scholarly journals Validation of Chest Computed Tomography Artificial Intelligence to Determine the Requirement for Mechanical Ventilation and Risk of Mortality in Hospitalized Coronavirus Disease-19 Patients in a Tertiary Care Center In Mexico City

2020 ◽  
Author(s):  
Yukiyoshi Kimura-Sandoval ◽  
Mary E. Arévalo-Molina ◽  
César N. Cristancho-Rojas ◽  
Yumi Kimura-Sandoval ◽  
Victoria Rebollo-Hurtado ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Computed Tomography ◽  
Mechanical Ventilation ◽  
Mexico City ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Chest Computed Tomography ◽  
Risk Of Mortality

scholarly journals 439. Clinical Characteristics and Mortality of an Initial Cohort of COVID-19 Patients in México City

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S287-S287
Author(s):  
Paulo F Castañeda-Mendez ◽  
José Luis Castillo-Álvarez ◽  
Armando Barragán-Reyes ◽  
Daniela Bay-Sansores ◽  
Jessica Isabel Pulido-Enríquez ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Mexico City ◽  
Clinical Characteristics ◽  
Care Center ◽  
Invasive Mechanical Ventilation ◽  
Tertiary Care ◽  
Case Series ◽  
Special Focus ◽  
Tertiary Care Center ◽  
Initial Cohort

Abstract Background As of today, more than 8 million people have been infected and around 440,000 of them have lost their lives due to complications of SARS-CoV-2 infection. The first confirmed case of COVID-19 in Mexico was on February 28, 2020, and currently, there are more than 150,300 confirmed cases and more than 17,500 deaths have been reported, this work presents the characteristics of the first cases on a tertiary care center with special focus on common comorbidities in Mexicans. Methods We conducted a case series of patients with the diagnosis of pneumonia due to SARS-CoV-2 virus admitted to a tertiary care center in Mexico City, between March 14th and May 4th, 2020. Data collected included demographic information, comorbidities, clinical presentation, and outcomes. Regarding clinical outcomes, we measured the need of admission to Intensive Care Unit (ICU), mortality during hospitalization, discharge, and patients that remained hospitalized. Results 85 patients were included, median age 53.5 years; 69.4% were male. Most common clinical manifestations at admission were fever (61, 71.8%), cough (29, 34.1%), headache (25, 29.4%) and dyspnea (22, 25.9%). Most common comorbidities were overweight (44/82, 53.6%), obesity (25/82, 30.5%), hypertension (18, 21.2%), and diabetes (17, 20%). 31 of 85 (36.5%) patients were diagnosed with critical disease, whereas 54 of 85 (63.5%) were classified as non-critical. In the 31 critically ill patients, the length of invasive mechanical ventilation was 13 days [range {2–45}]; 5 patients (16.1%) required tracheostomy. The mean of mechanical ventilation prior to tracheostomy was 19.8 days [range {14–25}]. In all patients, the total length of hospitalization was 12.1 days [range {2–52}], 14.8 days [range {3–52}] in ICU patients, and 6.7 days [range {2–30}] in floor unit patients. No readmissions were documented. Global mortality was 4.7% (9.6% in ICU, 1.8% in floor unit). Of the 4 deceased patients, 3 presented comorbidities (75%), while 1 was previously healthy, documenting massive pulmonary embolism as the cause of sudden death. Conclusion This study shows that the clinical characteristics in this initial cohort are not different that described elsewhere. Mortality is low but it is mainly related to prevalent comorbidities in the Mexican population. Disclosures All Authors: No reported disclosures

scholarly journals 567. Use of corticosteroids and COVID-19 mortality in patients with pneumonia in a tertiary care center in México City

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S348-S348
Author(s):  
Maria L Cabrera-Ruiz ◽  
José Luis Castillo-Álvarez ◽  
Armando Barragán-Reyes ◽  
Daniela Bay-Sansores ◽  
Jessica Isabel Pulido-Enríquez ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Mexico City ◽  
Care Center ◽  
Tertiary Care ◽  
Case Series ◽  
Tertiary Care Center ◽  
Demographic Information ◽  
Steroid Use ◽  
Small Cohort ◽  
Case Mortality

Abstract Background The use of corticosteroids, specifically dexamethasone has been associated to low mortality in COVID-19 patients. We present here the mortality related to the use of corticosteroids in the first two months of the SARS-CoV-2 outbreak in México City. Methods We conducted a case series of patients with the diagnosis of pneumonia due to SARS-CoV-2 virus admitted to a tertiary care center in Mexico City, between March 14th and May 14th, 2020. Data collected included demographic information, comorbidities, treatment and outcomes including mortality. Results We included 109 patients with diagnosis of COVID-19 associated pneumonia with computed tomography; 76(69.7%) were male and 33(30.3%) female with a median age of 52 yo (24–85) and 51 yo (25–81), respectively. Most common comorbidities were overweight (48.6%), obesity (35.8%), hypertension (23.8%), and diabetes (18.3%). Thirty-eight patients received corticosteroids (Methylprednisolone 30, Hydrocortisone 6 and dexamethasone and prednisone in on case). Mortality in those that used corticosteroids was 21% (8/38) and 5.6% for those that did not received (4/71), p=0.014. Forty cases needed mechanical ventilation from the beginning, and 24 of those received corticosteroids with a mortality of 29% (7/24), while the mortality was 18.7% (3/16) in those with no steroid use, p=0.45. Conclusion Mortality in our small cohort with predominantly use of methylprednisolone is not lower in those using steroids. In fact, mortality was significantly higher in those that received corticosteroids, while this significance was not maintained in those that needed immediate mechanical ventilation. Use of corticosteroids for COVID-19 patients with pneumonia, should be further investigated. Disclosures All Authors: No reported disclosures

Morphometric evaluation of acetabular dimensions: A computed tomography-based study from a tertiary care center in rural North-West India

2018 ◽  
Vol 32 (3) ◽  
pp. 195
Author(s):  
SunilKumar Raina ◽  
NarvirSingh Chauhan ◽  
Lokesh Thakur ◽  
Surjeet Singh ◽  
Bhanu Awasthi
Keyword(s):  
Computed Tomography ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
North West ◽  
Morphometric Evaluation

Computed tomography of retained intra-abdominal sponges: Eight-year experience at a tertiary care center

2017 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
NaseerAhmed Choh ◽  
Shumyla Jabeen ◽  
Obaid Ashraf ◽  
Azhar Khan ◽  
Feroze Shaheen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center

scholarly journals Clinical and Epidemiological Characteristics of Patients Diagnosed with COVID-19 in a Tertiary Care Center in Mexico City: A Prospective Cohort Study

2020 ◽  
Vol 72 (3) ◽  
Author(s):  
Edgar Ortiz-Brizuela ◽  
Marco Villanueva-Reza ◽  
María F. González-Lara ◽  
Karla M. Tamez-Torres ◽  
Carla M. Román-Montes ◽  
...  
Keyword(s):  
Cohort Study ◽  
Mexico City ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Epidemiological Characteristics

scholarly journals Clinical and Epidemiological Characteristics of Patients Diagnosed with COVID-19 in a Tertiary Care Center in Mexico City: A Prospective Cohort Study

2020 ◽  
Vol 72 (4) ◽  
Author(s):  
Edgar Ortiz-Brizuela ◽  
Marco Villanueva-Reza ◽  
María F. González-Lara ◽  
Karla M. Tamez-Torres ◽  
Carla M. Román-Montes ◽  
...  
Keyword(s):  
Cohort Study ◽  
Mexico City ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Epidemiological Characteristics
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