Posters
Presentation Type
Poster
Discipline Track
Patient Care
Abstract Type
Research/Clinical
Abstract
Introduction: Few pericardial effusion (PEf) cases have been reported in the literature amongst adult hospitalized patients with SARS-CoV2. The goal of our study is to determine the frequency and risk factors of PEf amongst adult hospitalized patients with SARS-CoV2 and its effect on mortality.
Methods: This preliminary analysis included 48 consecutive patients with confirmed SARS-CoV2 admitted from 08/01-08/31/2021. Socio-demographic data and risk factors for coronary artery disease were recorded. Echocardiography was reviewed for evidence of PEf. A comparison of patients with effusion, no effusion, and no echo was performed with chi-square, t-test, ANOVA, and probability of death using logistic regression with Stata v17.
Results: The sample was characterized by a mean age of 59.7 (SD:16.3), BMI 34.3 (SD:7), females 52%, Hispanic 87%, diabetes mellitus 46%, dyslipidemia 46%, and hypertension 54%. Of the 13 (48%) patients who had echocardiography performed, there were 7 (44%) who showed PEf. The univariate analysis in those with echocardiogram showed no association of PEf with any of the studied variables. PEf was higher amongst patients living in zip codes which have a higher percentage of individuals living below the federal poverty line (pov) (25.1±0.88 vs 21.2±1.2, p=0.036). PEf had mortality OR 4.8 (95%CI: 1.01, 24.9; p=0.05). There was no interaction between PEf and pov to predict mortality.
Conclusion: Presence and diagnosis of PEf in patients with SARS-CoV2 may represent an additional risk factor for poor outcomes in an already health disparate population. Clinicians should maintain a high index of suspicion for this condition.
Academic/Professional Position
Resident
Mentor/PI Department
Internal Medicine
Recommended Citation
Appareddy, Nina Shyama; Peralta, Cesar; Alvarenga, Juan Carlos; and Mild, Charles, "Socio-contextual Factors Predicting Pericardial Effusion and Mortality in Patients with Confirmed SARS-CoV2 in a South Texas Hospital. A Preliminary Analysis" (2023). Research Symposium. 72.
https://scholarworks.utrgv.edu/somrs/2022/posters/72
Included in
Socio-contextual Factors Predicting Pericardial Effusion and Mortality in Patients with Confirmed SARS-CoV2 in a South Texas Hospital. A Preliminary Analysis
Introduction: Few pericardial effusion (PEf) cases have been reported in the literature amongst adult hospitalized patients with SARS-CoV2. The goal of our study is to determine the frequency and risk factors of PEf amongst adult hospitalized patients with SARS-CoV2 and its effect on mortality.
Methods: This preliminary analysis included 48 consecutive patients with confirmed SARS-CoV2 admitted from 08/01-08/31/2021. Socio-demographic data and risk factors for coronary artery disease were recorded. Echocardiography was reviewed for evidence of PEf. A comparison of patients with effusion, no effusion, and no echo was performed with chi-square, t-test, ANOVA, and probability of death using logistic regression with Stata v17.
Results: The sample was characterized by a mean age of 59.7 (SD:16.3), BMI 34.3 (SD:7), females 52%, Hispanic 87%, diabetes mellitus 46%, dyslipidemia 46%, and hypertension 54%. Of the 13 (48%) patients who had echocardiography performed, there were 7 (44%) who showed PEf. The univariate analysis in those with echocardiogram showed no association of PEf with any of the studied variables. PEf was higher amongst patients living in zip codes which have a higher percentage of individuals living below the federal poverty line (pov) (25.1±0.88 vs 21.2±1.2, p=0.036). PEf had mortality OR 4.8 (95%CI: 1.01, 24.9; p=0.05). There was no interaction between PEf and pov to predict mortality.
Conclusion: Presence and diagnosis of PEf in patients with SARS-CoV2 may represent an additional risk factor for poor outcomes in an already health disparate population. Clinicians should maintain a high index of suspicion for this condition.