Farzan Nina, Vahabi Sepideh, Foroghi Ghomi Seyed Yaser, Shirvani Reza, Madani Shima Sadat Hashemi, Shakeri Mansoureh, Araghi Mahmood, Birjandi Mehdi, Farzan Behrooz
Emergency Medicine, Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran.
Department of Anesthesiology, Faculty of Medicine, Lorestan University of Medical Sciences, Khoramabad, Iran.
Int J Surg Open. 2020;27:149-153. doi: 10.1016/j.ijso.2020.11.008. Epub 2020 Nov 16.
Coronavirus 2019 (COVID 19) has been reported as a pandemic by the world health organization. Increasing number of cases and associated mortality have demanded the need for clinical studies and researches.
The aim of this study is to evaluate intubation prognosis of the COVID 19 patients referred to Shahid Beheshti hospital in Qom city.
COVID 19 patients referred to (XXX)were included in this study. Clinical sign and symptoms were recorded for each patient in a questionnaire. The diagnosis was made using real time polymerase chain reaction and chest CT scans. Lab findings from renal and liver function tests, blood count, c-reactive protein and electrolytes were also recorded. Shortness of breath was measured using oxygen saturation levels in these patients. The data was recorded in the electronic form and was analyzed using SPSS v21.
Of 317 patients included in this study, the average age of COVID 19 patients were 59.71 ± 16.46 years. The need of ventilation among the patients older than 50 years was significantly higher than younger patients, p = 0.013. Smoking status, gender and drug addiction was not associated with the need of invasive mechanical ventilation, p = 0.73, p = 0.44 and p = 0.76. Patients need invasive mechanical ventilation compared to those receiving non-invasive ventilation were significantly older, p = 0.001.
The need of mechanical ventilation is significantly greater in advanced age COVID-19 patients.
世界卫生组织已将2019冠状病毒病（COVID-19）报告为大流行病。病例数量和相关死亡率的增加促使有必要开展临床研究。
本研究旨在评估转诊至库姆市沙希德·贝赫什提医院的COVID-19患者的插管预后。
本研究纳入转诊至（XXX）的COVID-19患者。通过问卷记录每位患者的临床症状和体征。采用实时聚合酶链反应和胸部CT扫描进行诊断。还记录了肾功能和肝功能检查、血常规、C反应蛋白和电解质的实验室检查结果。通过这些患者的血氧饱和度水平来测量呼吸急促情况。数据以电子形式记录，并使用SPSS v21进行分析。
本研究纳入的317例患者中，COVID-19患者的平均年龄为59.71±16.46岁。50岁以上患者的通气需求显著高于年轻患者，p = 0.013。吸烟状况、性别和药物成瘾与有创机械通气需求无关，p = 0.73、p = 0.44和p = 0.76。与接受无创通气的患者相比，需要有创机械通气的患者年龄显著更大，p = 0.001。
高龄COVID-19患者的机械通气需求显著更高。
