• Rev Assoc Med Bras (1992) · Feb 2022

    Multicenter Study

    Predictors of mortality in patients less than 50 years old with coronavirus disease 2019: a multicenter experience in Istanbul.

    • Ramazan Güven, Şahin Çolak, Ozgur Sogut, YavuzBurcu GencBGhttp://orcid.org/0000-0001-6693-5288University of Health Sciences, Haydarpasa Numune Training and Research Hospital, Department of Emergency Medicine - Istanbul, Turkey., Mustafa Çalık, Ertuğrul Altınbilek, Nihat Mujdat Hokenek, Gökhan Eyüpoğlu, Ismail Tayfur, and Adem Çakir.
    • University of Health Sciences, Kanuni Sultan Suleeyman Training and Research Hospital, Department of Emergency Medicine - Istanbul, Turkey.
    • Rev Assoc Med Bras (1992). 2022 Feb 1; 68 (2): 239-244.

    ObjectiveThe objectives of this study were to identify predictors of mortality in young adult patients with coronavirus disease 2019 and to assess the link between blood type and mortality in those patients.MethodsThis multicenter retrospective study, which was conducted in seven training and research hospitals in Istanbul, involved young adults who aged ≥18 and <50 years and hospitalized with coronavirus disease 2019.ResultsAmong 1,120 patients, confusion at admission (p<0.001) and oxygen saturation (p<0.001) were significantly predictive factors of mortality. Blood type O was significantly associated with mortality compared to those discharged from the hospital (p<0.001). Among co-morbidities, the most reliable predictive factors were cerebral vascular disease (p<0.001) and chronic renal failure (p=0.010). Among laboratory parameters, high C-reactive protein (p<0.001) and low albumin (p<0.001) levels were predictors of mortality in young adult patients with coronavirus disease 2019.ConclusionsSpO2 at admission was the best predictor of mortality in young adult patients with coronavirus disease 2019. The mortality rate was increased by cerebral vascular disease and chronic renal failure. Also, high C-reactive protein and low albumin levels were predictive factors of mortality. Moreover, blood type O was associated with a higher mortality rate than the other types.

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