patients at Alternate Care Site in Mexico City. Patients and methods A monocentric cohort study was conducted at Mexico City’s Temporary Unit COVID-19 (UTC-19). Sociodemographic, clinical, laboratory and treatment variables were included in the analysis. Results A total of 4865 patients were included, with a mean age of 49.33 years ± SD 15.28 years (IQR 38 to 60 years); 50.53% were women. 63.53% of the patients presented at least one comorbidity, the most frequent being: obesity (39.94%), systemic arterial hypertension (25.14%), and diabetes mellitus (21.52%). A total of 4549 patients (93.50%) were discharged due to improvement, 64 patients (1.31%) requested voluntary discharge, 39 patients (0.80%) were referred to another unit, and 213 patients (4.37%) died. Factors that were independently and significantly associated with death included male gender (odds ratio [OR], 1.60), age ≥ 50 years (OR 14.75), null or low schooling (OR 3.47), have at least one comorbidity (OR 3.26), atrial fibrillation (OR 22.14). In the multivariate analysis, the lymphopenia ≤ 1 × 10 3/ μL (OR 1.91), and having required steroid treatment (OR 2.85), supplemental oxygen with high-flow nasal cannula (OR 3.12) or invasive mechanical ventilation (OR 42.52), was significantly associated with an increased risk of death. Conclusions This study identified the clinical characteristics and risk factors for mortality of hospitalized COVID-19 patients at ACS in Mexico City. KEY MESSAGES An Alternate Care Site (ACS) is any building or structure that is temporarily converted or constructed for healthcare use during a public health emergency. Factors associated with death included male gender, age over 50 years, and lower educational attainment (elementary school or less). The findings corroborate the utility of the CALL score as a predictor of mortality; lymphopenia ≤1 × 10 3 /μL was the most relevant biomarker.

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Analysis of Risk Factors for In-Hospital Death Due to COVID-19 in Patients Hospitalised at the Temporary Hospital Located at the National Stadium in Warsaw: A Retrospective Analysis

Cited by 7 publications

References 60 publications

Retrospective Study to Identify Risk Factors for Severe Disease and Mortality Using the Modified Early Warning Score in 5127 Patients with COVID-19 Admitted to an Emergency Department in Poland Between March 2020 and April 2021

Retrospective Study to Identify Risk Factors for Severe Disease and Mortality Using the Modified Early Warning Score in 5127 Patients with COVID-19 Admitted to an Emergency Department in Poland Between March 2020 and April 2021

Clinical Practice and Effectiveness Analysis of the Management of Corona Virus Disease 2019 Infected at Shanghai Fangcang Shelter Hospital: A Descriptive Study

Sociodemographic, clinical and laboratory characteristics and risk factors for mortality of hospitalized COVID-19 patients at alternate care site: a Latin American experience

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