COVID-19 IN A NORTHEAST SPANISH COMMUNITY HOSPITAL Using the ISARIC WHO Clinical Characterisation Protocol - Abstract
PURPOSE: To characterize the clinical and demographic features of adult patients admitted to HRS hospital with Covid-19METHODS: Retrospective observational study of all adult patients admitted to this community hospital in Tudela, Spain, between 8 March 2020 and 31 December 2021s, using the ISARIC Clinical Characterization Protocol (CCP) core case report form to collect data. RESULTS: 1143 adult patients with laboratory-confirmed diagnosis. The median age was 65.7 years (interquartile range 27.7, RANGE 84). More men than women (men 54.9%, N=628, women 45.1%, N=515). 76.2% had comorbidities (median 2, IQR 2): hypertension (47.6%), obesity (31.1%), chronic cardiac disease (22.5%), diabetes (21.3%), dementia (11.6%), neurological diseases (11.5%), and chronic pulmonary disease (7.3%). Overall, 20.1%, needed ventilatory support (12.6% non-invasive, 7.5% invasive), 11.8% were admitted to critical care, and 17% died (48% of those admitted to critical care during 2020, 25% along 2021). 82.1% were discharged alive, 22.2% were prescribed oxygen on discharge. Increasing age, some comorbidities, and male sex, were associated with in-hospital mortality. 78.6% received glucocorticoids, 16.8% tocilizumab, 6.3% remdesivir, 63.7% antibiotics, and 96.5% were on some form of anticoagulation.
CONCLUSIONS: We have retrospectively described the clinical and demographic characteristics of 1143 adult patients admitted to our hospital along the first two years of the pandemic, using a well-validated protocol. Our findings can be compared with similar series from other hospitals and describe the impact of Covid-19 on our area.