Lovekirat Dhaliwal, MD
Resident
Louisiana State University Health Sciences Center, Louisiana, United States
Disclosure information not submitted.
Mohammad Khan, MD
Resident
Ochsner LSU Health Shreveport, United States
Disclosure information not submitted.
Aditya Vyas, MD
Resident
Ochsner LSU Health Shreveport, United States
Disclosure information not submitted.
Sukhmani Boparai, MD
Resident Physician
LSU Health Shreveport
Shreveport
Disclosure information not submitted.
Muhammed Rehmani, MD
Resident
Ochsner LSU Health Shreveport, United States
Disclosure information not submitted.
Pooja Shah, MD
Resident
Ochsner LSU Health Shreveport, United States
Disclosure information not submitted.
Kabir Husain, DO
Resident
Ochsner LSU Health Shreveport, United States
Disclosure information not submitted.
Danish Bawa, MD
Resident
Ochsner LSU Health Shreveport, United States
Disclosure information not submitted.
Aqsa Khalid, MD
Resident
Ochsner LSU Health Shreveport, United States
Disclosure information not submitted.
Siva Santosh Gandu, MD
Resident
Ochsner LSU Health Shreveport, United States
Disclosure information not submitted.
Prathik Krishnan, MD
Assistant Professor of Clinical Medicine
Louisiana State University Health Sciences, United States
Disclosure information not submitted.
Ioannis Papayannis, MD
Assistant Professor of Gastroenterology
Ochsner LSU Health Shreveport, United States
Disclosure information not submitted.
Shreedhar Kulkarni, MD
Associate Professor of Medicine
Ochsner LSU Health Shreveport, United States
Disclosure information not submitted.
Title: Predictors of COVID-19 Outcomes: A Single Center Experience
Introduction: COVID-19 continues to exert a heavy toll on health care services, despite advances in treatment and vaccination. Identifying local trends and risk factors for severe infection is of utmost importance to guide effective health care delivery. We aimed to investigate the factors affecting the outcome of COVID-19 infection in our health care system
Methods: We retrospectively identified patients admitted to our hospital, Ochsner LSU Health, Shreveport, with a diagnosis of COVID-19 by nasal swab PCR from July 2020 to November 2020. Information on baseline demographics, comorbidities, presenting symptoms, and clinical course (level of care on admission, length of stay, and mortality) were abstracted by chart review. Factors associated with worse clinical outcomes were identified using a univariate and multivariate logistic regression model.
Results: Our cohort consisted of 1370 patients, out of which 50.9 % were males with a mean (SD) age of 62.3 (15.6) years and mean (SD) BMI 33.5 (9.7). Common comorbidities included hypertension (73.6%), diabetes (42.5%), HLD (47.6%). 1123 patients required supplemental oxygen, of which 118 patients were on mechanical ventilation. 126 patients (9.2%) required ICU on admission, and 169 were transferred to ICU during hospitalization. History of congestive heart failure (OR 1.74, p=0.02) and bilateral infiltrates on chest X-ray (OR 2.90, p=0.001) were independently associated with an increased risk for ICU admission on multivariate analysis. The mean (SD) length of ICU stay of 7.9 (9.33) days and mean (SD) ventilator-dependent days were 15.2 (13.8). The most common complications of COVID-19 included AKI (19.7%) and secondary infection (11.5%). Inpatient mortality was 9.27 % and older age (Unit OR 1.03, p=0.01), Medicare insurance (OR 11.11, p=0.0005), AKI (OR 3.27, p=< .0001) were independent predictors of mortality on multivariate analysis
Conclusion: Our study shows that age, insurance status, history of heart failure, chest X-ray findings, and renal dysfunction are the most important predictors for ICU admission and mortality. This will help physicians identify patients at risk for poor outcomes and guide medical decisions.