Hussein Nawfal R, Saleem Zana Sidiq M, Rashad Brisik H, Naqid Ibrahim A, Ibrahim Nashwan, Musa Dildar H, Khezaqia Nina D, Yousif Ahmed H
Department of Biomedical Sciences, College of Medicine, University of Zakho, Kurdistan Region, Iraq.
Department of Internal Medicine and Surgery, College of Medicine, University of Duhok, Kurdistan Region, Iraq.
J Family Med Prim Care. 2021 Nov;10(11):4260-4263. doi: 10.4103/jfmpc.jfmpc_166_21. Epub 2021 Nov 29.
This study investigated the clinical characteristics and outcomes of patients with severe coronavirus disease 2019 (COVID-19) who were involved in the home management scheme in Duhok city.
This prospective descriptive study enrolled Kurdish patients diagnosed with severe COVID-19 between June 1 and November 1, 2020, and were treated at home.
The average age of the patients was 59.77 ± 14 years and 51 (56.04%) of them were males. Seven of these patients (7.69%) were smokers. Most patients (72.52%) had one or more comorbidities. Fever (87.1%) was the most commonly presented symptom in older patients. The case fatality rate was 3/91 (3.29%). This rate was not found to be associated with sex, history of smoking, or comorbidities. The age of deceased patients (40 ± 25 years) was significantly lower than that of cured patients (60 ± 13 years) (p = -0.025).
The case fatality rate of patients enrolled in this scheme was comparable to those who received treatment in hospitals. Therefore, this scheme could provide a good alternative for treating patients with severe COVID-19 and family physicians could lead the scheme through the primary care network.
本研究调查了杜胡克市参与居家管理方案的2019冠状病毒病（COVID-19）重症患者的临床特征及预后。
这项前瞻性描述性研究纳入了2020年6月1日至11月1日期间被诊断为重症COVID-19且接受居家治疗的库尔德患者。
患者的平均年龄为59.77±14岁，其中51名（56.04%）为男性。这些患者中有7名（7.69%）吸烟者。大多数患者（72.52%）有一种或多种合并症。发热（87.1%）是老年患者最常见的症状。病死率为3/91（3.29%）。未发现该比率与性别、吸烟史或合并症有关。死亡患者的年龄（40±25岁）显著低于治愈患者（60±13岁）（p=-0.025）。
参与该方案的患者病死率与在医院接受治疗的患者相当。因此，该方案可为治疗重症COVID-19患者提供一个良好的替代方案，家庭医生可通过初级保健网络引领该方案。
