PLoS ONE (Jan 2022)

Prediction of mortality in hospitalized Egyptian patients with Coronavirus disease-2019: A multicenter retrospective study.

  • Muhammad M AbdelGhaffar,
  • Dalia Omran,
  • Ahmed Elgebaly,
  • Eshak I Bahbah,
  • Shimaa Afify,
  • Mohamed AlSoda,
  • Mohamed El-Shiekh,
  • Enass S ElSayed,
  • Soha S Shaaban,
  • Samah AbdelHafez,
  • Khaled Elkelany,
  • Ayman A Eltayar,
  • Omnia S Ali,
  • Lamiaa Kamal,
  • Ahmed M Heiba,
  • Ahmad El Askary,
  • Hend Ibrahim Shousha

DOI
https://doi.org/10.1371/journal.pone.0262348
Journal volume & issue
Vol. 17, no. 1
p. e0262348

Abstract

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We aimed to assess the epidemiological, clinical, and laboratory characteristics associated with mortality among hospitalized Egyptian patients with COVID-19. A multicenter, retrospective study was conducted on all polymerase chain reaction (PCR)-confirmed COVID-19 cases admitted through the period from April to July 2020. A generalized linear model was reconstructed with covariates based on predictor's statistical significance and clinically relevance. The odds ratio (OR) was calculated by using stepwise logistic regression modeling. A total of 3712 hospitalized patients were included; of them, 900 deaths were recorded (24.2%). Compared to survived patients, non-survived patients were more likely to be older than 60 years (65.7%), males (53.6%) diabetic (37.6%), hypertensive (37.2%), and had chronic renal insufficiency (9%). Non-survived patients were less likely to receive azithromycin (p 60 years, comorbidities, tachycardia, hypoxemia, and altered consciousness level are independent predictors of mortality among Egyptian hospitalized patients with COVID-19. On the other hand, the use of anticoagulants and azithromycin is associated with reduced mortality.