Volume 11, Issue 3 (10-2024)
J Prevent Med 2024, 11(3): 233-248 |
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Research code: 990518
Ethics code: IR.HUMS.REC.1399.380
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Maleki Rudpashti M, Faghih A, Hosseini Teshnizi S, Ahmadi Z, Mahdavifar M. Features and predicting factors of disease deterioration in patients with covid-19 referring to the piambar eazam (PBUH) Bandar Abbas Hospital. J Prevent Med 2024; 11 (3) :233-248
URL: http://jpm.hums.ac.ir/article-1-776-en.html
URL: http://jpm.hums.ac.ir/article-1-776-en.html
Mahsa Maleki Rudpashti1 
, Aref Faghih2 , Saeed Hosseini Teshnizi3 , Zakia Ahmadi3 , Masoomeh Mahdavifar *3
, Aref Faghih2 , Saeed Hosseini Teshnizi3 , Zakia Ahmadi3 , Masoomeh Mahdavifar *3
1- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
2- Department of Health Promotion and Education,Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
3- Department of Community Medicine, School of Medicine Department of Community Medicine, Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
2- Department of Health Promotion and Education,Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
3- Department of Community Medicine, School of Medicine Department of Community Medicine, Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Abstract: (253 Views)
Introduction: Attention to the epidemic of Covid-19 disease and the mortality caused by it and the variation in the clinical characteristics and symptoms of the disease, the changes observed in the course of the disease symptoms, the importance of early diagnosis and early treatment measures, the possibility of different clinical characteristics in the residents of southern Iran with special weather conditions, and the lack of similar studies in this population, we considered it. To carry out the present study with the aim of investigating the clinical characteristics of patients suffering from covid-19 who referred to the Holy Prophet (PBUH) Bandar Abbas Hospital in 2019.
Methods: The present study was conducted using a descriptive-analytical method on patients hospitalized in Bandar Abbas Hospital from June 1, 2019 to the end of August 2019. Then clinical symptoms, vital signs, laboratory findings, co-morbidities, duration of onset of symptoms, incidence of shortness of breath, current smoking and steroid use were also investigated. Then the severity of the disease was determined based on the guidelines for the treatment of patients with Covid-19 and finally the outcome of the disease (death or survival) was determined.
Results: The most common clinical symptoms were shortness of breath (57%), cough (46.9%), muscle pain (33.1%), weakness (28.5%), anorexia (28%). Headache (17.5%), nausea (15.1%), fever (14.6%) and vomiting (14.1%). The most common comorbidities were high blood pressure (31%), diabetes (21.9%) and coronary artery disease (16.2%), respectively. Multivariate regression analysis showed that severe disease increased the chance of death by 8.2 times (P=0.039) and vital system disease increased the chance of death by 7.5 times (P=0.024).
Conclusion: As seen, the results of this study showed that shortness of breath, cough, and muscle pain were the most common clinical symptoms and hypertension, diabetes, and coronary artery disease were the most common associated diseases in the examined patients. Almost one fifth of patients died. Severe and critical illness was recognized as the most important predictor of mortality and the presence of muscle pain as the most important predictor of severe or critical illness.
Methods: The present study was conducted using a descriptive-analytical method on patients hospitalized in Bandar Abbas Hospital from June 1, 2019 to the end of August 2019. Then clinical symptoms, vital signs, laboratory findings, co-morbidities, duration of onset of symptoms, incidence of shortness of breath, current smoking and steroid use were also investigated. Then the severity of the disease was determined based on the guidelines for the treatment of patients with Covid-19 and finally the outcome of the disease (death or survival) was determined.
Results: The most common clinical symptoms were shortness of breath (57%), cough (46.9%), muscle pain (33.1%), weakness (28.5%), anorexia (28%). Headache (17.5%), nausea (15.1%), fever (14.6%) and vomiting (14.1%). The most common comorbidities were high blood pressure (31%), diabetes (21.9%) and coronary artery disease (16.2%), respectively. Multivariate regression analysis showed that severe disease increased the chance of death by 8.2 times (P=0.039) and vital system disease increased the chance of death by 7.5 times (P=0.024).
Conclusion: As seen, the results of this study showed that shortness of breath, cough, and muscle pain were the most common clinical symptoms and hypertension, diabetes, and coronary artery disease were the most common associated diseases in the examined patients. Almost one fifth of patients died. Severe and critical illness was recognized as the most important predictor of mortality and the presence of muscle pain as the most important predictor of severe or critical illness.
Type of Study: Orginal |
Subject:
General
Received: 2024/07/29 | Accepted: 2024/10/23 | Published: 2025/05/6
Received: 2024/07/29 | Accepted: 2024/10/23 | Published: 2025/05/6
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