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伊朗南部2019新型冠状病毒病(COVID-19)的流行病学和临床特征

Epidemiological and clinical features of 2019 novel coronavirus diseases (COVID-19) in the South of Iran.

作者信息

Shahriarirad Reza, Khodamoradi Zohre, Erfani Amirhossein, Hosseinpour Hamidreza, Ranjbar Keivan, Emami Yasaman, Mirahmadizadeh Alireza, Lotfi Mehrzad, Shirazi Yeganeh Babak, Dorrani Nejad Abolfazl, Hemmati Abdolrasool, Ebrahimi Mostafa, Moghadami Mohsen

机构信息

Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

BMC Infect Dis. 2020 Jun 18;20(1):427. doi: 10.1186/s12879-020-05128-x.

Abstract

BACKGROUND

In March 2020, the WHO declared the novel coronavirus (COVID-19) outbreak a global pandemic. Although the number of infected cases is increasing, information about its clinical characteristics in the Middle East, especially in Iran, a country which is considered to be one of the most important focal points of the disease in the world, is lacking. To date, there is no available literature on the clinical data on COVID-19 patients in Iran.

METHODS

In this multicenter retrospective study, 113 hospitalized confirmed cases of COVID-19 admitted to university affiliated hospitals in Shiraz, Iran from February 20 to March 20 were entered in the study.

RESULTS

The mean age was 53.75 years and 71 (62.8%) were males. The most common symptoms at onset were fatigue (75: 66.4%), cough (73: 64.6%), and fever (67: 59.3%). Laboratory data revealed significant correlation between lymphocyte count (P value = 0.003), partial thromboplastin time (P value = 0.000), international normalized ratio (P value = 0.000) with the severity of the disease. The most common abnormality in chest CT scans was ground-glass opacity (77: 93.9%), followed by consolidation (48: 58.5%). Our results revealed an overall 8% (9 out of 113 cases) mortality rate among patients, in which the majority was among patients admitted to the ICU (5: 55.6%).

CONCLUSION

Evaluating the clinical data of COVID-19 patients and finding the source of infection and studying the behavior of the disease is crucial for understanding the pandemic.

摘要

背景

2020年3月,世界卫生组织宣布新型冠状病毒(COVID-19)疫情为全球大流行。尽管感染病例数在增加,但关于其在中东地区,尤其是在伊朗(该国被认为是世界上该疾病最重要的焦点之一)的临床特征的信息却很缺乏。迄今为止,尚无关于伊朗COVID-19患者临床数据的可用文献。

方法

在这项多中心回顾性研究中,纳入了2月20日至3月20日期间在伊朗设拉子大学附属医院住院的113例确诊COVID-19病例。

结果

平均年龄为53.75岁,男性71例(62.8%)。发病时最常见的症状是疲劳(75例:66.4%)、咳嗽(73例:64.6%)和发热(67例:59.3%)。实验室数据显示淋巴细胞计数(P值=0.003)、活化部分凝血活酶时间(P值=0.000)、国际标准化比值(P值=0.000)与疾病严重程度之间存在显著相关性。胸部CT扫描最常见的异常是磨玻璃影(77例:93.9%),其次是实变(48例:58.5%)。我们的结果显示患者总体死亡率为8%(113例中有9例),其中大多数是入住重症监护病房的患者(5例:55.6%)。

结论

评估COVID-19患者的临床数据、找出感染源并研究疾病行为对于了解大流行至关重要。

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