埃尔比勒市中重度Covid-19患者死亡率的早期预测指标

Taha Ahmed, H. Ahmed, Haval Faris Mohammed
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摘要

背景与目的:COVID-19疾病是国家卫生机构的主要负担。研究的目的是找出可以预测中重度covid -19患者死亡率的参数。这使我们能够预测疾病的进程并降低Covid-19患者的死亡率。方法:于2021年2 - 8月在伊拉克埃尔比勒市-库尔德斯坦地区西部急诊医院对100例实时聚合酶链反应阳性患者进行前瞻性横断面研究。这些患者从入院一直随访到活着或死亡出院。通过与患者直接面谈或从其亲属处或医院保存的记录收集数据,并填写准备好的调查问卷。结果:中重度冠状病毒感染住院患者死亡率为(44%)。患者年龄越大,死亡率越高。出现呼吸困难(51.4%)、高血压(57.1%)和肾功能衰竭的患者与较高的死亡率显著相关。高呼吸频率(> 25bpm)、低血氧饱和度(59)伴高死亡率。这些结果具有统计学意义。结论:高龄、呼吸困难、合并高血压、肾功能衰竭、呼吸频率高、血氧饱和度低、c反应蛋白水平升高是中重度冠状病毒感染患者死亡的早期预测因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early predictors of mortality for moderate to severely ill patients with Covid-19 in Erbil city
Background & Objectives: COVID-19 disease represents a major burden on national health institutes. The aim of study is to figure out the parameters that can predict the mortality in moderate to severely ill Covid-19patients. That enable us to predict the course of the disease and reduce the mortality of Covid-19 patients. Methods: A prospective cross-sectional study carried out in West Emergency Hospital in Erbil city-Kurdistan region/Iraq from February to August 2021onsample of one hundred patients with positive real-time polymerase chain reaction.The patients were followed up from their admission to hospital until their discharge alive or dead.Their data were collected by direct interview with them or from their relatives or saved records in hospital and fulfilled in a prepared questionnaire. Results: The mortality rate of hospitalized patients with moderate to severe Corona infections diseasewas (44%). The older age of patients was significantly related to higher mortality rate. The patients presented with dyspnea (51.4%), hypertension (57.1%) and renal failure were significantly associated with higher mortality rates. High respiratory rate (>25 bpm), low oxygen saturation (<88%), and high C-reactive protein level (>59) were accompanied with higher mortality rates. These results were statistically significant. Conclusion: The early predictors of mortality in patients with moderate to severe Corona infections disease were elderly age, dyspnea, co-morbidity with hypertension and renal failure, high respiratory rate, low oxygen saturation and elevated levels of C-reactive protein.
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