COVID-19 住院病人和门诊病人的特征和临床症状比较

Narges Nargesi Khoramabad, Rasool Mohammadi, Zahra Sedighifar, Ali Safdar Siavashi
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摘要

本研究旨在调查和比较波列达赫塔尔市 COVID-19 住院病人和门诊病人的特征、症状和预后。在这项描述性分析研究中,采用普查方法选取了在波列达赫塔尔市 COVID-19 筛查中心和伊玛目霍梅尼医院通过 PCR 检测出 COVID-19 阳性的 288 名病人。他们被分为住院病人组和门诊病人组。研究显示,住院组和门诊组在年龄、合并症、既往感染和阿司匹林使用方面存在显著差异。咳嗽是所有患者中最常见的症状,住院患者中虚弱和疲乏更为常见,而门诊患者中咳嗽更为普遍。总死亡率为 5.2%,与门诊患者相比,住院患者的预后较差。在本研究中发现,住院患者年龄较大,潜在健康问题较多,既往感染较少,预后较门诊患者差。鉴于患者入院时可能没有症状或症状轻微,因此评估患者的其他因素对于评估疾病严重程度至关重要。
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Comparison of Characteristics and Clinical Symptoms of Inpatients and Outpatients with COVID-19
Nowadays, one of the best ways to manage COVID-19 is to understand the characteristics of patients and the risk factors associated with the disease. This study aimed to investigate and compare the characteristics, symptoms, and prognosis of inpatients and outpatients with COVID-19 in Poledokhtar city In this descriptive-analytical study, 288 patients who tested positive for COVID-19 through PCR tests at COVID-19 screening centers and Imam Khomeini Hospital in Poledakhtar city were selected using the census method. They were divided into inpatient and outpatient groups. Data from patient files were collected and analyzed using SPSS version 25 software. The study revealed significant differences in age, comorbidities, prior infection, and aspirin use between the inpatient and outpatient groups. Cough was the most common symptom among all patients, with weakness and fatigue being more common in inpatients and cough being more prevalent in outpatients. The overall mortality rate was 5.2%, with inpatients having a worse prognosis compared to outpatients. In the present study, inpatients were found to be older, have more underlying health conditions, fewer prior infections, and experience a poorer prognosis than outpatients. Given that patients may be asymptomatic or have mild symptoms upon admission, evaluating other patient factors is crucial in assessing disease severity.
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