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10.1371/journal.pone.0252867

http://scihub22266oqcxt.onion/10.1371/journal.pone.0252867
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34138888!8211271!34138888
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suck abstract from ncbi


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pmid34138888      PLoS+One 2021 ; 16 (6): e0252867
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  • Clinical outcome, risk assessment, and seasonal variation in hospitalized COVID-19 patients-Results from the CORONA Germany study #MMPMID34138888
  • Gessler N; Gunawardene MA; Wohlmuth P; Arnold D; Behr J; Gloeckner C; Herrlinger K; Hoelting T; Pape UF; Schreiber R; Stang A; Wesseler C; Willems S; Arms C; Herborn CU
  • PLoS One 2021[]; 16 (6): e0252867 PMID34138888show ga
  • BACKGROUND: After one year of the pandemic and hints of seasonal patterns, temporal variations of in-hospital mortality in COVID-19 are widely unknown. Additionally, heterogeneous data regarding clinical indicators predicting disease severity has been published. However, there is a need for a risk stratification model integrating the effects on disease severity and mortality to support clinical decision-making. METHODS: We conducted a multicenter, observational, prospective, epidemiological cohort study at 45 hospitals in Germany. Until 1 January 2021, all hospitalized SARS CoV-2 positive patients were included. A comprehensive data set was collected in a cohort of seven hospitals. The primary objective was disease severity and prediction of mild, severe, and fatal cases. Ancillary analyses included a temporal analysis of all hospitalized COVID-19 patients for the entire year 2020. FINDINGS: A total of 4704 COVID-19 patients were hospitalized with a mortality rate of 19% (890/4704). Rates of mortality, need for ventilation, pneumonia, and respiratory insufficiency showed temporal variations, whereas age had a strong influence on the course of mortality. In cohort conducting analyses, prognostic factors for fatal/severe disease were: age (odds ratio (OR) 1.704, CI:[1.221-2.377]), respiratory rate (OR 1.688, CI:[1.222-2.333]), lactate dehydrogenase (LDH) (OR 1.312, CI:[1.015-1.695]), C-reactive protein (CRP) (OR 2.132, CI:[1.533-2.965]), and creatinine values (OR 2.573, CI:[1.593-4.154]. CONCLUSIONS: Age, respiratory rate, LDH, CRP, and creatinine at baseline are associated with all cause death, and need for ventilation/ICU treatment in a nationwide series of COVID 19 hospitalized patients. Especially age plays an important prognostic role. In-hospital mortality showed temporal variation during the year 2020, influenced by age. TRIAL REGISTRATION NUMBER: NCT04659187.
  • |*Seasons[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/epidemiology/mortality/*prevention & control[MESH]
  • |Female[MESH]
  • |Geography[MESH]
  • |Germany/epidemiology[MESH]
  • |Hospital Mortality[MESH]
  • |Hospitalization/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Outcome Assessment, Health Care/methods/*statistics & numerical data[MESH]
  • |Pandemics[MESH]
  • |Prospective Studies[MESH]
  • |Risk Assessment/methods/*statistics & numerical data[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2/*isolation & purification/physiology[MESH]


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