COVID-19 and non–COVID-19 pneumonia: a comparison
Background The COVID-19 pandemic has caused the relocation of huge financial resources to departments dedicated to infected patients, at the expense of those suffering from other pathologies.Aim To compare clinical features and outcomes in COVID-19 pneumonia and non-COVID-19 pneumonia patients.Patie...
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Taylor & Francis Group
2021-01-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2021.2010797 |
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| author | Chiara Di Mitri Giuseppe Arcoleo Emilia Mazzuca Gaetana Camarda Enzo Massimo Farinella Maurizio Soresi Antonio Carroccio |
| author_facet | Chiara Di Mitri Giuseppe Arcoleo Emilia Mazzuca Gaetana Camarda Enzo Massimo Farinella Maurizio Soresi Antonio Carroccio |
| author_sort | Chiara Di Mitri |
| collection | DOAJ |
| description | Background The COVID-19 pandemic has caused the relocation of huge financial resources to departments dedicated to infected patients, at the expense of those suffering from other pathologies.Aim To compare clinical features and outcomes in COVID-19 pneumonia and non-COVID-19 pneumonia patients.Patients and methods 53 patients (35 males, mean age 61.5 years) with COVID-19 pneumonia and 50 patients (32 males, mean age 72.7 years) with non-COVID-19 pneumonia, consecutively admitted between March and May 2020 were included. Clinical, laboratory and radiological data at admission were analyzed. Duration of hospitalization and mortality rates were evaluated.Results Among the non-COVID patients, mean age, presence of comorbidities (neurological diseases, chronic kidney disease and chronic obstructive pulmonary disease), Charlson Comorbidity Index and risk factors (tobacco use and protracted length of stay in geriatric healthcare facilities) were higher than in COVID patients. The non-COVID-19 pneumonia group showed a higher (24% vs. 17%), although not statistically significant in-hospital mortality rate; the average duration of hospitalization was longer for COVID patients (30 vs. 9 days, p = .0001).Conclusions In the early stages of the COVID pandemic, our centre noted no statistical difference in unadjusted in-hospital mortality between COVID and non-COVID patients. Non-COVID patients had higher Charlson Comorbidity Scores, reflecting a greater disease burden in this population.Key MessagesIn March 2020, the COVID-19 disease was declared a pandemic, with enormous consequences for the organization of health systems and in terms of human lives; this has caused the relocation of huge financial resources to departments dedicated to infected patients, at the expense of those suffering from other pathologies.Few published reports have compared COVID-19 and non-COVID-19 pneumonia. In our study, performed in a geographic area with a low prevalence of SARS-CoV-2 infection, we found few statistically significant differences in terms of clinical characteristics between the two groups analyzed.In the early stages of the COVID pandemic, our centre noted no statistical difference in unadjusted in-hospital mortality between COVID and non-COVID patients. Non-COVID patients had higher Charlson Comorbidity Scores, reflecting a greater disease burden in this population |
| format | Article |
| id | doaj-art-15c23613f8714598962afb4e9c4cb855 |
| institution | Kabale University |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-15c23613f8714598962afb4e9c4cb8552025-08-20T03:43:55ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602021-01-015312321233110.1080/07853890.2021.2010797COVID-19 and non–COVID-19 pneumonia: a comparisonChiara Di Mitri0Giuseppe Arcoleo1Emilia Mazzuca2Gaetana Camarda3Enzo Massimo Farinella4Maurizio Soresi5Antonio Carroccio6Internal Medicine Unit, V. Cervello Hospital, Palermo, ItalyPneumology Unit, V. Cervello Hospital, Palermo, ItalyPneumology Unit, V. Cervello Hospital, Palermo, ItalyPneumology Unit, V. Cervello Hospital, Palermo, ItalyInfectious Diseases Unit, V. Cervello Hospital, Palermo, ItalyInternal Medicine, PROMISE Department, University of Palermo, Palermo, ItalyInternal Medicine Unit, V. Cervello Hospital, Palermo, ItalyBackground The COVID-19 pandemic has caused the relocation of huge financial resources to departments dedicated to infected patients, at the expense of those suffering from other pathologies.Aim To compare clinical features and outcomes in COVID-19 pneumonia and non-COVID-19 pneumonia patients.Patients and methods 53 patients (35 males, mean age 61.5 years) with COVID-19 pneumonia and 50 patients (32 males, mean age 72.7 years) with non-COVID-19 pneumonia, consecutively admitted between March and May 2020 were included. Clinical, laboratory and radiological data at admission were analyzed. Duration of hospitalization and mortality rates were evaluated.Results Among the non-COVID patients, mean age, presence of comorbidities (neurological diseases, chronic kidney disease and chronic obstructive pulmonary disease), Charlson Comorbidity Index and risk factors (tobacco use and protracted length of stay in geriatric healthcare facilities) were higher than in COVID patients. The non-COVID-19 pneumonia group showed a higher (24% vs. 17%), although not statistically significant in-hospital mortality rate; the average duration of hospitalization was longer for COVID patients (30 vs. 9 days, p = .0001).Conclusions In the early stages of the COVID pandemic, our centre noted no statistical difference in unadjusted in-hospital mortality between COVID and non-COVID patients. Non-COVID patients had higher Charlson Comorbidity Scores, reflecting a greater disease burden in this population.Key MessagesIn March 2020, the COVID-19 disease was declared a pandemic, with enormous consequences for the organization of health systems and in terms of human lives; this has caused the relocation of huge financial resources to departments dedicated to infected patients, at the expense of those suffering from other pathologies.Few published reports have compared COVID-19 and non-COVID-19 pneumonia. In our study, performed in a geographic area with a low prevalence of SARS-CoV-2 infection, we found few statistically significant differences in terms of clinical characteristics between the two groups analyzed.In the early stages of the COVID pandemic, our centre noted no statistical difference in unadjusted in-hospital mortality between COVID and non-COVID patients. Non-COVID patients had higher Charlson Comorbidity Scores, reflecting a greater disease burden in this populationhttps://www.tandfonline.com/doi/10.1080/07853890.2021.2010797COVID-19pneumoniaSARS-CoV-2mortalityelderlyHRCT |
| spellingShingle | Chiara Di Mitri Giuseppe Arcoleo Emilia Mazzuca Gaetana Camarda Enzo Massimo Farinella Maurizio Soresi Antonio Carroccio COVID-19 and non–COVID-19 pneumonia: a comparison Annals of Medicine COVID-19 pneumonia SARS-CoV-2 mortality elderly HRCT |
| title | COVID-19 and non–COVID-19 pneumonia: a comparison |
| title_full | COVID-19 and non–COVID-19 pneumonia: a comparison |
| title_fullStr | COVID-19 and non–COVID-19 pneumonia: a comparison |
| title_full_unstemmed | COVID-19 and non–COVID-19 pneumonia: a comparison |
| title_short | COVID-19 and non–COVID-19 pneumonia: a comparison |
| title_sort | covid 19 and non covid 19 pneumonia a comparison |
| topic | COVID-19 pneumonia SARS-CoV-2 mortality elderly HRCT |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2021.2010797 |
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