The role of admission electrocardiogram in predicting outcome in patients hospitalized for COVID-19
Abnormal electrocardiogram (ECG) has been associated with poor outcome in patients hospitalized for COVID-19. However, the independent association between admission ECG and the risk of a poor outcome remains to be established. Our aim was to determine if abnormal admission ECG predicts treatment at...
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| Published in | Journal of electrocardiology Vol. 75; pp. 10 - 18 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.11.2022
The Authors. Published by Elsevier Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0022-0736 1532-8430 1532-8430 |
| DOI | 10.1016/j.jelectrocard.2022.10.005 |
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| Abstract | Abnormal electrocardiogram (ECG) has been associated with poor outcome in patients hospitalized for COVID-19. However, the independent association between admission ECG and the risk of a poor outcome remains to be established. Our aim was to determine if abnormal admission ECG predicts treatment at intensive care unit or in-hospital death within 30 days in patients hospitalized for COVID-19.
We analyzed the propensity weighted association between abnormal admission ECG and outcome in patients hospitalized for COVID-19 (March to May 2020). All adult patients hospitalized for COVID-19 at the three centers of Sahlgrenska University Hospital (Gothenburg, Sweden) were eligible for inclusion (N = 439). Patients with available admission ECG within six hours from admission were included.
238 patients (age 62 ± 16 years, 74% male) were included. 103 patients had normal ECG and 135 patients had abnormal ECG. 99 patients were admitted to intensive care unit or died in-hospital within 30 days. Abnormal ECG was associated with increased risk of the outcome (odds ratio 2.11 [95% confidence interval 1.21–3.66]).
Abnormal admission ECG was associated with increased risk of treatment at intensive care unit or in-hospital death within 30 days; and could be considered a high-risk criterion in patients hospitalized for COVID-19. |
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| AbstractList | Abnormal electrocardiogram (ECG) has been associated with poor outcome in patients hospitalized for COVID-19. However, the independent association between admission ECG and the risk of a poor outcome remains to be established. Our aim was to determine if abnormal admission ECG predicts treatment at intensive care unit or in-hospital death within 30 days in patients hospitalized for COVID-19.
We analyzed the propensity weighted association between abnormal admission ECG and outcome in patients hospitalized for COVID-19 (March to May 2020). All adult patients hospitalized for COVID-19 at the three centers of Sahlgrenska University Hospital (Gothenburg, Sweden) were eligible for inclusion (N = 439). Patients with available admission ECG within six hours from admission were included.
238 patients (age 62 ± 16 years, 74% male) were included. 103 patients had normal ECG and 135 patients had abnormal ECG. 99 patients were admitted to intensive care unit or died in-hospital within 30 days. Abnormal ECG was associated with increased risk of the outcome (odds ratio 2.11 [95% confidence interval 1.21–3.66]).
Abnormal admission ECG was associated with increased risk of treatment at intensive care unit or in-hospital death within 30 days; and could be considered a high-risk criterion in patients hospitalized for COVID-19. Abnormal electrocardiogram (ECG) has been associated with poor outcome in patients hospitalized for COVID-19. However, the independent association between admission ECG and the risk of a poor outcome remains to be established. Our aim was to determine if abnormal admission ECG predicts treatment at intensive care unit or in-hospital death within 30 days in patients hospitalized for COVID-19.BACKGROUNDAbnormal electrocardiogram (ECG) has been associated with poor outcome in patients hospitalized for COVID-19. However, the independent association between admission ECG and the risk of a poor outcome remains to be established. Our aim was to determine if abnormal admission ECG predicts treatment at intensive care unit or in-hospital death within 30 days in patients hospitalized for COVID-19.We analyzed the propensity weighted association between abnormal admission ECG and outcome in patients hospitalized for COVID-19 (March to May 2020). All adult patients hospitalized for COVID-19 at the three centers of Sahlgrenska University Hospital (Gothenburg, Sweden) were eligible for inclusion (N = 439). Patients with available admission ECG within six hours from admission were included.METHODSWe analyzed the propensity weighted association between abnormal admission ECG and outcome in patients hospitalized for COVID-19 (March to May 2020). All adult patients hospitalized for COVID-19 at the three centers of Sahlgrenska University Hospital (Gothenburg, Sweden) were eligible for inclusion (N = 439). Patients with available admission ECG within six hours from admission were included.238 patients (age 62 ± 16 years, 74% male) were included. 103 patients had normal ECG and 135 patients had abnormal ECG. 99 patients were admitted to intensive care unit or died in-hospital within 30 days. Abnormal ECG was associated with increased risk of the outcome (odds ratio 2.11 [95% confidence interval 1.21-3.66]).RESULTS238 patients (age 62 ± 16 years, 74% male) were included. 103 patients had normal ECG and 135 patients had abnormal ECG. 99 patients were admitted to intensive care unit or died in-hospital within 30 days. Abnormal ECG was associated with increased risk of the outcome (odds ratio 2.11 [95% confidence interval 1.21-3.66]).Abnormal admission ECG was associated with increased risk of treatment at intensive care unit or in-hospital death within 30 days; and could be considered a high-risk criterion in patients hospitalized for COVID-19.CONCLUSIONSAbnormal admission ECG was associated with increased risk of treatment at intensive care unit or in-hospital death within 30 days; and could be considered a high-risk criterion in patients hospitalized for COVID-19. Abnormal electrocardiogram (ECG) has been associated with poor outcome in patients hospitalized for COVID-19. However, the independent association between admission ECG and the risk of a poor outcome remains to be established. Our aim was to determine if abnormal admission ECG predicts treatment at intensive care unit or in-hospital death within 30days in patients hospitalized for COVID-19.We analyzed the propensity weighted association between abnormal admission ECG and outcome in patients hospitalized for COVID-19 (March to May 2020). All adult patients hospitalized for COVID-19 at the three centers of Sahlgrenska University Hospital (Gothenburg, Sweden) were eligible for inclusion (N=439). Patients with available admission ECG within six hours from admission were included.238 patients (age 62±16years, 74% male) were included. 103 patients had normal ECG and 135 patients had abnormal ECG. 99 patients were admitted to intensive care unit or died in-hospital within 30days. Abnormal ECG was associated with increased risk of the outcome (odds ratio 2.11 [95% confidence interval 1.21-3.66]).Abnormal admission ECG was associated with increased risk of treatment at intensive care unit or in-hospital death within 30days; and could be considered a high-risk criterion in patients hospitalized for COVID-19. AbstractBackgroundAbnormal electrocardiogram (ECG) has been associated with poor outcome in patients hospitalized for COVID-19. However, the independent association between admission ECG and the risk of a poor outcome remains to be established. Our aim was to determine if abnormal admission ECG predicts treatment at intensive care unit or in-hospital death within 30 days in patients hospitalized for COVID-19. MethodsWe analyzed the propensity weighted association between abnormal admission ECG and outcome in patients hospitalized for COVID-19 (March to May 2020). All adult patients hospitalized for COVID-19 at the three centers of Sahlgrenska University Hospital (Gothenburg, Sweden) were eligible for inclusion ( N = 439). Patients with available admission ECG within six hours from admission were included. Results238 patients (age 62 ± 16 years, 74% male) were included. 103 patients had normal ECG and 135 patients had abnormal ECG. 99 patients were admitted to intensive care unit or died in-hospital within 30 days. Abnormal ECG was associated with increased risk of the outcome (odds ratio 2.11 [95% confidence interval 1.21–3.66]). ConclusionsAbnormal admission ECG was associated with increased risk of treatment at intensive care unit or in-hospital death within 30 days; and could be considered a high-risk criterion in patients hospitalized for COVID-19. |
| Author | Redfors, Björn Chamat, Jasmina Jha, Sandeep Zeijlon, Rickard Enabtawi, Israa Rawshani, Araz Omerovic, Elmir Hällgren, Peter Le, Vina Wågerman, Johan Unenge, Sten |
| Author_xml | – sequence: 1 givenname: Rickard surname: Zeijlon fullname: Zeijlon, Rickard email: rickard.zeijlon@gu.se organization: Department of Internal Medicine, Sahlgrenska University Hospital/S, Gothenburg, Sweden – sequence: 2 givenname: Peter surname: Hällgren fullname: Hällgren, Peter organization: Department of Internal Medicine, Sahlgrenska University Hospital/S, Gothenburg, Sweden – sequence: 3 givenname: Vina surname: Le fullname: Le, Vina organization: Wallenberg Laboratory, Institute of Medicine, University of Gothenburg, Sweden – sequence: 4 givenname: Jasmina surname: Chamat fullname: Chamat, Jasmina organization: Wallenberg Laboratory, Institute of Medicine, University of Gothenburg, Sweden – sequence: 5 givenname: Johan surname: Wågerman fullname: Wågerman, Johan organization: Wallenberg Laboratory, Institute of Medicine, University of Gothenburg, Sweden – sequence: 6 givenname: Israa surname: Enabtawi fullname: Enabtawi, Israa organization: Wallenberg Laboratory, Institute of Medicine, University of Gothenburg, Sweden – sequence: 7 givenname: Araz surname: Rawshani fullname: Rawshani, Araz organization: Department of Cardiology, Sahlgrenska University Hospital/S, Gothenburg, Sweden – sequence: 8 givenname: Sten surname: Unenge fullname: Unenge, Sten organization: Department of Internal Medicine, Sahlgrenska University Hospital/S, Gothenburg, Sweden – sequence: 9 givenname: Sandeep surname: Jha fullname: Jha, Sandeep organization: Department of Cardiology, Sahlgrenska University Hospital/S, Gothenburg, Sweden – sequence: 10 givenname: Elmir surname: Omerovic fullname: Omerovic, Elmir organization: Department of Cardiology, Sahlgrenska University Hospital/S, Gothenburg, Sweden – sequence: 11 givenname: Björn surname: Redfors fullname: Redfors, Björn organization: Department of Cardiology, Sahlgrenska University Hospital/S, Gothenburg, Sweden |
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| Snippet | Abnormal electrocardiogram (ECG) has been associated with poor outcome in patients hospitalized for COVID-19. However, the independent association between... AbstractBackgroundAbnormal electrocardiogram (ECG) has been associated with poor outcome in patients hospitalized for COVID-19. However, the independent... |
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| SubjectTerms | Adult Aged Cardiology and Cardiovascular Disease Cardiovascular COVID-19 Death Electrocardiogram Electrocardiography Female Hospital Mortality Hospitalization Humans Intensive care unit Intensive Care Units Kardiologi och kardiovaskulära sjukdomar Male Middle Aged Retrospective Studies |
| Title | The role of admission electrocardiogram in predicting outcome in patients hospitalized for COVID-19 |
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