Clinical characteristics and outcomes of COVID-19 patients in a tertiary hospital in Baguio City, Philippines

Authors

  • Karen Joyce C. Cortez Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Bernard A. Demot Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Samantha S. Bartolo Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Dexter D. Feliciano Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Verna Moila P. Ciriaco Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Imari Irish E. Labi Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Denzelle Diane M. Viray Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Jenna Charise M. Casuga Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Karol Anne B. Camonayan-Flor Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Precious Mae A. Gomez Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Marie Ellaine N. Velasquez Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Thea Pamela T. Cajulao Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Jovy E. Nigos Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Maria Lowella F. De Leon Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Domingo P. Solimen Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Angelita G. Go Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Francis M. Pizarro Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Larry C. Haya Jr. Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Ray P. Aswat Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Virginia B. Mangati Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Caesar Noel I. Palaganas Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Mylene N. Genuino Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Kimberley M. Cutiyog-Ubando Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Karen C. Tadeo Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Marienelle L. Longid Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Nowell Benedict C. Catbagan Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Joel B. Bongotan Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Beverly Anne T. Dominguez-Villar Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines
  • Joeffrey B. Dalao Department of Internal Medicine, Baguio General Hospital and Medical Center, Baguio City, Philippines

DOI:

https://doi.org/10.5365/wpsar.2021.12.4.852

Abstract

Objective: Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), primarily targets the respiratory system. This study describes the characteristics associated with mortality among patients infected with SARS-CoV-2 at a single hospital in Baguio City, Philippines.

Methods: We reviewed medical records (including history, laboratory results and treatment regimen) of 280 confirmed COVID-19 patients admitted to a single hospital during March–October 2020. Clinical characteristics and outcomes (frequency and type of complication, recovery rate and mortality) were evaluated. Multiple logistic regression was used to analyse factors associated with mortality.

Results: The mean age of COVID-19 patients was 48.4 years and the female-to-male ratio was 1.8:1. Hypertension, cardiovascular disease (CVD) and diabetes were the most frequent comorbidities reported. Common presenting symptoms were respiratory and constitutional, with 41% of patients not reporting symptoms on admission. Patients with moderate, severe and critical disease comprised 45%, 8% and 4%, respectively. A total of 15% had complications, health care-associated pneumonia being the most frequent complication. The recovery rate was 95%; 5% of patients died, with multiorgan failure being the most common cause. The presence of CVD, chronic kidney disease, prolonged prothrombin time and elevated lactate dehydrogenase (LDH) were associated with mortality.

Discussion: Most COVID-19 patients in our population had asymptomatic to moderate disease on admission. Mortality from COVID-19 was associated with having CVD, chronic kidney disease, elevated LDH and prolonged prothrombin time. Based on these results, we emphasize that people should take all necessary precautions to avoid infection with SARS-CoV-2.

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Published

11-11-2021

How to Cite

Cortez, K. J. C., Demot, B. A., Bartolo, S. S., Feliciano, D. D., Ciriaco, V. M. P., Labi, I. I. E., Viray, D. D. M., Casuga, J. C. M., Camonayan-Flor, K. A. B., Gomez, P. M. A., Velasquez, M. E. N., Cajulao, T. P. T., Nigos, J. E., De Leon, M. L. F., Solimen, D. P., Go, A. G., Pizarro, F. M., Haya Jr., L. C., Aswat, R. P., Mangati, V. B., Palaganas, C. N. I., Genuino, M. N., Cutiyog-Ubando, K. M., Tadeo, K. C., Longid, M. L., Catbagan, N. B. C., Bongotan, J. B., Dominguez-Villar, B. A. T., & Dalao, J. B. (2021). Clinical characteristics and outcomes of COVID-19 patients in a tertiary hospital in Baguio City, Philippines. Western Pacific Surveillance and Response, 12(4), 11. https://doi.org/10.5365/wpsar.2021.12.4.852

Issue

Section

COVID-19: Original Research