Clinical characteristics and outcomes of COVID-19 patients in a tertiary hospital in Baguio City, Philippines
Karen Joyce Cortez, Bernard A Demot, Samantha S Bartolo, Dexter D Feliciano, Verna Moila Ciriaco, Imari Irish Labi, Denzelle Diane Viray, Jenna Charise Casuga, Karol Anne Camonayan-Flor, Precious Mae Gomez, Marie Ellaine Velasquez, Thea Pamela Cajulao, Jovy E Nigos, Maria Lowella De Leon, Domingo P Solimen, Angelita G Go, Francis M Pizarro, Larry C Haya Jr, Ray P Aswat, Virginia B Mangati, Caesar Noel Palaganas, Mylene N Genuino, Kimberley M Cutiyog-Ubando, Karen C Tadeo, Marinelle Longid, Nowell Benedict Catbagan, Joel B Bongotan, Beverly Anne Dominguez-Villar, Joeffrey B Dalao
Western Pacific Surveillance and Response Journal, doi:10.5365/wpsar.2021.12.4.852
oronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), primarily targets the respiratory system. In December 2019, an epidemiological alert was released in China following a rise in cases of pneumonia of unknown cause. The Philippines announced its first confirmed case on 31 January 2020. 1,2 The World Health Organization (WHO) officially declared a global pandemic on 11 March 2020, by which time the Philippines already had 49 confirmed cases, largely in the National Capital Region. 2 Baguio City is located north of Manila, within the Cordillera Central mountain range in northern Luzon. The estimated population is 345 000, with adults (aged 19-60 years) and those aged over 60 years comprising 52% and 6.6% of the population, respectively. 3 Leading causes of morbidity include hypertension, diabetes, bronchitis and asthma. 4 The first confirmed case in Baguio City was recorded on the city's ninth day of quarantine during March 2020, with local sustained transmission declared six months later. 5 Worldwide, by the end of October 2020, there were 43 623 111 confirmed cases and 1 161 311 deaths. At that time in the Philippines, cases had risen
Conflicts of interest The authors declare no conflicts of interest.
Ethics approval This study has been approved by the Ethics Review Board of Baguio General Hospital and Medical Center, Baguio City, Philippines.
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'abstract': '<jats:p>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.</jats:p>',
'DOI': '10.5365/wpsar.2021.12.4.852',
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'title': [ 'Clinical characteristics and outcomes of COVID-19 patients in a tertiary hospital in Baguio '
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