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Gaceta médica de México
versión On-line ISSN 2696-1288versión impresa ISSN 0016-3813
Resumen
ROJO-DEL MORAL, Oscar. Mortality of patients hospitalized for SARS-CoV-2 infection in Mexico. Analysis of a national database after two years of pandemic. Gac. Méd. Méx [online]. 2022, vol.158, n.6, pp.425-431. Epub 20-Ene-2023. ISSN 2696-1288. https://doi.org/10.24875/gmm.22000253.
Introduction:
SARS-CoV-2 infection has in, most cases, a mild course, although acute respiratory distress syndrome is associated with higher mortality.
Objective:
To determine overall mortality in hospitalized or intensive care unit (ICU)-admitted COVID-19 patients.
Methods:
Inferential analysis from a database of the General Directorate of Epidemiology of Mexico. SARS-CoV-2-positive patients, hospitalized within the January 2020-December 2021 period, were included. General characteristics were described and a binary regression model was created to determine associations with mortality.
Results:
116,446 patients who required hospital admission were identified. Overall mortality was 44%; in-hospital mortality, 33%; and ICU mortality, 33%. Mortality of patients with mechanical ventilation and hospital admission was 87%, and with ICU admission, 75%. In the public sector, hospital admissions at the Mexican Institute of Social Security and the Ministry of Health predominated, with OR = 2.24 (p = 0.004) and OR = 2.55 (p = 0.001), respectively, for mortality.
Conclusion:
Mortality was higher in the public sector, and this could be due to the overcrowding of services, which determined a scarcity of resources.
Palabras llave : COVID-19; Epidemiological study; Risk factor; SARS-CoV-2; Private sector; Public sector.