Abstract: PO0058
Risk Factors for In-Hospital Mortality Among Patients Hospitalized with COVID-19 and ESKD
Session Information
- COVID-19: Epidemiology, Outcomes, Complications, and Risk Factors
November 04, 2021 | Location: On-Demand, Virtual Only
Abstract Time: 10:00 AM - 12:00 PM
Category: Coronavirus (COVID-19)
- 000 Coronavirus (COVID-19)
Authors
- Heilbronn, Jackson, Loma Linda University, Loma Linda, California, United States
- Abdi Pour, Amir, Loma Linda University, Loma Linda, California, United States
- Heidari-Bateni, Giv, Loma Linda University, Loma Linda, California, United States
- Gharibvand, Lida, Loma Linda University, Loma Linda, California, United States
- Agyeman, Kwame B., Loma Linda University, Loma Linda, California, United States
- Grewal, Sahib Daljit Singh, Loma Linda University, Loma Linda, California, United States
- Sharif, Mohammad, Loma Linda University, Loma Linda, California, United States
- Infante, Sergio, Loma Linda University, Loma Linda, California, United States
- Co, Mita Zahra Estrada, Loma Linda University, Loma Linda, California, United States
- Norouzi, Sayna, Loma Linda University, Loma Linda, California, United States
Group or Team Name
- Loma Linda Medical Center
Background
End Stage Kidney Disease (ESRD) has been shown to be a risk factor for poor outcomes in the setting of COVID-19 infection. Our study aims to identify risk factors for mortality in ESRD patients hospitalized with COVID-19.
Methods
We conducted a retrospective analysis from March 1st, 2020 to January 31st, 2021 at Loma Linda University Medical Center. Inclusion criteria included patients admitted with diagnosis of COVID-19 and history of ESRD prior to admission. Risk factors for hospital mortality were identified with univariate and multivariate logistic regression methods.
Results
A total of 92 patients (age 59.9±13.7) were included in the analysis of which 21(18.6%) were deceased. Univariate analysis (Figure 1) demonstrated that age odds ratio (OR) with 95% confidence interval (CI) for mortality 1.05 (95% CI: 1.01-1.09, P= 0.03), Positive D-dimer OR = 6.3 (95% CI: 1.29-27.9, P= 0.02), ejection fraction less than 50% OR=1.08 (95% CI: 2.62-28.77, P= <.0001), and ferritin >300 ng/ml OR=1.02 (95% CI: 1.01-1.03, P= 0.04) were associated with increased risk of hospital mortality. Adjusted multivariate analysis demonstrated that only ejection fraction less than 50% was associated with increased risk of mortality (OR 9.9, 95% CI: 2.2-45.1, P <.01)
Conclusion
Age, elevated D-dimer, elevated ferritin and heart failure with reduced ejection fraction were identified as risk factors for hospital mortality of ESRD patients with COVID-19 infection.