el-dakhla总医院隔离科2019年冠状病毒病病例分析

IF 0.2 Q4 RESPIRATORY SYSTEM Egyptian Journal of Chest Diseases and Tuberculosis Pub Date : 2023-01-01 DOI:10.4103/ecdt.ecdt_36_22
Mohamed Tageldein, Mahmoud Mohamed, M. Ibrahim
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引用次数: 0

摘要

背景2019冠状病毒病(COVID-19)感染是目前最大的非典型肺炎疫情,引起广泛的焦虑和恐惧。目的研究根据埃及卫生部标准、其管理方案和El-Dakhla综合医院隔离科的结果数据确定的临床表现为COVID-19的病例。本研究以El-Dakhla总医院隔离科106例有COVID-19临床症状的患者为研究对象。结果死亡率与年龄有关。死亡组中没有患者接种过疫苗。接种疫苗与降低胸部病变严重程度、入住ICU和住院时间显著相关。死亡率与胸部病变的严重程度有关。所有死亡患者均入住重症监护室。本研究还揭示了异常的生命体征和实验室数据与死亡率显著相关。对死亡率显著相关因素进行二元回归分析,入院时间较短和未入住ICU可降低患者死亡风险,但差异无统计学意义(P>0.05),而入院时c反应蛋白升高可使死亡风险增加1.186倍。结论年龄、疫苗接种情况、胸部病变严重程度、ICU住院时间和持续时间、部分药物使用情况、生命体征资料和实验室资料是评估COVID感染预后和严重程度的重要因素。
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Study of coronavirus disease 2019 cases at the isolation department of el-dakhla general hospital
Background Coronavirus disease 2019 (COVID-19) infection is currently the greatest atypical pneumonia outbreak, causing widespread anxiety and fear. Objectives To study cases with clinical manifestations that have been identified as COVID-19 according to the Egyptian Ministry of Health’s criteria, their management protocol, and outcome data at the isolation department of El-Dakhla General Hospital. Patients and methods This work was performed upon 106 patients with clinical symptoms of COVID-19 at the isolation department of El-Dakhla General Hospital. Results Mortality was associated with older age. No patients within the died group had been vaccinated. Vaccination was significantly associated with decreased severity of chest affection, admission to the ICU, and duration of admission. Mortality was associated with severity of chest affection. All died patients were admitted to the ICU. This study also revealed that abnormal vital and laboratory data were significantly associated with mortality. On using binary regression analysis of factors to be significantly associated with mortality, lower duration of admission and not being admitted to ICU decreased the risk of mortality among the studied patients, yet was statistically nonsignificant (P>0.05), whereas higher C-reactive protein on admission increased the risk by 1.186 folds. Conclusion Age, vaccination state, severity of chest affection, ICU admission and duration, use of some medications, vital data, and laboratory data are important factors to assess the prognosis and severity of COVID infection.
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来源期刊
自引率
0.00%
发文量
46
审稿时长
22 weeks
期刊介绍: The journal will cover technical and clinical studies related to health, ethical and social issues in field of The Egyptian Journal of Chest Diseases and Tuberculosis aims to publish and inform readers and all chest physicians of the progress in medical research concerning all aspect of chest diseases. Publications include original articles review articles, editorials, case studies and reports which are relevant to chest diseases. The Journal also aims to highlight recent updates in chest medicine. . Articles with clinical interest and implications will be given preference.
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