Analysis of selected factors influencing mortality of patients with COVID-19 treated in a community hospital in a rural region of Poland
Introduction: Factors influencing mortality in patients with COVID-19 treated in a community hospital in a rural region in south-eastern Poland during the first and the second wave of the pandemic were analyzed. Methods: A retrospective observational study based on a hospital-based registry of Ho...
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| Format: | Article |
| Language: | English |
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James Cook University
2025-02-01
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| Series: | Rural and Remote Health |
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| Online Access: | https://www.rrh.org.au/journal/article/8939/ |
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| author | Marek Kos Renata Hatalska-Żerebiec Małgorzata Jurczyk-Stachyra Karol Paciura Justyna Janeczko Robert Podsiadły Piotr Sobolewski |
| author_facet | Marek Kos Renata Hatalska-Żerebiec Małgorzata Jurczyk-Stachyra Karol Paciura Justyna Janeczko Robert Podsiadły Piotr Sobolewski |
| author_sort | Marek Kos |
| collection | DOAJ |
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Introduction: Factors influencing mortality in patients with COVID-19 treated in a community hospital in a rural region in south-eastern Poland during the first and the second wave of the pandemic were analyzed.
Methods: A retrospective observational study based on a hospital-based registry of Holy Spirit Specialist Hospital in Sandomierz was conducted. The study population consisted of patients treated between 1 March 2020 and 31 May 2021.
Results: We analyzed data of 24 057 Caucasian patients including 798 patients with COVID-19. During both waves of the COVID-19 pandemic 22.4% of patients hospitalized in the community hospital in Sandomierz died due to COVID-19. The multivariate logistic regression model showed that older age (p<0.001), fever (p<0.001), diagnosis of sepsis (p<0.001) and high levels of C-reactive protein (p=0.041) were factors related to mortality. In the group of patients in whom oxygen therapy (p<0.001) and invasive mechanical ventilation (p<0.001) were used more frequently, mortality was higher, whereas treatment with convalescent plasma increased the chance of survival (p<0.001).
Conclusion: Fever and high laboratory values of inflammation, in particular coexisting sepsis, worsened the prognosis in patients with COVID-19. Most traditional methods of treating the infection did not affect the course of the disease.
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| format | Article |
| id | doaj-art-8fd8590697a24405a45d00ac1d51aea5 |
| institution | Kabale University |
| issn | 1445-6354 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | James Cook University |
| record_format | Article |
| series | Rural and Remote Health |
| spelling | doaj-art-8fd8590697a24405a45d00ac1d51aea52025-02-05T23:06:36ZengJames Cook UniversityRural and Remote Health1445-63542025-02-012510.22605/RRH8939Analysis of selected factors influencing mortality of patients with COVID-19 treated in a community hospital in a rural region of PolandMarek Kos0Renata Hatalska-Żerebiec1Małgorzata Jurczyk-Stachyra2Karol Paciura3Justyna Janeczko4Robert Podsiadły5Piotr Sobolewski6Medical University of LublinHoly Spirit Hospital in SandomierzHoly Spirit Specialist Hospital in SandomierzHoly Spirit Specialist Hospital in SandomierzHoly Spirit Specialist Hospital in SandomierzJan Kochanowski University in Kielce, Collegium MedicumJan Kochanowski University in Kielce, Collegium Medicum Introduction: Factors influencing mortality in patients with COVID-19 treated in a community hospital in a rural region in south-eastern Poland during the first and the second wave of the pandemic were analyzed. Methods: A retrospective observational study based on a hospital-based registry of Holy Spirit Specialist Hospital in Sandomierz was conducted. The study population consisted of patients treated between 1 March 2020 and 31 May 2021. Results: We analyzed data of 24 057 Caucasian patients including 798 patients with COVID-19. During both waves of the COVID-19 pandemic 22.4% of patients hospitalized in the community hospital in Sandomierz died due to COVID-19. The multivariate logistic regression model showed that older age (p<0.001), fever (p<0.001), diagnosis of sepsis (p<0.001) and high levels of C-reactive protein (p=0.041) were factors related to mortality. In the group of patients in whom oxygen therapy (p<0.001) and invasive mechanical ventilation (p<0.001) were used more frequently, mortality was higher, whereas treatment with convalescent plasma increased the chance of survival (p<0.001). Conclusion: Fever and high laboratory values of inflammation, in particular coexisting sepsis, worsened the prognosis in patients with COVID-19. Most traditional methods of treating the infection did not affect the course of the disease. https://www.rrh.org.au/journal/article/8939/community hospitalCOVID-19factor increasing mortalitypandemicPoland. |
| spellingShingle | Marek Kos Renata Hatalska-Żerebiec Małgorzata Jurczyk-Stachyra Karol Paciura Justyna Janeczko Robert Podsiadły Piotr Sobolewski Analysis of selected factors influencing mortality of patients with COVID-19 treated in a community hospital in a rural region of Poland Rural and Remote Health community hospital COVID-19 factor increasing mortality pandemic Poland. |
| title | Analysis of selected factors influencing mortality of patients with COVID-19 treated in a community hospital in a rural region of Poland |
| title_full | Analysis of selected factors influencing mortality of patients with COVID-19 treated in a community hospital in a rural region of Poland |
| title_fullStr | Analysis of selected factors influencing mortality of patients with COVID-19 treated in a community hospital in a rural region of Poland |
| title_full_unstemmed | Analysis of selected factors influencing mortality of patients with COVID-19 treated in a community hospital in a rural region of Poland |
| title_short | Analysis of selected factors influencing mortality of patients with COVID-19 treated in a community hospital in a rural region of Poland |
| title_sort | analysis of selected factors influencing mortality of patients with covid 19 treated in a community hospital in a rural region of poland |
| topic | community hospital COVID-19 factor increasing mortality pandemic Poland. |
| url | https://www.rrh.org.au/journal/article/8939/ |
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