Prevalence and factors related to infection and mortality due to COVID-19 among patients of Shohada Ghaen Hospital, Ghaen, Iran, 2020

Zohre Gozidehkar, Hassan Gahani, Alireza Davary, H. Borna
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Abstract

Background and Aims: Coronavirus disease 2019 (COVID-19) is an emerging disease, whose first case was reported in December 2019, and rapidly affected the world. Therefore, the present study was conducted to investigate the frequency and factors associated with morbidity and mortality due to COVID -19 in Ghaen, Iran. Materials and Methods: This retrospective descriptive-analytical study used the information sources of the portal of Shohada Ghaen Hospital, Gaen, Iran, from March 2020 to December 2021, which was collected from 1,124 patients with suspected respiratory infection referring to the hospital. Data using Chi-square and Fisher's exact test for univariate relationships. Moreover, two-way logistic regression was used to investigate the causal relationships, and P<0.05 was considered statistically significant. Results: In this study, the mean age of participants (n=1,124) was obtained at 51.6±24.5 years, and 546 (48.6%) subjects had a positive COVID-19 test by reverse transcription polymerase chain reaction, among whom 65 (11.9%) cases passed away. Clinical symptoms of body aches, coughs, diarrhea, and shortness of breath were associated with a positive COVID-19 test. It was also revealed that habitat, diabetes, cardiovascular and lung diseases, age, and job were risk factors of COVID-19 infection, and hospitalization in the ICU and age were identified as risk factors for COVID-19-caused death (P<0.05). Conclusion: In the present study, cough and shortness of breath were found to be the most frequent symptoms among patients and deceased individuals. Since these symptoms may be associated with a worse prognosis, they require the special attention of medical staff. The findings of this study also showed that the elderly were more at risk of death from this disease than other age groups, which increased the need for more education and attention to this group of society.
2020年伊朗加恩Shohada Ghaen医院患者COVID-19感染和死亡的患病率及相关因素
背景与目的:2019冠状病毒病(COVID-19)是一种新兴疾病,于2019年12月报告首例病例,并迅速影响全球。因此,本研究旨在调查伊朗加恩市COVID -19发病率和死亡率的频率及其相关因素。材料与方法:本回顾性描述性分析研究使用2020年3月至2021年12月伊朗加恩Shohada Ghaen医院门户网站的信息来源,收集到该医院就诊的1124例疑似呼吸道感染患者。数据使用卡方和费雪精确检验的单变量关系。采用双向逻辑回归分析因果关系,以P<0.05为差异有统计学意义。结果:本组研究对象平均年龄为51.6±24.5岁(n= 1124),逆转录聚合酶链反应阳性546例(48.6%),死亡65例(11.9%)。身体疼痛、咳嗽、腹泻和呼吸短促的临床症状与COVID-19检测呈阳性相关。居住地、糖尿病、心肺疾病、年龄、工作是新冠肺炎感染的危险因素,ICU住院和年龄是新冠肺炎导致死亡的危险因素(P<0.05)。结论:在本研究中,咳嗽和呼吸短促是患者和死者中最常见的症状。由于这些症状可能与较差的预后有关,因此需要医务人员特别注意。这项研究的结果还表明,老年人比其他年龄组更有可能死于这种疾病,这就增加了对这一群体的教育和社会关注的必要性。
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