尼泊尔西部一家三级护理医院 COVID-19 患者的发热情况：一项描述性横断面研究。

Fever among COVID-19 Patients in a Tertiary Care Hospital of Western Nepal: A Descriptive Cross-sectional Study.

机构信息

Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal.

Universal College of Medical Sciences, Bhairahawa, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2021 Oct 15;59(242):987-991. doi: 10.31729/jnma.6422.

DOI:10.31729/jnma.6422

PMID:35199703

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9107800/

Abstract

INTRODUCTION

COVID-19 has a wide spectrum of clinical presentation ranging from asymptomatic infection to acute respiratory distress syndrome and multi organ dysfunction. Data regarding this is scarce in our setting. This study aims to study the prevalence of fever in confirmed COVID-19 cases in a tertiary care hospital of western Nepal.

METHODS

We conducted a descriptive cross-sectional study among patients admitted to COVID-19 wards and intensive care units of a tertiary care hospital. We enrolled patients from August 2020 to January 2021 and the study proposal was approved by the Institutional Review Committee (reference number: 069/20). Convenience sampling method was used. Data entry and descriptive analysis were done in Statistical Package for the Social Sciences version 16.0. Point estimate at 95% Confidence Interval was calculated along with frequency and descriptive statistics.

RESULTS

Among 206 cases of COVID-19, the most common symptom was fever 136 (66.1%) (95% Confidence Interval= 58.14.63-74.05). Sixty-seven (49.3%) of those with fever required intensive care units admission whereas 27 (19.9%) of patients with fever had mortality. Most common comorbidities in the patient having fever is Diabetes mellitus 41 (66.1%) followed by hypertension 20 (62.5%).

CONCLUSIONS

Fever was the most common presenting complaint with high prevalence as compared to similar studies done in similar settings. We stress the importance of considering the presence of COVID-19 even in the absence of fever as many patients presented without fever.

摘要

介绍

COVID-19 的临床表现范围广泛，从无症状感染到急性呼吸窘迫综合征和多器官功能障碍。我们在这方面的数据很少。本研究旨在研究尼泊尔西部一家三级保健医院确诊 COVID-19 病例中发热的患病率。

方法

我们对一家三级保健医院的 COVID-19 病房和重症监护病房的患者进行了描述性横断面研究。我们于 2020 年 8 月至 2021 年 1 月期间招募了患者，该研究提案已获得机构审查委员会的批准（参考编号：069/20）。使用方便抽样法。数据录入和描述性分析在统计软件包 16.0 版中完成。计算了 95%置信区间的点估计值，以及频率和描述性统计。

结果

在 206 例 COVID-19 患者中，最常见的症状是发热 136 例（66.1%）（95%置信区间=58.14.63-74.05）。发热患者中 67 例（49.3%）需要入住重症监护病房，而发热患者中 27 例（19.9%）死亡。发热患者最常见的合并症是糖尿病 41 例（66.1%），其次是高血压 20 例（62.5%）。