The peculiarities of patients with COVID-19 infection

A. Ungurean, A. Malic, T. Osipov, E. Lesnic
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引用次数: 1

Abstract

Background: The surge demand and decreased availability of the health workers determined the designation of the Clinical Municipal Hospital of Phthisiopneumology (CMHP) into a hospital for the case-management of COVID-19 patients during the period of December 2020 – April 2021 for the treatment of the mild cases. The aim of the study was to assess the main peculiarities of the patients with COVID-19 through a cross-sectional study developed during the period February-April 2021 in the CMHP. Material and methods: A cross-sectional, analytical and prospective study was realized, which included 145 patients with COVID-19 hospitalized in the CMHP during February-April 2021. The inclusion criteria were: patient older 18 years, COVID-19 infection diagnosed by the pulmonologist with the positive polymerase chain reaction result for SARS-CoV-2 (COVID-19) and signed informed consent. Results: The peculiarities of patients with COVID-19 were dominated by the female sex, age over 60 years, residence in the urban districts of Chisinau and the infection acquired in the Republic of Moldova. Common clinical manifestations were: high temperature, profuse sweats, asthenia and headaches, productive cough, dyspnea, loss of smell or taste, and sore throat. The typical radiological findings such ground-glass pattern or consolidation with bilateral multifocal involvement were most frequent. Were cured most of the patients and the death rate was low. Conclusions: Peculiarities and clinical manifestations of the patients admitted in CMHP were typical for the COVID-19 infection. These findings did not show the real outcome of the standard case-management of the COVID-19 due to the restricted admission criteria.
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COVID-19感染患者的特点
背景:卫生工作者的需求激增和可用性下降决定将市肺结核临床医院(CMHP)指定为2020年12月至2021年4月期间新冠肺炎患者病例管理医院,用于治疗轻症病例。该研究的目的是通过2021年2月至4月期间在CMHP进行的横断面研究,评估新冠肺炎患者的主要特征。材料和方法:进行了一项横断面、分析和前瞻性研究,包括2021年2月至4月期间在CMHP住院的145名新冠肺炎患者。纳入标准为:18岁以上的患者,经肺科医生诊断为新冠肺炎感染,SARS-CoV-2(新冠肺炎)聚合酶链式反应阳性,并签署知情同意书。结果:新冠肺炎患者的特点主要是女性、60岁以上、居住在基希讷乌市区以及在摩尔多瓦共和国感染。常见的临床表现为:高温、大汗淋漓、乏力头痛、生产性咳嗽、呼吸困难、嗅觉或味觉丧失以及喉咙痛。典型的放射学表现,如磨玻璃样或合并双侧多灶受累最为常见。治愈了大多数患者,死亡率很低。结论:CMHP住院患者的特点和临床表现是新冠肺炎感染的典型表现。由于入院标准受到限制,这些发现并没有显示新冠肺炎标准病例管理的真实结果。
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