Evaluation of Patient Characteristics and Pandemic Management in the First Three Months of the COVID-19 Pandemic at the

İlker Yılmam, Savas Gegin
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引用次数: 1

Abstract

Aim: To evaluate the hospitalization process of suspect COVID-19 patients in Samsun Training and Research Hospital, to evaluate the clinical characteristics of the patients, the treatment process, and the success of the treatment. Material and Methods: The data from 284 suspected COVID-19 patients who were admitted to COVID-19 clinic at Samsun Training and Research Hospital between 18 March 2020 and 29 May 2020 were analyzed. Results: 284 suspect COVID-19 patients were evaluated. The age range of the patients was 18-95 and the mean age was 53. Average hospitalization days were 7.14. A definite diagnosis of COVID-19 was made in 33 patients (11.6%) due to reverse transcription polymerase chain reaction (RT-PCR) positivity. Although the RT-PCR test of 35 patients was negative, these patients were evaluated as COVID-19 with high clinical probability because of the ground glass opacities in harmony with COVID-19 in CT (Computed Tomography). There were no radiological findings in 10 of our RT-PCR positive patients. The patients mostly presented with complaints of cough and fever. 68 (23.9%) of 284 patients we followed were evaluated as COVID-19. Conclusion: The number of unnecessary hospitalizations was high due to the fact that clinical complaints were the main criteria for admission to the hospital. Yet, no CT finding was observed in about 1/3 of the RT-PCR positive patients. Clinical and radiological improvement was achieved in most of the patients using the treatments in hand.
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新冠肺炎大流行前3个月患者特征评价及疫情管理
目的:对三星培训研究医院新冠肺炎疑似患者的住院过程进行评价,评价患者的临床特点、治疗过程及治疗效果。材料与方法:对2020年3月18日至2020年5月29日在三星培训研究医院COVID-19门诊收治的284例疑似COVID-19患者的资料进行分析。结果:共评估疑似COVID-19患者284例。年龄18 ~ 95岁,平均53岁。平均住院天数为7.14天。逆转录聚合酶链反应(RT-PCR)阳性确诊患者33例(11.6%)。虽然35例患者的RT-PCR检测为阴性,但由于CT(计算机断层扫描)显示磨玻璃混浊与COVID-19一致,因此这些患者临床诊断为COVID-19的可能性很大。在我们的10例RT-PCR阳性患者中没有放射学发现。患者多以咳嗽和发热为主。我们随访的284例患者中有68例(23.9%)被评估为COVID-19。结论:临床主诉是我院住院的主要标准,导致我院不必要住院人数较多。然而,约1/3的RT-PCR阳性患者未见CT表现。大多数患者的临床和放射学都得到了改善。
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