[重症监护中的 COVID 19:巴马科的流行病学、临床和预后方面]。

Le Mali medical Pub Date : 2022-01-01
B Diallo, S A Beye, H Dicko, R B Niangado, M Berthé, A Meuzebou, S Coulibaly, D Doumbia, S Dembélé, M K Touré, M Coulibaly, K Timbiné, A Y Sidibé, M Keita, Y Coulibaly
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引用次数: 0

摘要

目的:报告首例 COVID 19 重症监护患者的流行病学、临床、辅助临床和治疗特点。患者和方法:历时 4 个月的回顾性描述和分析研究,涵盖所有经 SARS-Cov-2 检测呈阳性并入住重症监护室的成年患者:重症监护室共收治了 49 名患者,其中男性 35 人,女性 14 人(占病例总数的 2%)。中位年龄为 64 岁 [26 - 92]。高血压(16;32.6%)和糖尿病(11;22.4%)是最常见的并发症。入院时最常见的症状是咳嗽(38;80.9%)、气短(35;74.5%)和发烧(33;70.2%)。出现症状的中位时间为 11 天。21名患者(42.9%)使用了无创通气(NIV)。14名患者(28.6%)进行了插管和辅助通气。平均住院时间为 7.77 ± 7.30 天。我们记录了 20 例(40.8%)死亡病例。与死亡相关的因素包括高血压、休克和机械通气:Covid-19仍然是一个发病率和死亡率都很高的公共卫生问题。发病率和死亡率的因素是:合并症和临床症状的严重程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[COVID 19 in intensive care: epidemiological, clinical and prognostic aspects in Bamako].

Objective: to report the epidemiological, clinical, paraclinical and therapeutic characteristics of the first COVID 19 patients in intensive care.

Patients and method: retrospective descriptive and analyticalstudy over 4 months, covering all adult patients tested positive for SARS-Cov-2 and admitted to intensive care.

Results: 49 patients, 35 men and 14 women (2% of cases) were admitted to intensive care. The median age was 64 years [26 - 92]. Hypertension (16; 32.6%), and diabetes (11; 22.4%) were the mostcommoncomorbidities. The most common symptoms on admission were cough (38; 80.9%), shortness of breath (35; 74.5%), and fever (33; 70.2%). The median time to onset of symptoms was 11 days. Non-invasive ventilation (NIV) was used in 21 patients (42.9%). Fourteen (28.6%) wereintubated and put onassisted ventilation. The mean hospital stay was 7.77 ± 7.30 days. We recorded 20 (40.8%) deaths. Factors associated with death were high blood pressure, onset of shock, and on mechanical ventilation.

Conclusion: Covid-19 remains a public healthproblemwith high morbidity and mortality. The morbidity and mortalityfactorsare: comorbidities and the severity of the clinicalpicture.

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