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Mortality profile associated with COVID 19 in patients admitted to the Ambato General Teaching Hospital, Ecuador

Abstract:

Introduction: Coronavirus disease 2019 (COVID-19) causes a multisystem disease with predominantly respiratory involvement such as pneumonia and respiratory distress syndrome. The lethal behavior of the disease is related to comorbidities that worsen its progno-sis. In this study, they evaluated several of the factors that increase the risk of mortality among hospitalized COVID-19 patients and the quantitative analysis of cases with mortality at the local level of the Ambato canton in the province of Tungurahua. Methodology: A study with a retrospective and descriptive design was carried out in 1080 patients with COVID-19 from the Hospital General Docente Ambato database during the period March 25 to August 22, 2020, in these data estimated response variables to identify the impact of the epidemic, incidence, mortality and lethality rates. Results: Of 1080 patients evaluated, the main groups affected in our population were males (56.6%; n=611), subjects >50 years old (60.9%; n=657), the presence of comorbidity (90 .9%; n=982) and mortality of 34.5% (n=372). The mortality rate was higher in those with co-morbidities (without comorbidity: 8.1% vs with comor-bidity: 33.5%). Conclusion: In the analyzed population, the mortality rate is directly proportional to associated comorbidities, being increased by 25% compared to patients who did not present comorbidities, specifically cardiovascular disease, hypertension, DM and CKD; double the risk of dying from SARS-CoV2 compared to patients without these comorbidities.