S. Siddique, A. Omer, Najamus Sehar, R. Arshad, Khadeeja Muneeha, Q. Zaman
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引用次数: 0
摘要
背景:COVID-19是一种高传染性病毒感染,导致严重急性呼吸综合征冠状病毒(SARS-COV-2)。本研究的目的是确定影响拉合尔Sir Ganga Ram医院HDU住院的中重度COVID - 19患者预后的危险因素。研究设计:前瞻性队列研究。研究地点和时间:2020年6月1日至2020年11月30日,拉合尔恒河公羊爵士医院的COVID - HDU。方法:纳入108例PCR阳性的中重度COVID患者。经书面同意后,获得所有的人口学和临床信息。所有患者均随访至出院或死亡。结果:出院68例,死亡26例,遵医嘱出院14例。所有患者的中位年龄为53.6岁,死亡患者的中位年龄明显大于存活患者。结论:高死亡率的潜在危险因素为年龄较大、女性、入院时出现症状1周内需要通气以及糖尿病、高血压、缺血性心脏病等合并症。本研究可以帮助临床医生早期识别预后不良的患者。关键词:Covid-19,结局,HDU入院标准
Risk Factors Affecting Outcome in COVID 19 Patients Admitted in High Dependency Unit, Sir Ganga Ram Hospital Lahore
Background: COVID-19 is a highly contagious viral infection resulting in severe acute respiratory syndrome Coronavirus (SARS-COV-2). The objective of this study is to determine the risk factors affecting the outcome of moderate to severe COVID 19 patients admitted in HDU of Sir Ganga Ram Hospital, Lahore. Study Design: Prospective cohort study. Place and Duration of Study: COVID HDU of Sir Ganga Ram Hospital, Lahore from 1st June 2020 to 30th November 2020. Methodology: One hundred and eight patients with positive PCR for COVID having moderate to severe COVID disease were enrolled. After written consent, all the demographic and clinical information was obtained. All the patients were followed till their discharge or death. Results: Sixty eight were discharged, 26 were died and14 got left against medical advice. The median age of all patients was53.6 years and the median age of patients who died was significantly older than those who survived. Conclusion: The potential risk factors for high mortality were older age, female sex, those presented with within 1 week from onset of symptoms that need ventilation at admission and comorbidities like Diabetes, Hypertension, and ischemic heart disease. This study could help clinicians to identify patients with poor prognosis at an early stage. Keywords: Covid-19, Outcome, HDU admission criteria