Clinical Characteristics and Risk Factors among Patients with Positive COVID-19 Test Admitted to ICU

Abstract

Background. Studies that show common characteristics among ICU-admitted patients due to COVID-19 are available on the net, but such studies in Saudi Arabia are limited. Methods. A descriptive cross-sectional study establishing common comorbidities and risk factors among critically ill patients who tested positive for COVID-19 at the National Guard Hospital from March 2, 2020, to March 20, 2021. The data were obtained from the BEST Care System of King Abdulaziz Medical City, computed, and analyzed using SPSS. Results. Three hundred eighty-five COVID-19 patients admitted to the intensive care unit (ICU) were included in this study. The mean age was 60.85 ± 20.46 , 60.85% were males, and 39.2% were females. There was statistically significant positive relationship between severity of the symptoms and age ( P = 0.002 ). The mean duration of hospital stay in the sample was 21.85 ± 28.47 . More than one-third (37.4%) of cases admitted to the hospital died while about two-thirds of the cases were discharged after complete recovery. Two hundred ninety (75.3%) of the patients who were admitted to the National Guard Health Affairs (Riyadh, Saudi Arabia) had respiratory disease. Two hundred twelve patients (55.1%) had diabetes mellitus, while the number of hypertensive patients was 203 (52.7%). There was a significant positive relation among patients with gastrointestinal tract infection (GIT) risk factors and the severity of the symptoms of COVID-19 ( P = 0.000 ). In addition, there was a strong significant relation between hypertension patients and the severity of the COVID-19 symptoms ( P = 0.017 ). Conclusion. COVID-19 patients who have GIT and hypertension have been found to be at an increased risk of COVID-19 symptom severity. Old age was also found to have an increased risk for COVID-19 symptom severity.

Hospitalized COVID‐19 patients with diabetes have an increased risk for pneumonia, intensive care unit requirement, intubation, and death: A cross‐sectional cohort study in Mexico in 2020

“…[19][20][21] Diabetes is thought to increase the incidence of respiratory illnesses, such as COVID-19, and can have a detrimental effect on the prognosis of patients with respiratory illnesses because chronic inflammation might impair the immune system. [22][23][24] Additionally, older people, who's poorer immunity makes them more susceptible to COVID-19, make up a sizable component of the Mexican population. 25,26 The relationship between COVID-19 and diabetes is a complex one, with both conditions impacting each other in multiple ways as found in many populational studies.…”

“…Obesity and hypertension are two comorbidities that are frequently present in diabetes patients and can raise the risk of respiratory problems 19‐21 . Diabetes is thought to increase the incidence of respiratory illnesses, such as COVID‐19, and can have a detrimental effect on the prognosis of patients with respiratory illnesses because chronic inflammation might impair the immune system 22‐24 . Additionally, older people, who's poorer immunity makes them more susceptible to COVID‐19, make up a sizable component of the Mexican population 25,26 …”

Retracted: Clinical Characteristics and Risk Factors among Patients with Positive COVID‐19 Test Admitted to ICU

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [1]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process:…”