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Chronic Disease and Other Determinants in Deaths Due to COVID-19 From a Health Protection and Promotion Perspective:
Filiz Özkan1, Mustafa Öztürk2, Ömer Ödek2
1Erciyes University Faculty of Health Sciences, TalasTurkey.
Insights
Older age and more chronic diseases, indicated by higher comorbidity scores, significantly impacted the length of hospital stay for patients with coronavirus disease 2019 (COVID-19), suggesting increased mortality risk.
Area of Science:
- Epidemiology
- Public Health
- Gerontology
Background:
- Coronavirus disease 2019 (COVID-19) posed a significant global health threat.
- Understanding patient demographics and pre-existing conditions is crucial for assessing mortality risk.
Purpose of the Study:
- To investigate the influence of age, gender, and chronic diseases on COVID-19 patient mortality.
- To analyze the impact of comorbidity scores on patient outcomes during the pandemic.
Main Methods:
- Retrospective analysis of 2715 COVID-19 patients' hospital data.
- Evaluation of patient age, gender, length of hospital stay, and chronic disease status using Modified Comorbidity Index Scores.
Main Results:
- The average Modified Charlson Comorbidity Index (MCCI) score was 4.74 ± 2.07, with 56.9% of patients having serious scores.
- A significant correlation was found between MCCI score, age, number of comorbidities, and length of hospital stay.
Conclusions:
- Age, comorbidity score, and the number of comorbidities significantly affect hospital stay duration, indicating higher mortality risk.
- Recommends the use of comorbidity indices in clinical practice and public health studies for better health management.
Objective:
To examine the age, gender, and chronic disease status of patients who died due to coronavirus disease 2019 (COVID-19) during the pandemic process and the effects of these diseases on their deaths.
Methods:
It was a retrospective retrospective analysis with 2715 patients. The statistics of the patients who met the research criteria were evaluated from the hospital database. Patients were evaluated in terms of age, gender, length of hospital stay, presence of chronic disease, and Modified Comorbidity Index Scores.
Results:
It was determined that the Modified Charlson Comorbidity Index (MCCI) score mean of the patients was 4.74 ± 2.07 and MCCI scores of 56.9% were serious. There was a statistically significant difference in the length of hospital stay according to the number of diseases the patient had, age, and MCCI score. It was determined that there was a statistically significant, negative and high-level correlation between MCCI score and the length of hospital stay (r = -0.075: P = 0.001).
Conclusions:
Age, comorbidity score, and the number of comorbidities were found to affect the length of hospital stay, ie death. For this reason, it is recommended to use comorbidity indices in health protection and development studies, in the field, as well as in the clinics.
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