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Factores de riesgo que disparan la mortalidad por covid: ¿cuáles son y quiénes los tienen? Sanitarios atienden a un paciente de covid en una UCI EFE
El tabaquismo y la hipertensión son dos factores que disparan la mortalidad por covid19 La diabete o el cáncer también elevan el riesgo de mortalidad por covid Se descarta que el sexo o el exceso de peso disparen la mortalidad Según el estudio, realizado por el doctor Bruce Biccard (Hospital Groote Schuur y Universidad de Ciudad del Cabo, Sudáfrica) y sus colegas en el que se han tratado los datos de 58 informes médicos y 44.305 pacientes , los pacientes con covid-19 en la UCI tenían un 40 por ciento más de probabilidades de morir con antecedentes de tabaquismo , un 54 por ciento más de probabilidades de padecer hipertensión arterial , un 41 por ciento más de probabilidades de padecer diabetes , un 75 por ciento más de probabilidades de padecer enfermedades respiratorias , alrededor del doble de probabilidades de padecer enfermedades cardiovasculares o cáncer , y 2,4 veces más de morir con enfermedades renales , que los pacientes sin estos factores de riesgo.
La mortalidad aumenta si se requiere ventilación mecánica Otros factores asociados a un mayor riesgo de muerte fueron la gravedad de la insuficiencia orgánica , la necesidad de ventilación mecánica (en 2,5 veces en comparación con los pacientes de la UCI no ventilados) y también los recuentos elevados de glóbulos blancos y otros marcadores de inflamación .
Al analizar las razones de las asociaciones, los autores afirman que la edad puede representar efectivamente la fragilidad en los pacientes de la COVID-19, que repercute en la reserva fisiológica de una persona para superar una enfermedad crítica.
Los factores de riesgo de la hipertensión, el tabaquismo y las enfermedades respiratorias pueden estar vinculados por su asociación con los receptores de la enzima convertidora de angiotensina (ECA) en el organismo, como se observa en la mayor expresión de los receptores ECA-2 entre los fumadores y los pacientes con enfermedad pulmonar obstructiva crónica.
Las lesiones cardiacas favorecen las muertes a los hipertensos La asociación entre la hipertensión y las enfermedades cardiovasculares y el aumento de la mortalidad puede estar relacionada con el riesgo de lesión cardíaca asociado a la respuesta inflamatoria sistémica a la infección por covid-19.
"Los resultados confirman la asociación entre la diabetes y las comorbilidades cardiovasculares y respiratorias con la mortalidad en los pacientes con covid-19. Sin embargo, las asociaciones comunicadas entre el sexo masculino y el aumento del IMC que empeoran los resultados no se ven respaldadas por este metaanálisis de pacientes ingresados en la UCI . Este meta-análisis proporciona un gran tamaño de muestra con respecto a estos factores de riesgo y es una estimación robusta del riesgo asociado con el sexo masculino y el IMC", explican los responsables de la investigación.
8 vídeos Aumentan las detenciones por la brutal paliza a un joven en Amorebieta, Vizcaya Cantabria cierra el interior de bares y locales y los hosteleros recurren la medida Muere el bajista de ZZ Top Rescatan a una conductor desmayado en una autopista de EEUU Una impactante explosión en mitad de la calle que casi acaba en tragedia Un león siembra el pánico al escapar del parque natural de Nairobi y colarse en una barriada El espectacular rescate de un padre y un hijo atrapados en el coche por las fuertes lluvias La quinta ola de la pandemia comienza a remitir Aumentan las detenciones por la brutal paliza a un joven en Amorebieta, Vizcaya Cantabria cierra el interior de bares y locales y los hosteleros recurren la medida Muere el bajista de ZZ Top Rescatan a una conductor desmayado en una autopista de EEUU Una impactante explosión en mitad de la calle que casi acaba en tragedia Un león siembra el pánico al escapar del parque natural de Nairobi y colarse en una barriada El espectacular rescate de un padre y un hijo atrapados en el coche por las fuertes lluvias La quinta ola de la pandemia comienza a remitir Aumentan las detenciones por la brutal paliza a un joven en Amorebieta, Vizcaya Cantabria cierra el interior de bares y locales y los hosteleros recurren la medida Muere el bajista de ZZ Top Rescatan a una conductor desmayado en una autopista de EEUU Una impactante explosión en mitad de la calle que casi acaba en tragedia Un león siembra el pánico al escapar del parque natural de Nairobi y colarse en una barriada El espectacular rescate de un padre y un hijo atrapados en el coche por las fuertes lluvias La quinta ola de la pandemia comienza a remitir
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