Covid-19 阳性病例的人口统计学和临床特征:一家 Covid-19 转诊医院的探索性回顾研究

Mymensingh medical journal : MMJ Pub Date : 2024-10-01
M A Islam, A S M Kabir, S M Sadlee, U S Mou, M H Khan
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引用次数: 0

摘要

2019 年底,一种新型冠状病毒在中国武汉出现,引起了类似非典型肺炎的疾病。科学家随后于 2020 年 1 月分离出这种病毒,即严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)。这种传染性极强的病毒迅速在全球蔓延,引发了全球公共卫生紧急事件。由于 Covid-19 大流行仍在继续,因此有必要对感染者的特征进行持续评估。本研究旨在调查孟加拉国一家三级医院确诊的 Covid-19 患者的人口统计学和临床特征。这项回顾性横断面研究于 2023 年 11 月至 2024 年 2 月期间在孟加拉国达卡 Uttara Adhunik 医学院医院(UAMCH)呼吸内科进行。该研究与病毒学部门和医院的 Covid 部门进行了合作。研究人员从 200 例 Covid-19 阳性确诊病例的病历中收集数据。统计分析采用社会科学统计软件包(SPSS)23.0 版进行。在 200 名参与者中,46-60 岁年龄组最多,占 42%(84 名患者)。男性占大多数(73.0%,145 名患者),大多数参与者居住在孟加拉国城市地区(86.5%,173 名患者)。社会经济分析表明,上层阶级的发病率最高(85.0%,170 名患者)。糖尿病(DM)是最普遍的并发症(58.5%,117 名患者)。在临床表现方面,发热是最常见的症状(76.0%,152 名患者),其次是咳嗽(47.5%,95 名患者)、气短(27.5%,55 名患者)和肺炎(15.0%,30 名患者)。较少见的症状包括急性呼吸窘迫综合征(ARDS)、下呼吸道感染(LRTI)和胸痛。平均收缩压和舒张压读数分别为(126.61±14.58)毫米汞柱和(77.24±12.44)毫米汞柱。平均血氧饱和度(SaO2)为 93.39±5.53%。本研究调查发现,最常见的年龄组为(46-60)岁。Covid-19阳性病例中男性居多。糖尿病(DM)是最常见的并发症。Covid-19阳性病例的常见症状为发热、咳嗽、呼吸困难、肺炎、急性呼吸窘迫综合征、下呼吸道感染、胸痛、高血压和低血氧饱和度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Demographic and Clinical Characteristics of Covid-19 Positive Cases: An Exploratory Retrospective Study in a Covid-19 Referral Hospital.

In late 2019, a novel coronavirus emerged in Wuhan, China, causing an atypical pneumonia- like illness. Scientists subsequently isolated the virus, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), in January 2020. This highly contagious virus rapidly spread worldwide, triggering a global public health emergency. The ongoing Covid-19 pandemic necessitates continuous evaluation of the characteristics of infected individuals. This study aimed to investigate the demographic and clinical features of patients diagnosed with Covid-19 at a tertiary care hospital in Bangladesh. This retrospective cross-sectional study was conducted between November 2023 and February 2024 at the Department of Respiratory Medicine, Uttara Adhunik Medical College Hospital (UAMCH), Dhaka, Bangladesh. The study involved collaboration with the departments of Virology and the hospital's Covid Unit. Data were collected from the medical records of 200 confirmed Covid-19-positive cases admitted upon arrival at the hospital. Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) version 23.0. Of the 200 participants, the most frequent age group was 46-60 years old, representing 42% (84 patients). Males comprised the majority (73.0%, 145 patients), and most participants resided in urban areas of Bangladesh (86.5%, 173 patients). The socioeconomic analysis revealed that the upper-class category had the highest frequency (85.0%, 170 patients). Diabetes Mellitus (DM) emerged as the most prevalent co-morbidity (58.5%, 117 patients). Regarding clinical presentation, fever was the most frequent symptom (76.0%, 152 patients), followed by cough (47.5%, 95 patients), shortness of breath (SOB) (27.5%, 55 patients), and pneumonia (15.0%, 30 patients). Less frequent symptoms included acute respiratory distress syndrome (ARDS), lower respiratory tract infection (LRTI), and chest pain. The mean systolic and diastolic blood pressure readings were 126.61±14.58 mmHg and 77.24±12.44 mmHg respectively. The mean oxygen saturation (SaO2) was 93.39±5.53%. This study investigated that the most frequent age group was (46-60) years. The male dominant in Covid-19-positive cases. Diabetes Mellitus (DM) was observed as the most frequent co-morbidity. The common symptoms of Covid-19-positive cases were fever, cough, SOB, pneumonia acute respiratory distress syndrome, lower respiratory tract infection, chest pain, high blood pressure and low oxygen saturation.

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