In-hospital mortality in SARS-CoV-2 stratified by sex differences: A retrospective cross-sectional cohort study

Authors

Mohammed Al-Jarallah, Department of Cardiology, Sabah Al Ahmed Cardiac Centre, Al Amiri Hospital, Kuwait City, Kuwait.
Rajesh Rajan, Department of Cardiology, Sabah Al Ahmed Cardiac Centre, Al Amiri Hospital, Kuwait City, Kuwait.
Raja Dashti, Department of Cardiology, Sabah Al Ahmed Cardiac Centre, Al Amiri Hospital, Kuwait City, Kuwait.Follow
Ahmad Al Saber, Department of Mathematics and Statistics, University of Strathclyde, Glasgow, G1 1XH, UK.
Peter A. Brady, Advocate Aurora HealthFollow
Hassan Abdelnaby, Department of Endemic and Infectious Diseases, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.Follow
Moudhi Alroomi, Department of Infectious Diseases, Infectious Diseases Hospital, Shuwaikh Medical Area, Kuwait.
Wael Aboelhassan, Department of Medicine, Division of Gastroenterology, Jaber Al Ahmed Hospital, South Surra, Kuwait.
Mohammed Abdullah, Department of Infectious Diseases, Infectious Diseases Hospital, Shuwaikh Medical Area, Kuwait.
Noor AlNasrallah, Department of Medicine, Al Adan Hospital, Hadiya, Kuwait.
Bader Al-Bader, Department of Medicine, Farwaniya Hospital, Farwaniya, Kuwait.
Haya Malhas, Department of Emergency Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
Maryam Ramadhan, Department of Obstetrics and Gynaecology, Maternity Hospital, Shuwaikh Medical Area, Kuwait.
Naser Alotaibi, Department of Medicine, Al Adan Hospital, Hadiya, Kuwait.
Mohammad Al Saleh, Department of Medicine, Farwaniya Hospital, Farwaniya, Kuwait.
Farah Almutairi, Department of Medicine, Farwaniya Hospital, Farwaniya, Kuwait.
Kobalava D. Zhanna, Department of Internal Medicine with the Subspecialty of Cardiology and Functional Diagnostics Named After V.S. Moiseev, Institute of Medicine, Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation.

Recommended Citation

Al-Jarallah M, Rajan R, Dashti R, et al. In-hospital mortality in SARS-CoV-2 stratified by sex diffrences: A retrospective cross-sectional cohort study. Ann Med Surg (Lond). 2022;79:104026. doi:10.1016/j.amsu.2022.104026

Affiliations

Illinois Masonic Medical Center

Abstract

Background:The aim of this study was to determine in-hospital mortality in patients presenting with severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) and to evaluate for any differences in outcome according to sex differences.

Methods:Patients with SRS-CoV-2 infection were recruited into this retrospective cohort study between February 26 and September 8, 2020 and strаtified ассоrding tо the sex differences.

Results:In tоtаl оf 3360 раtients (meаn аge 44 ± 17 years) were included, of whom 2221 (66%) were mаle. The average length of hospitalization was 13 days (range: 2-31 days). During hospitalization and follow-up 176 patients (5.24%) died. In-hospital mortality rates were significantly different according to gender (p=<0.001). Specifically, male gender was associated with significantly greater mortality when compared to female gender with results significant at an alpha of 0.05, LL = 28.67, df = 1, p = 0.001, suggesting that gender could reliably determine mortality rates. The coefficient for the males was significant, B = 1.02, SE = 0.21, HR = 2.78, p < 0.001, indicating that an observation in the male category will have a hazard 2.78 times greater than that in the female category. Multivariate logistic regression confirmed male patients admitted with SARS-CoV-2had higher сumulаtive аll-саuse in-hоsрitаl mоrtаlity (6.8% vs. 2.3%; аdjusted оdds rаtiо (аОR), 2.80; 95% (СI): [1.61-5.03]; р < 0.001).

Conclusions:Male gender was an independent predictor of in-hospital mortality in this study. The mortality rate among male SARS-CoV-2 patients was 2.8 times higher when compared with females.

Type

Article

PubMed ID

35757308