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PERFIL CLÍNICO DE COMORBILIDADES, MORTALIDAD Y PREDICTORES DE INGRESO EN LA UCI EN PACIENTES CON SARS-COV-2
Authors: Hernández Rodríguez, M
Number of views: 39
To day of 2020 December 16, there have been reported 1,539,594 cases of COVID-19 in Spain, of which: 7,975 have required admission to the ICU (0.5%), and a total of 19,087 have died. This bibliographic review aims to compile a compilation of those articles, documents and research published in different databases and scientific journals since the beginning of 2020, of those patients admitted to the ICU for COVID-19, thus relating said clinical worsening with the various characteristics, comorbidities and mortality rate, in order to obtain a clinical profile that allows us a probable prediction of admission to the ICU in patients with SARS-CoV-2. Therefore, the main objective of the review will try to define the most prevalent comorbidities, clinical signs and laboratory parameters in critically ill patients who died from SARS-CoV-2. It was found that a strong association between admission to the ICU and mortality of COVID-19 patients: With at least 1 previous comorbidity, the most frequent being hypertension or cardiovascular diseases; male, elderly; with a considered elevation of CRP, fibrinogen, D-dimer, troponin, and liver-enzymes; with a marked decrease in lymphocytes, white blood cells and albumin; a blood glucose > 180 mg/dl; a saturation lower than 88% with respiratory failure, and the requirement of IMV.