Tavakolifard Negah, Moeini Mina, Haddadpoor Asefeh, Amini Zahra, Heidari Kamal, Rezaie Mostafae
Department of Community Medicine and Family Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Vice Chancellor for Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Med J Islam Repub Iran. 2022 Feb 8;36:5. doi: 10.47176/mjiri.36.5. eCollection 2022.
The first case of Covid-19 disease was identified in Iran on February 19, 2020, and spread rapidly throughout the country. The aim of this study was to investigate the characteristics of COVID-19 hospitalized patients in Isfahan province of Iran from February 29, 2020, to July 21, 2020, and evaluate the effect of health system screening on the final outcome patients. In this cross-sectional study, all patients with positive COVID-19 PCR test and patients with negative PCR test but suspected clinical symptoms of COVID 19, admitted to Isfahan hospitals from February 29 to July 21were included in the study and the epidemiological characteristics of patients such as demographic characteristics, underlying disease, early signs and symptoms and the final outcomes of patients were analyzed using SPSS software version 20. Of 11817 inpatients with COVID-19, 6590 (55.9%) were male, 1222 (10.4%) died, 9759 (82.8%) were discharged, and 4324 (36.7%) of hospitalized patients were asymptomatic. Among the hospitalized patients, 4642 (35.8%) had received primary screening services, and the mean age of the screened patients was statistically significantly higher than the group without primary screening (58.9±20.61, 55.08±21.57, P=0.068). 6914 (64.6%) of hospitalized patients had a positive initial PCR test, which was statistically significantly higher in patients with diabetes and an early symptom of sore throat. The Odds Ratio (OR) of readmission was most significantly associated with underlying cancer (OR=3.05, CI 95% 1.31-7.1) (P=0.011). The rate of readmission was statistically significantly higher in elderly, rural residents, and patients with underlying disease, diabetic, and hypertensive patients (P<0.05). This study showed that about half of the people who tested positive for COVID- 19 needed to be hospitalized, and about 9 percent mostly diabetic and hypertensive patients, needed readmission. More than half of the hospitalized people were not screened by the health system. However, screening by the health system had no effect on the length of hospital stay and disease outcome.
2020年2月19日，伊朗确诊首例新冠肺炎病例，随后疫情在全国迅速蔓延。本研究旨在调查2020年2月29日至7月21日期间伊朗伊斯法罕省新冠肺炎住院患者的特征，并评估卫生系统筛查对患者最终结局的影响。在这项横断面研究中，纳入了2月29日至7月21日期间入住伊斯法罕医院的所有新冠病毒核酸检测呈阳性的患者以及核酸检测呈阴性但有疑似新冠临床症状的患者，并使用SPSS 20.0软件分析患者的流行病学特征，如人口统计学特征、基础疾病、早期症状和患者的最终结局。在11817例新冠肺炎住院患者中，6590例（55.9%）为男性，1222例（10.4%）死亡，9759例（82.8%）出院，4324例（36.7%）住院患者无症状。在住院患者中，4642例（35.8%）接受了初级筛查服务，接受筛查患者的平均年龄在统计学上显著高于未接受初级筛查的组（58.9±20.61，55.08±21.57，P=0.068）。6914例（64.6%）住院患者初次核酸检测呈阳性，糖尿病患者及有咽痛早期症状的患者中该比例在统计学上显著更高。再入院的比值比（OR）与基础癌症最显著相关（OR=3.05，95%置信区间1.31-7.1）（P=0.011）。老年人、农村居民以及患有基础疾病、糖尿病和高血压的患者再入院率在统计学上显著更高（P<0.05）。本研究表明，约一半新冠病毒检测呈阳性的人需要住院治疗，约9%的人（主要是糖尿病和高血压患者）需要再次入院。超过一半的住院患者未接受卫生系统的筛查。然而，卫生系统的筛查对住院时间和疾病结局没有影响。
