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对3364例COVID-19死亡病例的18个月流行病学调查;一项回顾性横断面研究。

An 18-Month Epidemiologic Survey of 3364 Deceased COVID-19 Cases; a Retrospective Cross-sectional Study.

作者信息

Tavakolian Ayoub, Ashrafi Shahri Seyed Hassan, Jafari Mohammad Ali, Pishbin Elham, Zamani Moghaddam Hamid, Foroughian Mahdi, Reihani Hamidreza

机构信息

Department of Emergency Medicine, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Arch Acad Emerg Med. 2022 May 31;10(1):e42. doi: 10.22037/aaem.v10i1.1568. eCollection 2022.

Abstract

INTRODUCTION

The COVID-19 pandemic has been considered an international problem. This study aimed to survey the demographic and clinical characteristics of the deceased COVID-19 patients.

METHODS

The present cross-sectional study was performed on all deceased COVID-19 patients who died in Imam Reza Hospital, Mashhad, Iran, from March 20, 2020, to September 23, 2021. Their data, including age, gender, complaints, and clinical symptoms at the time of admission, as well as information at the time of death (hour, shift, holiday/non-holiday) were analyzed and reported.

RESULTS

3364 deaths due to COVID-19 have been registered during the study period (60.46% male). The patients' mean age was 66.99±16.97 (range: 1-101) years (92.7% of them were Iranian). The mortality at night shifts was less than day shifts (1643 vs. 1721). The average amount of deaths/day on holidays and workdays was (5.63 vs. 6.24). The number of deaths varied during the various hours of the day and night. Diabetes and cardiovascular diseases were the most common confounding factors, which were observed in 22.44% and 15.36% of the cases, respectively.

CONCLUSION

Based on the findings of this series, COVID-19 mortality was frequently observed in male patients, those with the mean age of 66.99 years, morning shifts, and workdays.

摘要

引言

新冠疫情被视为一个国际性问题。本研究旨在调查新冠死亡患者的人口统计学和临床特征。

方法

本横断面研究对2020年3月20日至2021年9月23日期间在伊朗马什哈德伊玛目礼萨医院死亡的所有新冠患者进行。分析并报告了他们的数据,包括年龄、性别、入院时的主诉和临床症状,以及死亡时间(小时、班次、节假日/非节假日)。

结果

在研究期间共记录了3364例新冠死亡病例(男性占60.46%)。患者的平均年龄为66.99±16.97岁(范围:1 - 101岁)(其中92.7%为伊朗人)。夜班死亡率低于白班(1643例对1721例)。节假日和工作日的日均死亡人数分别为(5.63例对6.24例)。一天中不同时段死亡人数有所不同。糖尿病和心血管疾病是最常见的混杂因素,分别在22.44%和15.36%的病例中观察到。

结论

基于本系列研究结果,新冠死亡率在男性患者、平均年龄66.99岁的患者、早班以及工作日患者中较为常见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4692/9206827/11f61345fd4b/aaem-10-e42-g001.jpg

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