印度北部三级保健中心COVID-19患者的临床概况、实验室参数和结局研究

S. Rahar, S. Misra, Anukrishnaa Kannappan, Vijay Kumar, D. Deepak, Sanjeet Panesar
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摘要

导语:2019冠状病毒病(COVID-19)大流行已迅速蔓延到世界许多国家,并且由于新的变种仍在蔓延。不同国家报告了COVID-19的临床血液学特征,但在印度只进行了少数大规模研究。本研究旨在描述印度北部三级保健COVID-19中心收治的COVID-19患者的临床-实验室数据和结果。方法:这是一项横断面观察性研究。从病案科收集我院住院4个月以上新冠肺炎患者的流行病学参数、合并症、症状、实验室参数、转归等资料。对实验室参数的随访(在一部分患者中)也进行了评估。结果:患者平均年龄46.5岁,男性居多,男女比例为2:1。103例(60.6%)患者存在合并症,其中糖尿病(65例;38.2%)最为常见。显著比例的患者出现症状(n = 148;87.1%);最常见的症状是发烧,其次是呼吸困难,在65%和60%的患者。36.5%的患者出现贫血,15.3%的患者出现白细胞增多,41.2%的患者出现淋巴细胞减少;12.9%的患者有血小板减少症。大多数患者接受支持性治疗。75例(46.5%)患者需要补充氧气,29例(17%)患者病情严重。死亡20例(11.8%)。结论:在本单中心研究中,住院的COVID-19患者中,大多数患者有症状并伴有合并症。最常见的症状是发烧和呼吸短促。许多患者有淋巴细胞减少和嗜中性粒细胞增多。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study of clinical profile, laboratory parameters and outcomes of COVID-19 Patients in a Tertiary Care Centre in North India
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has rapidly spread to many countries around the world and is still spreading due to newer variants. The clinico-hematological characteristics of COVID-19 have been reported from different countries but only a few large-scale studies have been conducted in India. This study aims to describe the clinical-laboratory data and outcome of COVID-19 patients admitted to tertiary care COVID center in North India. Method: This is a cross-sectional observational study. Data were collected from the medical records department regarding the epidemiological parameters, comorbidities, symptoms, laboratory parameters, and outcomes of patients with the COVID-19 disease admitted to our hospital over 4 months. The follow-up of the laboratory parameters (in a subset of patients) was also evaluated. Result: The mean age of the patients was 46.5 years with a male preponderance (male: female ratio: 2:1). The comorbidities were present in 103 (60.6%) patients, of which diabetes mellitus (n = 65; 38.2%) was the most common. A significant proportion of the patients were symptomatic (n = 148; 87.1%); the most common symptom being fever followed by dyspnea in 65 and 60% of the patients. Anemia was present in 36.5% of the patients, leukocytosis in 15.3% of the patients while lymphopenia was noted in 41.2% of the patients; 12.9% of the patients had thrombocytopenia. A majority of the patients were managed with supportive treatment. Seventy-five (46.5%) patients required oxygen supplementation and 29 (17%) patients had severe disease. Mortality occurred in 20 (11.8%) patients. Conclusion: In this single-center study of hospitalized COVID-19 patients, most of the patients were symptomatic having comorbidities. The most common symptoms were fever and shortness of breath. Many patients had lymphopenia and neutrophilia.
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