RT Journal Article
T1 Socio-Demographic Health Determinants Are Associated with Poor Prognosis in Spanish Patients Hospitalized with COVID-19.
A1 Martin-Sanchez, F Javier
A1 Valls Carbo, Adrian
A1 Miro, Oscar
A1 Llorens, Pere
A1 Jimenez, Sonia
A1 Piñera, Pascual
A1 Burillo-Putze, Guillermo
A1 Martin, Alfonso
A1 Garcia-Lamberechts, Jorge E
A1 Jacob, Javier
A1 Alquezar, Aitor
A1 Martinez-Valero, Carmen
A1 Miranda, Juan de D
A1 Lopez Picado, Amanda
A1 Arrebola, Juan Pedro
A1 Lopez, Marta Esteban
A1 Parviainen, Annika
A1 Gonzalez Del Castillo, Juan
A1 Miro, Oscar
A1 Jimenez, Sonia
A1 Ferreras Amez, Jose Maria
A1 Rubio Diaz, Rafael
A1 Gamazo Del Rio, Julio Javier
A1 Alonso, Hector
A1 Herrero, Pablo
A1 Ruiz de Lobera, Noemi
A1 Ibero, Carlos
A1 Mayan, Placido
A1 Peinado, Rosario
A1 Navarro Bustos, Carmen
A1 Manzanares, Jesus Alvarez
A1 Roman, Francisco
A1 Piñera, Pascual
A1 Burillo, Guillermo
A1 Jacob, Javier
A1 Bibiano, Carlos
K1 COVID-19
K1 health inequalities
K1 in-hospital mortality
K1 intensive care unit admission
K1 socio-demographic factors
AB Social vulnerability is a known determinant of health in respiratory diseases. Our aim was to identify whether there are socio-demographic factors among COVID-19 patients hospitalized in Spain and their potential impact on health outcomes during the hospitalization. A multicentric retrospective case series study based on administrative databases that included all COVID-19 cases admitted in 19 Spanish hospitals from 1 March to 15 April 2020. Socio-demographic data were collected. Outcomes were critical care admission and in-hospital mortality. We included 10,110 COVID-19 patients admitted to 18 Spanish hospitals (median age 68 (IQR 54-80) years old; 44.5% female; 14.8% were not born in Spain). Among these, 779 (7.7%) cases were admitted to critical care units and 1678 (16.6%) patients died during the hospitalization. Age, male gender, being immigrant, and low hospital saturation were independently associated with being admitted to an intensive care unit. Age, male gender, being immigrant, percentile of average per capita income, and hospital experience were independently associated with in-hospital mortality. Social determinants such as residence in low-income areas and being born in Latin American countries were associated with increased odds of being admitted to an intensive care unit and of in-hospital mortality. There was considerable variation in outcomes between different Spanish centers.
PB Springer New York LLC
YR 2020
FD 2020-12-29
LK http://hdl.handle.net/10668/18179
UL http://hdl.handle.net/10668/18179
LA en
NO Martín-Sánchez FJ, Valls Carbó A, Miró Ò, Llorens P, Jiménez S, Piñera P, et al. Socio-Demographic Health Determinants Are Associated with Poor Prognosis in Spanish Patients Hospitalized with COVID-19. J Gen Intern Med. 2021 Dec;36(12):3737-3742.
DS RISalud
RD Apr 12, 2025