ABSTRACT
Aim: Despite concerns about cardiovascular implications in coronavirus disease-2019 (COVID-19) patients, not all COVID-19 patients are visited by cardiologists and recommended to perform comprehensive cardiovascular assessments including measurement of biomarkers and echocardiography. We aimed to investigate the reasons for seeking cardiology care and to assess our cardiologists' diagnostic approaches to COVID-19 patients with potential cardiovascular involvement. Methods and Results: In this prospective, observational study, data of all consecutive COVID-19 patients admitted to six designated hospitals for COVID-19 in Iran in whom bedside cardiology consultation was requested were collected. A total of 148 patients including 105 (71%) males were included. The mean age was 57 ± 17 years. The most common reasons for cardiology consultation were dyspnea (56.7%), chest pain (12.8%), and suspected arrhythmias (10.8%). The most common comorbidities were hypertension (40.5%), diabetes mellitus (19.6%), and coronary heart disease (18.9%). A 12-lead electrocardiography (ECG) was obtained in all patients. Point-of-care ultrasonography or limited transthoracic echocardiography (TTE) was performed in 106 (71.6%) patients, and complete TTE was performed in 35 (23.4%) patients. Cardiac troponin was measured in 63 (42.6%) patients, and N-terminal pro B-type natriuretic peptide level was measured in 34 (23%) patients. Overall, 51 (34.5%) patients underwent invasive mechanical ventilation, inotropes were used in 29 (19.6%) patients, and 40 (27%) patients died. Conclusions: While preventing unnecessary investigations, the cardiologists should not overlook the lifesaving role of ubiquitous diagnostic modalities (such as ECG and TTE) in early detection and management of cardiac involvement in COVID-19.
ABSTRACT
Context: Enormous workrelated pressure following COVID19 pandemic might lead to a decline in persistence and commitment to the organization among nurses. Aims: This study aimed to determine factors influencing job retention and organizational commitment among Iranian nurses working during COVID19 pandemic. Setting and Design: This descriptivecorrelational study was performed between April and May 2020 in Imam Khomeini educational hospital, Sari, Iran. Materials and Methods: All nurses worked in COVID19 wards were invited to participate in our study, of whom 172 accepted to participate in the present study. The inclusion criteria were nurses working in the COVID19 wards of Imam Khomeini Hospital and willingness to participate in the study. Data were gathered through three questionnaires: demographic characteristics, Anticipated Turnover Scale, and Allen organizational commitment. Effect of age, gender, level of education, marital status, work shifts, and work experience were evaluated with both variables. Statistical Analysis Used: The collected data were analyzed in SPSS software (version 16) using statistical tests such as Pearson's correlation, independent sample ttest, oneway ANOVA, and linear regression analysis. Results: The mean ± standard deviation of job retention and organizational commitment were 37.70 ± 3.35 and 75.96 ± 8.37, respectively. Job retention and organizational commitment were positively and significantly correlated with each other (P < 0.001, r = 0.33). Of evaluated factors, the only factor that had a positive and significant relationship with job retention (P = 0.04, F = 1.22) and organizational commitment was working experience (P = 0.04, F = 2.89). © ESO 2022.
ABSTRACT
Background and Aim: Since late 2019, with the emergence of a new type of coronavirus that causes a new respiratory disease called COVID-19, there have been many concerns about the spread of this disease and how to deal with it. Due to the ability of the virus to be transmitted rapidly, diagnosing the infected individuals in the early stages for isolating them is critical. This study aims to evaluate the reliability of Computed Tomography (CT) scan in diagnosing COVID-19. Methods & Materials: Participants were 212 patients admitted to hospital with confirmed diagnosis of COVID-19. Demographic information, medical history, symptoms, and the chest CT scan results were collected and analyzed. Finally, the power of CT scans in the diagnosis of this disease was compared with the Real-Time Polymerase Chain Reaction (RT-PCR) molecular test. Ethical Considerations: This study received ethical approval from the ethics committee of AJA University of Medical Sciences (Code: IR. AJAUMS. REC.1399.091).