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In-hospital mortality from severe COVID-19 in a tertiary care center in Mexico City; causes of death, risk factors and the impact of hospital saturation.

Antonio Olivas-MartínezJosé Luis Cárdenas-FragosoJosé Víctor JiménezOscar Arturo Lozano-CruzEdgar Ortiz-BrizuelaVíctor Hugo Tovar-MéndezCarla Medrano-BorromeoAlejandra Martínez-ValenzuelaCarla Marina Roman-MontesBernardo Alfonso Martínez-GuerraMaría Fernanda González-LaraThierry Hernández-GilsoulAlfonso Gulias HerreroKarla María Tamez-FloresEric Ochoa-HeinAlfredo Ponce-de-LeónArturo Galindo-FragaDavid Kershenobich-StalnikowitzJosé Sifuentes-Osornio
Published in: PloS one (2021)
In this study we found similar in-hospital and ICU mortality, as well as risk factors for mortality, compared to previous reports. However, 45% of the patients who did not survive justified admission to ICU but did not receive IMV / ICU care due to the unavailability of ICU beds. Furthermore, mortality rate over time was mainly due to the availability of ICU beds, indirectly suggesting that overcrowding was one of the main factors that contributed to hospital mortality.
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