Effects of hypertension on the outcomes of Covid-19 infected patients- A retrospective study

S. Yeasmeen, Montosh Kumar Mondal, A. F. Hoque, Sana Masud, Shofina Sultana, D. Banik
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Abstract

Background: Hypertension has been reported as the most prevalent comorbidity in patients with corona virusdisease 2019 (COVID-19) .Since hypertension is exceedingly frequent in the elderly and older people appear tobe at particular risk of being infected with SARS-COV-2 virus and of experiencing severe forms andcomplications of COVID-19. Objective : This retrospective study aim to compare the outcomes in COVID-19 infected patients with orwithout hypertension. Method : Atotal 180 hospitalized patients with laboratory confirmed COVID-19 were included. The medicalrecord including clinical feature, history of hypertension were included in this study. This study wasconducted in COVID-19 ICUof Bangabandhu Sheikh Mujib Medical University from August 2020 to January2021.Informationwere obtained frommedical record including clinical features, complication,treatments andclinical outcome were extracted for the analysis. Results: There were 180 patients selected for this study. 50(27.8%) patients had 51-60 years ,79(43.5%)patients had61-70 years and 27(15%) patients had 71-80 years.This study showed that 71.7% patients washypertensive and 29.3% patients was non-hypertensive. In total 180 patients, mortality rate was 65.1% inhypertensive patientsand mortality rate was41.1% in non-hypertensivepatients.Among them patientscomorbidity was 50% Diabetes mellitus,14% Bronchial asthma,14% patients Ischemic heart disease, 11%Chronic Kidney disease ,6% hypothyroidism and 5% cerebrovascular disease. Conclusion: This study concluded that hypertension does not affect the outcome of COVID-19. Compared withthe group of survivors and non-surviving COVID-19 patients with hypertension, most of the patients were olderand had more comorbidity. JBSA 2021; 34 (2) : 44-48
高血压对Covid-19感染患者预后的影响——一项回顾性研究
背景:高血压已被报道为2019冠状病毒病(COVID-19)患者最常见的合并症,因为高血压在老年人中极为常见,老年人似乎特别容易感染SARS-COV-2病毒,并出现COVID-19的严重形式和并发症。目的:本回顾性研究旨在比较合并或不合并高血压的COVID-19感染患者的预后。方法:收集实验室确诊的住院新冠肺炎患者180例。病历包括临床特征、高血压病史。本研究于2020年8月至2021年1月在Bangabandhu Sheikh Mujib医科大学COVID-19 icu进行。从病历中提取临床特征、并发症、治疗方法和临床结局等信息进行分析。结果:共有180例患者入选本研究。51 ~ 60岁50例(27.8%),61 ~ 70岁79例(43.5%),71 ~ 80岁27例(15%)。本研究显示71.7%的患者为高血压,29.3%的患者为非高血压。180例患者中,高血压患者死亡率为65.1%,非高血压患者死亡率为41.1%。其中,糖尿病占50%,支气管哮喘占14%,缺血性心脏病占14%,慢性肾病占11%,甲状腺功能减退占6%,脑血管病占5%。结论:本研究认为高血压不影响COVID-19的预后。与存活组和未存活组合并高血压的COVID-19患者相比,大多数患者年龄较大,合并症较多。JBSA 2021;34 (2): 44-48
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