Articles producció científica> Medicina i Cirurgia

Underlying heart diseases and acute COVID-19 outcomes

  • Datos identificativos

    Identificador: imarina:9207264
    Autores:
    Nunez-Gil, Ivan J.Fernandez-Ortiz, AntonioMaroud Eid, CharbelHuang, JiaRomero, RodolfoManuel Becerra-Munoz, VictorUribarri, AitorFeltes, GiselaTrabatoni, DanielaFernandez-Rozas, InmaculadaViana-Llamas, Maria C.Pepe, MartinoCerrato, EnricoBertaina, MaurizioAstrua, Thamar CapelAlfonso, EmilioCastro-Mejia, Alex F.Raposeiras-Roubin, SergioD'Ascenzo, FabrizioEspejo Paeres, CarolinaSignes-Costa, JaimeBardaji, AlfredoFernandez-Perez, CristinaMarin, FranciscoFabregat-Andres, OscarAkin, IbrahimEstrada, VicenteMacaya, CarlosHope COVID-19 Investigators
    Resumen:
    Background: The presence of any underlying heart condition could influence outcomes during the coronavirus disease 2019 (COVID-19). Methods: The registry HOPE-COVID-19 (Health Outcome Predictive Evaluation for COVID-19, NCT04334291) is an international ambispective study, enrolling COVID-19 patients discharged from hospital, dead or alive. Results: HOPE enrolled 2798 patients from 35 centers in 7 countries. Median age was 67 years (IQR: 53.0-78.0), and most were male (59.5%). A relevant heart disease was present in 682 (24%) cases. These were older, more frequently male, with higher overall burden of cardiovascular risk factors (hypertension, dyslipidemia, diabetes mellitus, smoking habit, obesity) and other comorbidities such renal failure, lung, cerebrovascular disease and oncologic antecedents (p < 0.01, for all). The heart cohort received more corticoids (28.9% vs. 20.4%, p < 0.001), antibiotics, but less hydroxychloroquine, antivirals or tocilizumab. Considering the epidemiologic profile, a previous heart condition was independently related with short-term mortality in the Cox multivariate analysis (1.62; 95% CI 1.29-2.03; p < 0.001). Moreover, heart patients needed more respiratory, circulatory support, and presented more in-hospital events, such heart failure, renal failure, respiratory insufficiency, sepsis, systemic infammatory response syndrome and clinically relevant bleedings (all, p < 0.001), and mortality (39.7% vs. 15.5%; p < 0.001). Conclusions: An underlying heart disease is an adverse prognostic factor for patients suffering COVID-19. Its presence could be related with different clinical drug management and would benefit from maintaining treatment with angiotensin converting enzyme inhibitors or angiotensin receptor blockers during in-hospital stay.
  • Otros:

    Autor según el artículo: Nunez-Gil, Ivan J.; Fernandez-Ortiz, Antonio; Maroud Eid, Charbel; Huang, Jia; Romero, Rodolfo; Manuel Becerra-Munoz, Victor; Uribarri, Aitor; Feltes, Gisela; Trabatoni, Daniela; Fernandez-Rozas, Inmaculada; Viana-Llamas, Maria C.; Pepe, Martino; Cerrato, Enrico; Bertaina, Maurizio; Astrua, Thamar Capel; Alfonso, Emilio; Castro-Mejia, Alex F.; Raposeiras-Roubin, Sergio; D'Ascenzo, Fabrizio; Espejo Paeres, Carolina; Signes-Costa, Jaime; Bardaji, Alfredo; Fernandez-Perez, Cristina; Marin, Francisco; Fabregat-Andres, Oscar; Akin, Ibrahim; Estrada, Vicente; Macaya, Carlos;Hope COVID-19 Investigators
    Departamento: Medicina i Cirurgia
    Autor/es de la URV: Bardají Ruiz, Alfredo
    Palabras clave: Registry Prognosis Myocardial-infarction Mortality Heart disease Covid-19 Cardiovascular-disease Cardiology Ace2 expression
    Resumen: Background: The presence of any underlying heart condition could influence outcomes during the coronavirus disease 2019 (COVID-19). Methods: The registry HOPE-COVID-19 (Health Outcome Predictive Evaluation for COVID-19, NCT04334291) is an international ambispective study, enrolling COVID-19 patients discharged from hospital, dead or alive. Results: HOPE enrolled 2798 patients from 35 centers in 7 countries. Median age was 67 years (IQR: 53.0-78.0), and most were male (59.5%). A relevant heart disease was present in 682 (24%) cases. These were older, more frequently male, with higher overall burden of cardiovascular risk factors (hypertension, dyslipidemia, diabetes mellitus, smoking habit, obesity) and other comorbidities such renal failure, lung, cerebrovascular disease and oncologic antecedents (p < 0.01, for all). The heart cohort received more corticoids (28.9% vs. 20.4%, p < 0.001), antibiotics, but less hydroxychloroquine, antivirals or tocilizumab. Considering the epidemiologic profile, a previous heart condition was independently related with short-term mortality in the Cox multivariate analysis (1.62; 95% CI 1.29-2.03; p < 0.001). Moreover, heart patients needed more respiratory, circulatory support, and presented more in-hospital events, such heart failure, renal failure, respiratory insufficiency, sepsis, systemic infammatory response syndrome and clinically relevant bleedings (all, p < 0.001), and mortality (39.7% vs. 15.5%; p < 0.001). Conclusions: An underlying heart disease is an adverse prognostic factor for patients suffering COVID-19. Its presence could be related with different clinical drug management and would benefit from maintaining treatment with angiotensin converting enzyme inhibitors or angiotensin receptor blockers during in-hospital stay.
    Áreas temáticas: Saúde coletiva Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Educação física Ciências biológicas ii Cardiology and cardiovascular medicine Cardiac & cardiovascular systems
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: alfredo.bardaji@urv.cat
    Identificador del autor: 0000-0003-1900-6974
    Fecha de alta del registro: 2024-07-27
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://pubmed.ncbi.nlm.nih.gov/33346365/
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Cardiology Journal. 28 (2): 202-214
    Referencia de l'ítem segons les normes APA: Nunez-Gil, Ivan J.; Fernandez-Ortiz, Antonio; Maroud Eid, Charbel; Huang, Jia; Romero, Rodolfo; Manuel Becerra-Munoz, Victor; Uribarri, Aitor; Feltes, (2021). Underlying heart diseases and acute COVID-19 outcomes. Cardiology Journal, 28(2), 202-214. DOI: 10.5603/CJ.a2020.0183
    DOI del artículo: 10.5603/CJ.a2020.0183
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2021
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Cardiac & Cardiovascular Systems,Cardiology and Cardiovascular Medicine,Medicine (Miscellaneous)
    Registry
    Prognosis
    Myocardial-infarction
    Mortality
    Heart disease
    Covid-19
    Cardiovascular-disease
    Cardiology
    Ace2 expression
    Saúde coletiva
    Medicine (miscellaneous)
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Educação física
    Ciências biológicas ii
    Cardiology and cardiovascular medicine
    Cardiac & cardiovascular systems
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