COVID-19 患者的临床特征和气短的风险因素:孟加拉国横断面研究

Muhammad Zakaria
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摘要

背景:探索 COVID-19 阳性患者的临床特征和严重并发症的风险因素有助于确定公共卫生从业人员应特别关注的最脆弱社区。本研究旨在评估 COVID-19 患者的临床特征,以及 COVID-19 阳性患者在孟加拉国 Chattogram 出现呼吸急促的风险因素:采用结构化和主持人主持的调查问卷收集 COVID-19 阳性患者(408 人)的数据。对结果变量的预测因素进行了多变量逻辑回归分析。数据使用 IBM SPSS 24.0 版进行分析:结果显示,约半数研究参与者至少有一种合并症,而 COVID-19 患者最常见的症状包括发热、咳嗽、味觉减退、嗅觉减退、疲劳和酸痛。此外,阿奇霉素在我国也是一种较为常见的治疗方法。多变量逻辑回归显示,年龄超过 50 岁的 COVID-19 患者(AOR = 2.05,95% CI:1.13-3.71)和患有心血管疾病的受访者(AOR = 4.60,95% CI:1.51-8.58)以及第二波冠状病毒流行(AOR = 1.78,95% CI:1.06-2.99)是病毒感染者出现气短的危险因素:研究结果为探索 COVID-19 患者出现严重并发症的风险因素提供了经验和实践基础。此外,这项研究的证据可能会在为政策制定者提供基于研究的证据方面发挥关键作用,帮助他们继续努力预防 COVID-19 的大流行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Characteristics of COVID-19 Patients and Risk Factors for Shortness of Breath: A Cross-Sectional Study in Bangladesh
Background: Exploring the clinical characteristics, and risk factors for severe complications among COVID-19-positive patients has been helpful in identifying the most vulnerable communities to which public healthpractitioners should pay special attention. This study aimed to evaluate the clinical characteristics of COVID-19 patients, and risk factors for shortness of breath among COVID-19-positive patients in Chattogram, Bangladesh.Materials and Methods: Data were collected using a structured and facilitator-administered questionnaire among the COVID-19-positive patients (N = 408). Multivariate logistic regression analysis was performed to explore the predictors of outcome variables. Data were analyzed using IBM SPSS version 24.0.Results: It was revealed that at least one comorbidity was found among about half of the study participants,while the most prevalent symptoms of COVID-19 patients consisted of fever, cough, loss of taste, loss of smell, fatigue, and sore pain. In addition, Azithromycin is a more common treatment in our country. The multivariate logistic regression displays the COVID-19 patients aged more than 50 years (AOR = 2.05, 95% CI: 1.13-3.71) and respondents with cardiovascular disease (AOR = 4.60, 95% CI: 1.51-8.58) and the second wave of the coronapandemic (AOR = 1.78, 95% CI: 1.06-2.99) were reported as a risk factor for having shortness of breath among the virus-infected people.Conclusion: The findings explored an empirical and practical basis for exploring the risk factors for severecomplications of COVID-19 patients. Furthermore, evidence from this study might play a key role in providingpolicymakers with research-based evidence in their continuous effort to prevent the COVID-19 pandemic.
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