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沙特阿拉伯阿巴哈三级护理医院轻度至中度 COVID-19 患者的临床特征和治疗结果:一项单中心研究。

Clinical Characteristics and Treatment Outcomes of Mild to Moderate COVID-19 Patients at Tertiary Care Hospital, Al Baha, Saudi Arabia: A Single Centre Study.

机构信息

Department of Public Health, Faculty of Applied Medical Sciences, Al Baha University, Al Baha, Saudi Arabia.

Department of Clinical Pharmacy, Faculty of Clinical Pharmacy, Al Baha University, Al Baha, Saudi Arabia.

出版信息

J Infect Public Health. 2022 Mar;15(3):331-337. doi: 10.1016/j.jiph.2022.02.001. Epub 2022 Feb 3.

Abstract

OBJECTIVE

Since the severity of symptoms affects the treatment option for Coronavirus Disease 2019 (COVID-19) patients, the treatment pattern for mild to moderate non-ICU cases must be evaluated, particularly in the current scenario of mutation and variant strain for effective decision making.

METHODS

The objective of retrospective analysis was to assess clinical and treatment outcomes in mild to moderate symptoms in non-ICU patients with COVID-19 who were admitted to major tertiary care hospitals in Al Baha, Saudi Arabia, between April and August 2020.

RESULTS

A total of 811 people were admitted for COVID-19 treatment, age ranging from 14 to 66, diabetes mellitus (31%, n = 248) and hypertension (24%, n = 198) were the most common comorbid conditions. The hydroxychloroquine (HCQ) treated group (G1 n = 466) had an MD of 8 and an IQR of 5-13 for time in hospital with a 4.3% mortality rate, while the non-HCQ group (G2 n = 345) had an MD of 6 and an IQR of 3-11 for time in hospital with a 3.2% mortality rate. A combination of antiviral and antibiotic treatment was found to be effective, other most frequent intervention was analgesics 85.7%, anticoagulant 75%, minerals (Zinc 83% and Vit D3 82%).

CONCLUSIONS

The therapy and clinical outcomes from the past will be the guiding factor to treat the COVID variants infection in the future. Patients treated with HCQ had a higher mortality rate, whereas those who were given a non-HCQ combination had a greater clinical outcome profile.

DATA AVAILABILITY

Data available on request due to ethical restrictions. The anonymized data presented in this study are available on request from the corresponding author. The data are not publicly available to maintain privacy and adhere to guidelines of the ethics protocol.

摘要

目的

由于症状的严重程度会影响 2019 年冠状病毒病(COVID-19)患者的治疗选择,因此必须评估轻症至中度非 ICU 病例的治疗模式,特别是在当前出现突变和变异株的情况下,以便做出有效的决策。

方法

回顾性分析的目的是评估 2020 年 4 月至 8 月期间在沙特阿拉伯阿巴哈的主要三级护理医院因 COVID-19 住院的轻症至中度症状的非 ICU 患者的临床和治疗结局。

结果

共有 811 人因 COVID-19 接受治疗,年龄在 14 至 66 岁之间,糖尿病(31%,n=248)和高血压(24%,n=198)是最常见的合并症。接受羟氯喹(HCQ)治疗的组(G1,n=466)的住院时间中位数(MD)为 8,四分位距(IQR)为 5-13,死亡率为 4.3%,而未接受 HCQ 治疗的组(G2,n=345)的 MD 为 6,IQR 为 3-11,死亡率为 3.2%。抗病毒和抗生素联合治疗被发现是有效的,其他最常见的干预措施是镇痛剂(85.7%)、抗凝剂(75%)、矿物质(锌 83%和维生素 D3 82%)。

结论

过去的治疗方法和临床结果将成为未来治疗 COVID 变异感染的指导因素。接受 HCQ 治疗的患者死亡率较高,而接受非 HCQ 联合治疗的患者临床结局更好。

数据可用性

由于伦理限制,数据可应要求提供。本研究中呈现的匿名数据可应要求向通讯作者索取。为了维护隐私并遵守伦理协议的准则,这些数据不会公开提供。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21ee/8812125/882212c047fb/gr1_lrg.jpg

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