Epidemiology and clinical characteristics of patients with Covid 19 admitted to Imam Khomeini Hospital in Ardabil in 2019-2020

Abstract

Introduction and Objectives: Nowadays, corona pandemic is one of the most important health issues in Iran and all over the world. Due to the novelty of the disease and evidence that clinical symptoms, severity and mortality of the disease in different people can be different, the aim of this study was to investigate the epidemic and clinical characteristics of patients with coronavirus hospitalized in one of the educational-medical hospitals of Ardabil.

Methodology: The present study is a cross-sectional descriptive study that was performed by census method on 911 patients with Covid 19 who were hospitalized in Imam Khomeini Hospital for three months. Data were analyzed using a researcher-made questionnaire that included demographic characteristics and clinical symptoms of patients. The validity of the questionnaire content was obtained by surveying 10 specialists and faculty members. Information was collected using the electronic records of patients. Data were analyzed using SPSS software version 18 and using descriptive statistics of mean and standard deviation and analytical statistics of Chi-square.

Findings: In total, out of 1139 cases, 911 cases were statistically analyzed according to the information contained in it. The average age of the subjects was 15.61±24.31. Among them,511 patients (56.1%) were male. The most common underlying diseases were hypertension in 220 patients (24.1%) and diabetes in 194 patients (21.3%). Chi-square test also showed that there was statistically a significant relationship between cardiovascular disease, hypertension, diabetes and COPD with mortality (p <0.05). The most common clinical symptoms in 635 (69.7%) patients with shortness of breath were, cough (493 individuals, 54.1%) and then fever (290 individuals, 31.8%).CRP was high in 446 patients (49.0%). Chi-square test showed that there was a statistically significant relationship between the amount of WBC, urea and creatinine with mortality (p <0.05).

Results: The present study showed that old age, male gender and having chronic underlying diseases such as hypertension, cardiovascular disease, chronic obstructive pulmonary disease and diabetes are involved in disease morbidity and mortality. The most common clinical symptoms are fever, cough and shortness of breath. Also clinically important changes in patients are changes in white blood cells, increased urea and creatinine, and increased C-reactive protein.

Introduction and Objectives: Nowadays, corona pandemic is one of the most important health issues in Iran and all over the world. Due to the novelty of the disease and evidence that clinical symptoms, severity and mortality of the disease in different people can be different, the aim of this study was to investigate the epidemic and clinical characteristics of patients with coronavirus hospitalized in one of the educational-medical hospitals of Ardabil.

Methodology: The present study is a cross-sectional descriptive study that was performed by census method on 911 patients with Covid 19 who were hospitalized in Imam Khomeini Hospital for three months. Data were analyzed using a researcher-made questionnaire that included demographic characteristics and clinical symptoms of patients. The validity of the questionnaire content was obtained by surveying 10 specialists and faculty members. Information was collected using the electronic records of patients. Data were analyzed using SPSS software version 18 and using descriptive statistics of mean and standard deviation and analytical statistics of Chi-square.

Findings: In total, out of 1139 cases, 911 cases were statistically analyzed according to the information contained in it. The average age of the subjects was 15.61±24.31. Among them,511 patients (56.1%) were male. The most common underlying diseases were hypertension in 220 patients (24.1%) and diabetes in 194 patients (21.3%). Chi-square test also showed that there was statistically a significant relationship between cardiovascular disease, hypertension, diabetes and COPD with mortality (p <0.05). The most common clinical symptoms in 635 (69.7%) patients with shortness of breath were, cough (493 individuals, 54.1%) and then fever (290 individuals, 31.8%).CRP was high in 446 patients (49.0%). Chi-square test showed that there was a statistically significant relationship between the amount of WBC, urea and creatinine with mortality (p <0.05).

Results: The present study showed that old age, male gender and having chronic underlying diseases such as hypertension, cardiovascular disease, chronic obstructive pulmonary disease and diabetes are involved in disease morbidity and mortality. The most common clinical symptoms are fever, cough and shortness of breath. Also clinically important changes in patients are changes in white blood cells, increased urea and creatinine, and increased C-reactive protein.