One Year of Covid-19 Hospital at Croatia: Prevalence Cardio Comorbidities and Predictors of Health Outcomes - A Retrospective Study

Abstract

Backround: During the pandemic 2020 many hospitals became so-called Covid-19 Hospital. In Croatia our General County Hospital Nasice was the very first one with declared Covid-19 status. Our objective was to determine the clinical features of patients with severe COVID-19 disease considering of different cardiovascular risk factors and their health outcomes.Materials and Methods: A retrospective study was conducted by analysing the medical records of 541 hospitalized COVID-19 patients in Croatian General County Hospital Nasice during one year in the period from March 1st 2020 to March 1st 2021. We examined collected individual data as gender, age, presence or absence of comorbidity, type of comorbidity, laboratory data, number of days at hospital and outcomes (discharge home, transfer to another hospital and death).Results: Patients mean age was 72 years with range of 22 do 95 years. There were 408 (77%) discharged from the hospital, 23 (4%) transferred to another hospital, and 94 (18%) died. Hypertension had 325 (61%) of patients, coronary heart disease had 58 (11%) patients, cardiomyopathy had 98 (19%), arrhythmic disease had 88 (17%), valve disease had 24 (5%). Diabetes as risk factor had 151 patients (29%). Patients without any comorbidity were only 55 (10%). Total range of hospitalized days was 33 with 8 days mean. We found statistically significant differences in disease outcomes according to the gender and age of patients and whether patients suffer from cardiomyopathy and arrhythmic diseases. Age over 65, cardiomyopathy and valve disease were independent predictors of poor outcome for male. For female risk factors were cardiomyopathy, obesity and body mass index.Conclusions: The prevalence of cardio comorbidity in Croatian Covid-19 hospitalized patients was analyzed and genderdifferent predictors of health have been identified.