Effect of Underlying Cardiovascular Disease on the Prognosis of COVID-19 Patients; a Sex and Age-Dependent Analysis

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HAJI AGHAJANI MOHAMMAD; Asadpoor dezaki Ziba; HAGHIGHI MEHRDAD; Pourhoseingoli Asma; Taherpour Niloufar; Toloui Amirmohammad; SISTANIZAD MOHAMMAD

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Journal: Archives of Academic Emergency Medicine Year:2021 | Volume:9 | Issue:1 Page(s): 0-0

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Title

Effect of Underlying Cardiovascular Disease on the Prognosis of COVID-19 Patients; a Sex and Age-Dependent Analysis

Author(s)

Keywords

COVID-19

Hypertension

Coronary Artery Disease

Prognosis

Abstract

Introduction: Adults with underlying medical disorders are at increased risk for severe illness from the virus that causes COVID-19. This study aimed to compare the effect of underlying diseases on the mortality of male and female patients as a primary objective. We also evaluated the effect of drugs previously used by COVID-19 patients on their outcome. Methods: This retrospective cohort study was carried out on confirmed cases of COVID-19 who were admitted to a teaching hospital in Tehran, Iran. Data was gathered from patients’ files. Log binomial model was used for investigating the association of underlying diseases and in-hospital mortality of these patients. Results: A total of 991 patients (mean age 61. 62± 17. 02; 54. 9% male) were recruited. Hypertension (41. 1%), diabetes mellitus (30. 6%), and Coronary Artery Disease (19. 6%) were the most common underlying diseases. The multivariable model showed that Hypertension (RR = 1. 62; 95% CI: 1. 22-2. 14, p = 0. 001) in male patients over 55 years old and Coronary Artery Disease (RR = 2. 40; 95% CI: 1. 24-4. 46, p = 0. 009) in female patients under 65 years old were risk factors of mortality. In females over 65 years old, the history of taking Angiotensin Converting Enzyme inhibitors (ACEi) and Angiotensin Receptor Blockers (ARB) (RR = 0. 272; 95% CI: 0. 17-0. 41, p = 0. 001) was a significant protective factor for death. Conclusion: COVID-19 patients with a history of cardiovascular diseases such as Hypertension and Coronary Artery Disease, especially those in specific age and sex groups, are high-risk patients for in-hospital mortality. Additionally, a previous history of taking ACEi and ARB medications in females over 65 tears old was a protective factor against in-hospital mortality of COVID-19 patients.

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APA: Copy

HAJI AGHAJANI, MOHAMMAD, Asadpoor dezaki, Ziba, HAGHIGHI, MEHRDAD, Pourhoseingoli, Asma, Taherpour, Niloufar, Toloui, Amirmohammad, & SISTANIZAD, MOHAMMAD. (2021). Effect of Underlying Cardiovascular Disease on the Prognosis of COVID-19 Patients; a Sex and Age-Dependent Analysis. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 9(1), 0-0. SID. https://sid.ir/paper/974968/en

Vancouver: Copy

HAJI AGHAJANI MOHAMMAD, Asadpoor dezaki Ziba, HAGHIGHI MEHRDAD, Pourhoseingoli Asma, Taherpour Niloufar, Toloui Amirmohammad, SISTANIZAD MOHAMMAD. Effect of Underlying Cardiovascular Disease on the Prognosis of COVID-19 Patients; a Sex and Age-Dependent Analysis. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2021;9(1):0-0. Available from: https://sid.ir/paper/974968/en

IEEE: Copy

MOHAMMAD HAJI AGHAJANI, Ziba Asadpoor dezaki, MEHRDAD HAGHIGHI, Asma Pourhoseingoli, Niloufar Taherpour, Amirmohammad Toloui, and MOHAMMAD SISTANIZAD, “Effect of Underlying Cardiovascular Disease on the Prognosis of COVID-19 Patients; a Sex and Age-Dependent Analysis,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 9, no. 1, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/974968/en

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