Clinical features and outcomes of ICU patients with COVID-19 infection in Tehran, Iran: A single-centered retrospective cohort study
Tanaffos
; 19(4):300-311, 2020.
Article
in English
| EMBASE | ID: covidwho-2058588
ABSTRACT
Background:
The clinical characteristics of the novel coronavirus disease (COVID-19) were diverse and unspecific. Here, we identified the associated factors with surviving of COVID-19 ICU patients based on the clinical characteristics of patients admitted to one of the Corona Centre Hospitals of Iran. Material(s) and Method(s) This cohort study was performed retrospectively from February to June 2020 on 133 COVID-19 patients admitted to 4 intensive care units of Masih Daneshvari Hospital in Tehran, Iran. Demographic, medical, clinical manifestation at admission, laboratory parameters and outcome data were obtained from medical records. Also the SOFA and APACHE II scores were calculated. All data were analyzed using SPSS (version 23, IBM Corp.) software. Result(s) The median (IQR) age of the patients was 62.0 (54.0-72.0) years in total. RT-PCR of throat swab SARS-CoV-2 in 80 patients (60.2%) was positive. Total mortality rate was 57.9 percent (77 patients). Dyspnea, hypertension and chronic pulmonary diseases were significantly common in non-survivors than survivors (p<0.05). Both SOFA and APACHE II scores were significantly higher in the non-survivors (p<0.05). Also other significant differences were observed in other parameters of the study. Conclusion(s) The mortality rate of COVID-19 patients admitted to ICU is generally high. Dyspnea as initial presentation and comorbidity, especially hypertension and pulmonary diseases, may be associated with higher risk of severe disease and consequent mortality rate. Also, higher SOFA and APACHE II scores could indicate higher mortality in patients admitted to ICU. Copyright © 2020 NRITLD, National Research Institute of Tuberculosis and Lung Disease, Iran.
Clinical features; covid-19; Intensive Care Unit; Mortality; adult; all cause mortality; anorexia; article; breathing rate; Candida glabrata; cohort analysis; comorbidity; comparative study; computer assisted tomography; coronavirus disease 2019; demography; diastolic blood pressure; female; hematocrit; hospitalization; human; length of stay; leukocyte count; lymphocyte count; malaise; male; mean corpuscular volume; medical record; myalgia; oxygen saturation; platelet count; polymerase chain reaction; prevalence; respiratory arrest; retrospective study; sepsis; Severe acute respiratory syndrome coronavirus 2; survivor; systemic sclerosis; systolic blood pressure; thorax radiography; throat swab; urea nitrogen blood level; creatinine; hemoglobin; lactate dehydrogenase
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Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Language:
English
Journal:
Tanaffos
Year:
2020
Document Type:
Article
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