Repository of Research and Investigative Information

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Ilam University of Medical Sciences

Clinical Manifestations, Imaging Procedures and Laboratory Parameters among Hospitalized Patients with COVID-19 in Ilam Province, Western Iran

Mon Jul 15 18:43:52 2024

(2022) Clinical Manifestations, Imaging Procedures and Laboratory Parameters among Hospitalized Patients with COVID-19 in Ilam Province, Western Iran. Ethiopian Journal of Health Sciences. pp. 485-496. ISSN 1029-1857

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Abstract

BACKGROUND: COVID-19 is the last global threat which WHO confirmed it as a pandemic on March 11, 2020. In the Middle East, Iran was the first country where the SARS-Cov-2 was detected. The epidemiological and economic challenges of Iran make this country a particularly relevant subject of study. In the current study, we aimed to evaluate the clinical, radiological and laboratory findings in hospitalized COVID-19 confirmed cases in Ilam province, western of Iran. METHODS: Overall, 2204 hospitalized RT-PCR confirmed patients with COVID-19 were considered in this study. Electronic medical records, including clinical symptoms, radiological images, laboratory findings, and the comorbidities of patients with COVID-19 were collected and analyzed. In addition, the medication regimens used in these patients were evaluated. The patients were classified in discharged and died groups according to their outcomes. Then, clinical, radiological and laboratory findings as well as treatment regimens and underlying diseases were compared in these two groups. RESULTS: Among the patients, 1209 (54.85) were male and 995 (45.14) were female. Pneumonia, dyspnea and cough, were the most common clinical data in both discharged and died groups. Among the comorbidities, COPD, and cancer were significantly more common in the dead patients than in the living. The results of laboratory tests showed that blood creatinine, BUN, ESR, Na+, WBC, and neutrophil count have increased in deceased group compared to the survivors. However, the lymphocyte count decreased in deceased patients. The evaluation of radiographs demonstrated that there were significant correlations between bilateral pneumonia, ground glass opacity, bilateral patchy shadowing, and pleural effusion with death. CONCLUSION: The current investigation indicated the special profile of COVID-19 in west of Iran. Discharged and dead patients with COVID-19 had distinct clinical, radiological and laboratory features, which were separated by principal component analysis. Identifying these characteristics of the disease would translate into the implementation of practical measures to improve results.

Item Type: Article
Creators:
CreatorsEmail
Kaffashian, M. R.UNSPECIFIED
Shirani, M.UNSPECIFIED
Koupaei, M.UNSPECIFIED
Sadeghifard, N.UNSPECIFIED
Ahmadi, I.UNSPECIFIED
Mozafari, A.UNSPECIFIED
Nazari, A.UNSPECIFIED
Heidary, M.UNSPECIFIED
Khoshnood, S.UNSPECIFIED
Keywords: COVID-19 Ilam SARS-CoV-2 Iran Health Care Sciences & Services
Divisions:
Page Range: pp. 485-496
Journal or Publication Title: Ethiopian Journal of Health Sciences
Journal Index: ISI
Volume: 32
Number: 3
Identification Number: https://doi.org/10.4314/ejhs.v32i3.3
ISSN: 1029-1857
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/3925

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