<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2021000300013</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Predictive factors of unsatisfactory evolution among 20-65 year-old patients infected with COVID-19]]></article-title>
<article-title xml:lang="es"><![CDATA[Factores predictivos de evolución no satisfactoria en pacientes infectados por COVID-19 entre 20-65 años]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa Frias]]></surname>
<given-names><![CDATA[Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vergara Santos]]></surname>
<given-names><![CDATA[Aimara de la C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mojena Mojena]]></surname>
<given-names><![CDATA[Oreste]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Provincial Carlos Manuel de Céspedes de Bayamo  ]]></institution>
<addr-line><![CDATA[Granma ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hamad Medical Corporation Cuban Medical Hospital ]]></institution>
<addr-line><![CDATA[Hamad ]]></addr-line>
<country>Qatar</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Pediátrico Docente Centro Habana  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>20</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2021000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2021000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2021000300013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Several authors validated the use of clinical, humoral, and radiological indicators as predictors of unsatisfactory evolution in patients with COVID-19.  Objective:  To evaluate the clinical-humoral variables and the findings in the first chest x-ray as predictors of unsatisfactory evolution in patients with COVID-19.  Material and Methods:  An observational and retrospective case-control study was carried out in 484 patients infected with COVID-19 admitted to the Cuban Hospital of Qatar between March and July 2020. The sample was composed of 60 patients. Cases: patients with respiratory failure who required invasive ventilation or death. Controls: patients with COVID-19 without complications. Input variables: age, sex, BMI, presence of comorbidities, leukocyte value, and severity index of the first chest x-ray. Response variable: clinical evolution. The bivariate analysis was performed using the Chi-square test. In the multivariate analysis, using binary logistic regression, p values &#8203;&#8203;lower than 0.05 were considered significant. The results were expressed in the Odds Ratio.  Results:  The progression of age, belonging to the group of 61-65 years, female sex, suffering from diabetes or arterial hypertension, having two comorbidities, abnormal leukogram, and the severity index of the first chest X-ray between 2-6 / 6 were related to unsatisfactory evolution. The leukogram (ODDS RATIO 68.634 p = 0.000) and the severity index of the first chest x-ray (ODDS RATIO 12.201 p = 0.008) have an independent influence on patients with COVID-19.  Conclusion:  The predictive value of the leukogram and the severity index in the first chest x-ray over unsatisfactory evolution were demonstrated in these patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Varios autores validaron el uso de indicadores clínicos, humorales y radiológicos como predictores de evolución no satisfactoria en pacientes con COVID-19.  Objetivo:  Evaluar las variables clínica-humorales y los hallazgos del primer rayos-x de tórax, como predictores de evolución no satisfactoria en pacientes con COVID-19.  Material y Métodos:  Se realizó un estudio observacional y retrospectivo de casos-controles, a 484 pacientes infectados con COVID-19 admitidos en el Hospital Cubano de Catar, entre marzo y julio de 2020. La muestra 60 pacientes. Casos: pacientes con insuficiencia respiratoria que necesitaron ventilación invasiva o muerte. Controles: enfermos con COVID-19 sin complicaciones. Variables de entrada: edad, sexo, IMC, presencia de comorbilidades, valor del leucocito e índice de severidad del primer rayos-x de tórax. Variable respuesta: evolución clínica. El análisis bi-variado se realizó mediante la prueba Chi-cuadrado. El análisis multivariado, mediante regresión logística binaria, p valores inferiores a 0,05 se consideraron como significativo. Los resultados se expresaron en Odd Ratio.  Resultados:  La progresión de la edad, pertenecer al grupo de 61-65 años, el sexo femenino, padecer diabetes o hipertensión arterial, tener dos comorbilidades, leucograma anormal y el índice de severidad del primer Rx de tórax entre 2-6/6, estaban relacionados con la evolución no satisfactoria. El leucograma (ODD RATIO 68,634 p = 0.000) y el índice de severidad del primer rayos-x de tórax (ODD RATIO 12,201 p = 0.008) tienen influencia independiente, en pacientes con COVID-19.  Conclusión:  Se demostró el valor predictor del leucograma y el índice de severidad en el primer rayos-x de tórax con la evolución no satisfactoria en estos pacientes.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Tomography]]></kwd>
<kwd lng="en"><![CDATA[pneumonia]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[respiratory insufficiency]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="es"><![CDATA[Tomografía]]></kwd>
<kwd lng="es"><![CDATA[neumonía]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia respiratoria]]></kwd>
<kwd lng="es"><![CDATA[SARS-CoV-2]]></kwd>
</kwd-group>
</article-meta>
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