Association Between Nursing Diagnoses and Mortality in Hospitalized Patients with COVID-19: A Retrospective Cohort Study
Previous studies suggest that nursing diagnoses (NDs) could predict clinical outcomes, such as mortality, among patients with non-communicable diseases. However, evidence in patients with COVID-19 is still scarce. <b>Objective:</b> To evaluate the association between NDs and COVID-19 mor...
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MDPI AG
2025-04-01
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| author | José Ángel Hernández-Mariano Olivia Mendoza-Macario María del Carmen Velázquez-Núñez María del Carmen Cedillo-Ordaz Blanca Estela Cervantes-Guzmán Dulce Milagros Razo-Blanco-Hernández Erick Alberto Landeros-Olvera Fani Villa-Rivas Rocío Castillo-Díaz Guillermo Cano-Verdugo |
| author_facet | José Ángel Hernández-Mariano Olivia Mendoza-Macario María del Carmen Velázquez-Núñez María del Carmen Cedillo-Ordaz Blanca Estela Cervantes-Guzmán Dulce Milagros Razo-Blanco-Hernández Erick Alberto Landeros-Olvera Fani Villa-Rivas Rocío Castillo-Díaz Guillermo Cano-Verdugo |
| author_sort | José Ángel Hernández-Mariano |
| collection | DOAJ |
| description | Previous studies suggest that nursing diagnoses (NDs) could predict clinical outcomes, such as mortality, among patients with non-communicable diseases. However, evidence in patients with COVID-19 is still scarce. <b>Objective:</b> To evaluate the association between NDs and COVID-19 mortality among hospitalized patients. <b>Methods:</b> A retrospective cohort study was conducted on 498 paper clinical records of patients hospitalized for at least 72 h in the internal medicine unit for COVID-19 from June to December 2020. The interest association was assessed using logistic regression models. <b>Results:</b> NDs focused on COVID-19 pulmonary responses, such as impaired gas exchange (OR = 3.04; 95% CI = 1.87, 4.95), impaired spontaneous ventilation (OR = 3.67; 95% CI = 2.17, 6.21), or ineffective airway clearance (OR = 2.47; 95% CI = 1.48, 4.12), were significant predictors of mortality. NDs on COVID-19 extrapulmonary responses, such as risk for unstable blood glucose level (OR = 2.45; 95% CI = 1.45, 4,15), risk for impaired liver function (OR = 2.02; 95% CI = 1.11, 3.63), hyperthermia (OR = 2.08; 95% CI = 1.29, 3.35), decreased cardiac output (OR = 2.95; 95% CI = 1.42, 6.11), or risk for shock (OR = 3.03; 95% CI = 1.28, 7.13), were associated with a higher risk of in-hospital mortality. Conversely, patients with NDs of fear (OR = 0.56; 95% CI = 0.35, 0.89) and anxiety (OR = 0.44; 95% CI = 0.26, 0.77) had a lower risk of death. <b>Conclusions:</b> NDs on pulmonary and extrapulmonary responses to COVID-19 were associated with in-hospital mortality, suggesting that they are indicators of the severity of these patients. Therefore, NDs may help nursing staff identify individuals who require closer monitoring and guide early interventions for their recovery. |
| format | Article |
| id | doaj-art-95699e17510c4f5c91e30bb34030515b |
| institution | OA Journals |
| issn | 2039-439X 2039-4403 |
| language | English |
| publishDate | 2025-04-01 |
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| series | Nursing Reports |
| spelling | doaj-art-95699e17510c4f5c91e30bb34030515b2025-08-20T01:56:41ZengMDPI AGNursing Reports2039-439X2039-44032025-04-0115514710.3390/nursrep15050147Association Between Nursing Diagnoses and Mortality in Hospitalized Patients with COVID-19: A Retrospective Cohort StudyJosé Ángel Hernández-Mariano0Olivia Mendoza-Macario1María del Carmen Velázquez-Núñez2María del Carmen Cedillo-Ordaz3Blanca Estela Cervantes-Guzmán4Dulce Milagros Razo-Blanco-Hernández5Erick Alberto Landeros-Olvera6Fani Villa-Rivas7Rocío Castillo-Díaz8Guillermo Cano-Verdugo9Department of Research, Hospital Juarez of Mexico, Mexico City 07760, MexicoDepartment of Quality and Health Education, Ministry of Health, Mexico City 11400, MexicoHead of Nursing Research, Hospital Juarez of Mexico, Mexico City 077602, MexicoHead of Resources Management for Nursing Care, Hospital Juarez of Mexico, Mexico City 077602, MexicoNursing Directorate, Hospital Juarez of Mexico, Mexico City 077602, MexicoDepartment of Research, Hospital Juarez of Mexico, Mexico City 07760, MexicoFaculty of Nursing, Meritorious Autonomous University of Puebla, Puebla 72410, MexicoFaculty of Nursing and Midwifery, Juarez University of the State of Durango, Durango 34217, MexicoFaculty of Nursing and Midwifery, Juarez University of the State of Durango, Durango 34217, MexicoSchool of Dentistry, Autonomous University of Nuevo Leon, Monterey 64460, MexicoPrevious studies suggest that nursing diagnoses (NDs) could predict clinical outcomes, such as mortality, among patients with non-communicable diseases. However, evidence in patients with COVID-19 is still scarce. <b>Objective:</b> To evaluate the association between NDs and COVID-19 mortality among hospitalized patients. <b>Methods:</b> A retrospective cohort study was conducted on 498 paper clinical records of patients hospitalized for at least 72 h in the internal medicine unit for COVID-19 from June to December 2020. The interest association was assessed using logistic regression models. <b>Results:</b> NDs focused on COVID-19 pulmonary responses, such as impaired gas exchange (OR = 3.04; 95% CI = 1.87, 4.95), impaired spontaneous ventilation (OR = 3.67; 95% CI = 2.17, 6.21), or ineffective airway clearance (OR = 2.47; 95% CI = 1.48, 4.12), were significant predictors of mortality. NDs on COVID-19 extrapulmonary responses, such as risk for unstable blood glucose level (OR = 2.45; 95% CI = 1.45, 4,15), risk for impaired liver function (OR = 2.02; 95% CI = 1.11, 3.63), hyperthermia (OR = 2.08; 95% CI = 1.29, 3.35), decreased cardiac output (OR = 2.95; 95% CI = 1.42, 6.11), or risk for shock (OR = 3.03; 95% CI = 1.28, 7.13), were associated with a higher risk of in-hospital mortality. Conversely, patients with NDs of fear (OR = 0.56; 95% CI = 0.35, 0.89) and anxiety (OR = 0.44; 95% CI = 0.26, 0.77) had a lower risk of death. <b>Conclusions:</b> NDs on pulmonary and extrapulmonary responses to COVID-19 were associated with in-hospital mortality, suggesting that they are indicators of the severity of these patients. Therefore, NDs may help nursing staff identify individuals who require closer monitoring and guide early interventions for their recovery.https://www.mdpi.com/2039-4403/15/5/147COVID-19mortalitynursing diagnosesretrospective cohort study |
| spellingShingle | José Ángel Hernández-Mariano Olivia Mendoza-Macario María del Carmen Velázquez-Núñez María del Carmen Cedillo-Ordaz Blanca Estela Cervantes-Guzmán Dulce Milagros Razo-Blanco-Hernández Erick Alberto Landeros-Olvera Fani Villa-Rivas Rocío Castillo-Díaz Guillermo Cano-Verdugo Association Between Nursing Diagnoses and Mortality in Hospitalized Patients with COVID-19: A Retrospective Cohort Study Nursing Reports COVID-19 mortality nursing diagnoses retrospective cohort study |
| title | Association Between Nursing Diagnoses and Mortality in Hospitalized Patients with COVID-19: A Retrospective Cohort Study |
| title_full | Association Between Nursing Diagnoses and Mortality in Hospitalized Patients with COVID-19: A Retrospective Cohort Study |
| title_fullStr | Association Between Nursing Diagnoses and Mortality in Hospitalized Patients with COVID-19: A Retrospective Cohort Study |
| title_full_unstemmed | Association Between Nursing Diagnoses and Mortality in Hospitalized Patients with COVID-19: A Retrospective Cohort Study |
| title_short | Association Between Nursing Diagnoses and Mortality in Hospitalized Patients with COVID-19: A Retrospective Cohort Study |
| title_sort | association between nursing diagnoses and mortality in hospitalized patients with covid 19 a retrospective cohort study |
| topic | COVID-19 mortality nursing diagnoses retrospective cohort study |
| url | https://www.mdpi.com/2039-4403/15/5/147 |
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