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10.1038/s41598-021-83226-9

http://scihub22266oqcxt.onion/10.1038/s41598-021-83226-9
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suck abstract from ncbi


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pmid33580190      Sci+Rep 2021 ; 11 (1): 3735
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  • Impact of COPD on COVID-19 prognosis: A nationwide population-based study in South Korea #MMPMID33580190
  • Lee SC; Son KJ; Han CH; Park SC; Jung JY
  • Sci Rep 2021[Feb]; 11 (1): 3735 PMID33580190show ga
  • Underlying chronic respiratory disease may be associated with the severity of coronavirus disease 2019 (COVID-19). This study investigated the impact of chronic obstructive pulmonary disease (COPD) on the risk for respiratory failure and mortality in COVID-19 patients. A nationwide retrospective cohort study was conducted in 4610 patients (>/= 40 years old) infected with COVID-19 between January 20 and May 27, 2020, using data from the Ministry of Health and Welfare and Health Insurance Review and Assessment Service in Korea. The clinical course and various clinical features were compared between COPD and non-COPD patients, and the risks of respiratory failure and all-cause mortality in COPD patients were analyzed using a multivariate logistic regression model. Among 4610 COVID-19 patients, 4469 (96.9%) and 141 (3.1%) were categorized into the non-COPD and COPD groups, respectively. The COPD group had greater proportions of older (>/= 60 years old) (78.0% vs. 45.2%, P < 0.001) and male (52.5% vs. 36.6%, P < 0.001) patients than the non-COPD group. Relatively greater proportions of patients with COPD received intensive critical care (7.1% vs. 3.7%, P = 0.041) and mechanical ventilation (5.7% vs. 2.4%, P = 0.015). Multivariate analyses showed that COPD was not a risk factor for respiratory failure but was a significant independent risk factor for all-cause mortality (OR = 1.80, 95% CI 1.11-2.93) after adjustment for age, sex, and Charlson Comorbidity Index score. Among COVID-19 patients, relatively greater proportions of patients with COPD received mechanical ventilation and intensive critical care. COPD is an independent risk factor for all-cause mortality in COVID-19 patients in Korea.
  • |Adult[MESH]
  • |COVID-19/*complications/mortality/therapy[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Intensive Care Units/statistics & numerical data[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Mortality/trends[MESH]
  • |Pulmonary Disease, Chronic Obstructive/*complications/mortality/therapy[MESH]
  • |Republic of Korea[MESH]
  • |Respiration, Artificial/statistics & numerical data[MESH]


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