Risk factors associated with mortality among vaccinated COVID-19 patients: A retrospective study

Objective: To explore the underlying causes of death among vaccinated COVID-19 patients. Methods: The medical record of COVID-19 patients admitted to the main COVID-19 referral center in southeast Iran from January to March 2022 was investigated. Then, risk factors for mortality were statistically a...

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Main Authors: Hossein Lajmiri, Nioosha Ahmadi, Saeedeh Ebrahimi, Hadi Razavi Nikoo, Mehrdad Farrokhnia, Elham Heidari, Elham Mousavi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Acute Disease
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Online Access:https://journals.lww.com/10.4103/jad.jad_88_24
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author Hossein Lajmiri
Nioosha Ahmadi
Saeedeh Ebrahimi
Hadi Razavi Nikoo
Mehrdad Farrokhnia
Elham Heidari
Elham Mousavi
author_facet Hossein Lajmiri
Nioosha Ahmadi
Saeedeh Ebrahimi
Hadi Razavi Nikoo
Mehrdad Farrokhnia
Elham Heidari
Elham Mousavi
author_sort Hossein Lajmiri
collection DOAJ
description Objective: To explore the underlying causes of death among vaccinated COVID-19 patients. Methods: The medical record of COVID-19 patients admitted to the main COVID-19 referral center in southeast Iran from January to March 2022 was investigated. Then, risk factors for mortality were statistically assessed. Results: 92 patients were included, with 50 in infectious disease ward and 42 in ICU ward. In total, 37% of patients succumbed to COVID-19. The median age of those who died was 69.9 years. Dementia and genitourinary system-related diseases was associated with an increased risk of death [6.00 (95% CI: 1.14-31.66) and 4.93 (95% CI: 1.80-13.52)]. Furthermore, the elevated levels of white blood cells, neutrophils, lactate dehydrogenase, blood urea nitrogen, and creatinine were associated with an increased risk of death by 4.93 (95% CI: 1.82-13.36), 16.57 (95% CI: 2.10-131.31), 3.23 (95% CI: 1.15-9.03), 4.48 (95% CI: 1.78-11.31), and 4.27 (95% CI: 1.49-12.22), respectively. Conclusions: Despite receiving the SARS-CoV-2 vaccine, individuals who suffer from dementia and genitourinary system-related diseases are at risk of death with new strains of SARS-CoV-2 infection. Furthermore, the increase of white blood cell, neutrophils, lactate dehydrogenase, blood urea nitrogen, and creatinine in patients’ blood can be considered as warning indicators of disease progression and death.
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spelling doaj-art-809457bc00a54f1caf270426e91e304b2025-02-06T05:53:38ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892589-55162024-12-0113619920710.4103/jad.jad_88_24Risk factors associated with mortality among vaccinated COVID-19 patients: A retrospective studyHossein LajmiriNioosha AhmadiSaeedeh EbrahimiHadi Razavi NikooMehrdad FarrokhniaElham HeidariElham MousaviObjective: To explore the underlying causes of death among vaccinated COVID-19 patients. Methods: The medical record of COVID-19 patients admitted to the main COVID-19 referral center in southeast Iran from January to March 2022 was investigated. Then, risk factors for mortality were statistically assessed. Results: 92 patients were included, with 50 in infectious disease ward and 42 in ICU ward. In total, 37% of patients succumbed to COVID-19. The median age of those who died was 69.9 years. Dementia and genitourinary system-related diseases was associated with an increased risk of death [6.00 (95% CI: 1.14-31.66) and 4.93 (95% CI: 1.80-13.52)]. Furthermore, the elevated levels of white blood cells, neutrophils, lactate dehydrogenase, blood urea nitrogen, and creatinine were associated with an increased risk of death by 4.93 (95% CI: 1.82-13.36), 16.57 (95% CI: 2.10-131.31), 3.23 (95% CI: 1.15-9.03), 4.48 (95% CI: 1.78-11.31), and 4.27 (95% CI: 1.49-12.22), respectively. Conclusions: Despite receiving the SARS-CoV-2 vaccine, individuals who suffer from dementia and genitourinary system-related diseases are at risk of death with new strains of SARS-CoV-2 infection. Furthermore, the increase of white blood cell, neutrophils, lactate dehydrogenase, blood urea nitrogen, and creatinine in patients’ blood can be considered as warning indicators of disease progression and death.https://journals.lww.com/10.4103/jad.jad_88_24covid-19mortalityrisk factorscomorbiditieslaboratory parameters
spellingShingle Hossein Lajmiri
Nioosha Ahmadi
Saeedeh Ebrahimi
Hadi Razavi Nikoo
Mehrdad Farrokhnia
Elham Heidari
Elham Mousavi
Risk factors associated with mortality among vaccinated COVID-19 patients: A retrospective study
Journal of Acute Disease
covid-19
mortality
risk factors
comorbidities
laboratory parameters
title Risk factors associated with mortality among vaccinated COVID-19 patients: A retrospective study
title_full Risk factors associated with mortality among vaccinated COVID-19 patients: A retrospective study
title_fullStr Risk factors associated with mortality among vaccinated COVID-19 patients: A retrospective study
title_full_unstemmed Risk factors associated with mortality among vaccinated COVID-19 patients: A retrospective study
title_short Risk factors associated with mortality among vaccinated COVID-19 patients: A retrospective study
title_sort risk factors associated with mortality among vaccinated covid 19 patients a retrospective study
topic covid-19
mortality
risk factors
comorbidities
laboratory parameters
url https://journals.lww.com/10.4103/jad.jad_88_24
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