Related Experiment Videos
Risk Factors for Mortality in Patients with COVID-19: The Kuwait Experience
Mohammad Al Saleh1, Naser Alotaibi2, Kelly Schrapp3
1Department of Medicine, Farwaniya Hospital, Farwaniya, Kuwait.
Insights
In Kuwait, a study of 962 patients found that 9.04% died from coronavirus disease (COVID-19). Older age, hypertension, cardiovascular disease, and dyspnea were key risk factors for COVID-19 mortality.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Coronavirus disease (COVID-19) has caused a global health crisis.
- Understanding in-hospital mortality risk factors is crucial for patient management.
- Kuwait has experienced a significant burden of COVID-19 cases.
Purpose of the Study:
- To characterize baseline patient data in COVID-19 admissions in Kuwait.
- To identify independent risk factors associated with in-hospital mortality in COVID-19 patients.
- To inform strategies for reducing COVID-19 mortality.
Main Methods:
- Retrospective cohort study design.
- Analysis of data from 962 patients admitted to two hospitals in Kuwait.
- Multivariable analysis to determine factors affecting survival and mortality.
Main Results:
- The overall case fatality ratio was 9.04%.
- Independent risk factors for mortality included older age, hypertension, cardiovascular disease (CVD), and dyspnea on presentation.
- Patients requiring high oxygen had a 96.6% case fatality rate.
Conclusions:
- Mortality risk is elevated in older COVID-19 patients with comorbidities like hypertension and CVD.
- Prompt identification of high-risk individuals is essential for improving clinical outcomes.
- Targeted interventions for high-risk groups can help mitigate COVID-19 mortality.
Objectives:
To describe the baseline characteristics and to evaluate the risk factors for in-hospital mortality in patients admitted to hospitals with coronavirus disease (COVID-19) in Kuwait.
Subjects And Methods:
This retrospective cohort study analyzed data of patients admitted to two hospitals in Kuwait with COVID-19. The outcome was assessed by using multivariable analysis of factors affecting survival and mortality.
Results:
In 962 patients, the case fatality ratio was 9.04%. The mean age of nonsurvivors was 63.5 ± 14.8 years, and most deaths occurred in males (80.5%). For the whole sample, the source of transmission was significantly related to mortality and the median duration of in-hospital stay was 15 days (interquartile range: 2-52 days). In patients with high oxygen requirements, the case fatality rate was 96.6%. Multivariable analysis identified age, hypertension, cardiovascular disease (CVD), and dyspnea on presentation as independent risk factors for COVID-19 mortality.
Conclusions:
The mortality rate was higher in older patients with comorbidities such as hypertension and CVD. Early recognition of high-risk patients may help to improve care and reduce mortality.