Elsevier

Public Health

Volume 190, January 2021, Pages 1-3
Public Health

Short Communication
Survival in adult inpatients with COVID-19

https://doi.org/10.1016/j.puhe.2020.10.029Get rights and content

Highlights

  • The coronavirus disease 2019 (COVID-19) mortality in Mexico has been high.

  • We characterized the survival experience in adult inpatients with confirmed COVID-19.

  • Our results contribute to achieving a better understanding of the current pandemic.

Abstract

Background

The mortality of the coronavirus disease 2019 (COVID-19) pandemic is high, and data regarding its prognosis are scarce. We aimed to assess the survival experience and determining factors in adult inpatients with laboratory-confirmed COVID-19.

Methods

We conducted a nationwide and retrospective cohort study. Data from 66,123 individuals were analyzed using the Kaplan-Meier method, and a multivariate Cox proportional hazard regression model was fitted.

Results

The 7-day survival was 72.2% and went to 47.6%, 35.0%, and 23.9% on days 15, 21, and 30 of hospital stay, respectively. In the multiple analysis, factors associated with an increased risk of dying were male gender, age, pneumonia at hospital admission, immunosuppression, and personal history of chronic non-communicable diseases. Reduced risk of a fatal outcome was observed among patients with asthma history.

Conclusions

To the best of our knowledge, this is the largest study analyzing the survival probability in a large subset of Latin-American adults with COVID-19, in whom the disease burden has been high. Our results contribute to achieving a better understanding of disease evolution.

Keywords

COVID-19
Inpatients
Cohort studies
Survival
Proportional
Hazards models

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