|Title:||The clinical features and risk factors for death of COVID-19 patients admitted to a model 3 General Hospital|
|Author(s):||Abbas, Z., Lee, O., McErney, T., Hogan, C., Periyakaruppan, R., El Gammal, AI.|
|Institution:||Department of Respiratory Medicine, Naas General Hospital (NGH), County Kildare|
|Poster:||Click to view poster|
|Abstract:||Naas General Hospital (NGH) is a model 3 public acute hospital. Kildare to date has the highest incidence rate of COVID-19 outside of the capital Dublin. |
Retrospective, single-centre case series of 106 consecutive hospitalised patients with confirmed COVID-19 admitted to NGH between March 8th and May 28th. Demographics, clinical, labarotory, radiological, and treatment data were collected, analysed and compared between survivors and non survivors.
Of 106 patients, the median age was 72 years and 58% were men. The majority of the cases were community acquired (50%). Common symptoms included cough (70%), fever (64%) and Dyspnoea (65%). 70% had infiltrates on CXR. Majority of the patients (83%) received antibacterial therapy, 18% received steroids and five received tocilizumab. Twelve patients were transferred to ICU, of whom 9 received invasive ventilation. ICU mortality rate was 33%. Non survivors were older (median age 79 years vs 65 years), had higher Charlson comorbidity index (median 5.4 vs 3.7), were more lymphopenic with higher DDimers and CRP values.
Overall mortality rate in NGH was 30%. We found that older age, underlying comorbidities, lymphopenia and high levels of CRP and DDimers were risk factors for death of COVID-19 patients which can be helpful to identify patients at higher risk at an early stage.