Volume 25, Issue 110, April 2021

Independently associated variables with higher morbidity and mortality: A scientific perspective of a cohort of orthopedic patients with Covid-19

Ahmed M El-Malky^1,2,3♦, Yazeed A Albalawi⁴, Razan K Albalawi⁵, Abdulrahim O Albalawi⁶, Waad A Alkaabneh⁷, Raghad A Aljohani⁸, Marwan S Albalawi⁹, Shahad S Aljuhani¹⁰, Wejdan M Alhujayri¹¹

¹Public Health and Community Medicine Department, Theodor Bilharz Research Institute, Academy of Scientific Research, Ministry of Higher Education, Cairo, Egypt
²Morbidity and Mortality Review Unit, Deputy Supervisor, King Saud University Medical City, Riyadh, Saudi Arabia
³Research Chair of Evidence-Based Healthcare and Knowledge Translation, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Email: aelmalky@ksu.edu.sa
⁴Undergraduate Student, Faculty of Medicine, Tabuk University, Saudi Arabia; Email: dr.yazeedali@gmail.com
⁵Medical Student, Faculty of Medicine, University of Tabuk, Saudi Arabia; Email: Razankb33@gmail.com
⁶Medical Student, Faculty of Medicine, Tabuk University, Saudi Arabia; Email: Rhooooom2009@gmail.com
⁷Medical student, Faculty of Medicine, Tabuk University, Saudi Arabia; Email: WLN.2018@hotmail.com
⁸Medical student, Faculty of Medicine, Tabuk University, Saudi Arabia; Email: ro0oro0o133@gmail.com
⁹Medical Student Faculty of Medicine, University of Tabuk, Saudi Arabia; Email: m.s.a._2009@hotmail.com
¹⁰Medical Student, Faculty of Medicine, University of Tabuk, Saudi Arabia; Email: Al-juhani1996@hotmial.com
¹¹Medical student, Faculty of Medicine, Tabuk University, Saudi Arabia; Email: wejdan1998wj@hotmail.com

^♦Corresponding author
Research Chair of Evidence-Based Healthcare and Knowledge Translation, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Email: aelmalky@ksu.edu.sa

ABSTRACT

Background & aims: Riyadh, Saudi Arabia latest center for the 2019 pandemic of Coronavirus (COVID-19). The ethnic populations with a higher incidence of obesity tend to be particularly impacted. Our aims were to evaluate the characteristics and early effects on Orthopedic Patients with COVID-19, and to evaluate Orthopedic Patients with poorer outcomes regardless of age, sex and other comorbidities. Methods: The first 200 Orthopedic Patients admitted to a tertiary medical center with COVID-19 were included. At least three weeks after admission, electronic patient reports were analyzed. Mortality in hospitals was the main endpoint. Results: 200 Orthopedic Patients (female sex: 102) were included. The average BMI was 30 kg / m2. The middle age was 64. The three most prevalent comorbidities were hypertension (76 percent), hyperlipidemia (46.2 percent), and diabetes (39.5 percent). A multi-variate study reveals that BMIs was indigenously correlated with a higher in patient mortality of 35 kg / m2 (reference: BMI 25–34 kg / m2; OR: 3.78; 95 percent CI: 1.45–9.63; p = 0.006; p = 0.061) and age rises (analyzed in quartiles; OR: 1.73; 95 percent CI: 1.13–2.63; p = 0.011). Conclusions: This cohort of hospitalized Orthopedic Patients with COVID-19 in the majority minority group is individually related to greater in-hospital mortality and overall poorer in-hospital results with extreme obesity, rising age and male sex.

Keywords: Morbidity and Mortality, Cohort, Orthopedic, Patients, COVID-19

Medical Science, 2021, 25(110), 930-945

PDF