Young Researchers and Elite Club, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Department of Anesthesiology and Critical Care, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
PLoS One. 2021 Mar 19;16(3):e0246314. doi: 10.1371/journal.pone.0246314. eCollection 2021.
During the last months of the coronavirus pandemic, with all those public restrictions and health interventions, the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) appears now to have been raised in some countries around the world. Iran was one of those first countries facing the second wave of coronavirus, due to the lack of appropriate public restrictions because of economic problems the country is facing. The clinical and demographic characteristics of severe cases and non-severe cases of Coronavirus Disease (COVID-19) in 192 patients in Tehran, Iran, between June 16 and July 11, 2020, were investigated. The patients were divided into severe cases (n = 82) and non-severe cases (n = 110). Demographic and clinical characteristics were compared between the two study clusters. The mean age was 54.6 ± 17.2 years, and the most common presenting symptom was persistent cough (81.8%) and fever (79.7%). The logistic regression model revealed that age, BMI, and affected family members were statistically associated with severity. Patients with complicated conditions of disorders faced more hospitalization days and medical care than the average statistical data. As the coronavirus spike in the case and death reports from June 2020, we observed the rise in the incidence of severe cases, where 42.7% (82/192) of cases have resulted in severe conditions. Our findings also suggested that the effect of IFB (Betamethasone) was more valid than the other alternative drugs such as LPV/r and IVIg.
在冠状病毒大流行的最后几个月,由于所有这些公共限制和卫生干预措施,严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)的传播在世界上一些国家似乎有所增加。伊朗是最早面临冠状病毒第二波疫情的国家之一,由于该国面临的经济问题,缺乏适当的公共限制。2020 年 6 月 16 日至 7 月 11 日,对伊朗德黑兰 192 例冠状病毒疾病(COVID-19)重症和非重症患者的临床和人口统计学特征进行了调查。患者分为重症组(n=82)和非重症组(n=110)。比较了两组患者的人口统计学和临床特征。平均年龄为 54.6±17.2 岁,最常见的首发症状是持续性咳嗽(81.8%)和发热(79.7%)。逻辑回归模型显示,年龄、BMI 和受感染的家庭成员与严重程度有统计学关联。有并发症的患者住院天数和医疗护理比平均统计数据多。自 2020 年 6 月病例和死亡报告中的冠状病毒激增以来,我们观察到重症病例的发病率上升,其中 42.7%(82/192)的病例出现严重情况。我们的研究结果还表明,IFB(倍他米松)的效果比 LPV/r 和 IVIg 等其他替代药物更有效。