Study of COVID-19 confirmed cases in isolation hospital in (Hurghada General Hospital)

Autor: Samar B Younis, Mona M Ahmed, Marwa S Daif
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Egyptian Journal of Chest Disease and Tuberculosis, Vol 72, Iss 4, Pp 538-546 (2023)
Druh dokumentu: article
ISSN: 0422-7638
2090-9950
DOI: 10.4103/ecdt.ecdt_128_22
Popis: Background and purpose The WHO declared the coronavirus disease 2019 (COVID-19) outbreak a global public health emergency on January 30, 2020, and the word ‘pandemic’ was first used to describe the disease’s global spread in March of that year. Chronic lung disease (19.2% was the most common co-occurring condition with COVID-19), at 20.8%, followed by chronic kidney disease (20.8%), and then cardiovascular disease (60.9%). This research aimed to assess the prognosis of COVID-19-confirmed cases receiving isolation care at Hurghada General Hospital. Study design An observational study that was retrospective and cross-sectional. Setting Isolation department in Hurghada General Hospital. Patients We included 122 patients with COVID-19 infection, and classified them into two independent groups: the improvement group (93 patients), and the morbidity (complication) and mortality group (29 patients). Methods Clinical data (COVID-19 symptoms and vital signs), laboratory data (complete blood count, C-reactive protein, ferritin level in the blood, hepatic and renal functions tests, coagulation profile, and level of D-dimer), radiological data (computed tomography of the chest), and drug and antibiotic data were collected from all patients. The following parameters were assessed in each patient: length of hospital stay, ICU admission, mechanical ventilation, morbidity (complication), mortality, improvement, and discharge. Results Patients’ average age in the sample was 55 ± 16.3 years. Regarding patients’ respective sexes, 55.7% of patients were females, while 44.3% were males. Regarding the final outcome data, the average length of hospital stay was 9.2 ± 6.2 days, with 33.6% of patients having ICU admission, 9% were ventilated, morbidity(16.4%) (complication) (4.9% psychological and neurological disorders, 3.3% post-COVID oxygen-dependent therapy, 8.2% renal impairment), and mortality (7.4%), while 76.2% had improved and discharged. Logistic regression results demonstrated that the increase in age, BMI, lactate dehydrogenase, D-dimer, computed tomography chest affection, and COVID-19 severity (according to clinical, laboratory and radiological data); added to the risk of needing to be admitted to a hospital’s ICU on its own (P
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