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新型冠状病毒肺炎患者的临床特征及院内结局:二次数据分析结果

Clinical profile and in-hospital outcomes of COVID-19 patients: Findings from secondary data analysis.

作者信息

Semwal Jayanti, Sharma Neha, Mishra Surabhi, Uniyal Akanksha, Khanduri Rakhee, Kotwal Aarti, Das Sanjoy, Jethani Sunder L

机构信息

Department of Community Medicine, Himalayan Institute of Medical Sciences (HIMS), Swami Rama Himalayan University (SRHU), Swami Ram Nagar, Jolly Grant, Dehradun, Uttarakhand, India.

Department of Biostatistics, Himalayan Institute of Medical Sciences (HIMS), Swami Rama Himalayan University (SRHU), Swami Ram Nagar, Jolly Grant, Dehradun, Uttarakhand, India.

出版信息

J Family Med Prim Care. 2022 Jun;11(6):2545-2551. doi: 10.4103/jfmpc.jfmpc_1900_21. Epub 2022 Jun 30.

Abstract

BACKGROUND

Uttarakhand, a hilly state in north India, reported the first coronavirus disease (COVID) case on 15 March 2020. Since then, the case numbers rose multiple folds. As Uttarakhand has been on a 'war-footing' amidst the recent second wave and is gearing up to fight against the third wave, the present study aims to uncover baseline clinical profile and in-hospital outcomes of COVID patients in Dehradun district (Uttarakhand) during the first wave.

METHODS

A record-based descriptive analysis was carried out for 671 COVID patients admitted to a private dedicated COVID hospital in Dehradun district between August 2020 and February 2021. Data was collected from medical records on a standardized abstraction form. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20.

RESULTS

The present study showed most admitted COVID patients were males, aged 40 years and above, moderately ill, had co-morbidities with about one-fourth lately succumbed to death. The proportions of deaths, moderate-to-severe and severe category of illness were invariably high for those with co-morbidities irrespective of the gender. Females, age <60 years, and absence of co-morbidities had overall high mean survival estimates from COVID.

CONCLUSION

Females, younger age group, and absence of co-morbidities are more likely to survive from COVID than males, older age groups, and those with co-morbidities.

摘要

背景

印度北部的丘陵邦北阿坎德邦于2020年3月15日报告了首例冠状病毒病(COVID)病例。自那时起,病例数成倍增加。由于北阿坎德邦在最近的第二波疫情期间一直处于“战时状态”,并正准备应对第三波疫情,本研究旨在揭示第一波疫情期间北阿坎德邦德拉敦地区COVID患者的基线临床特征和住院结局。

方法

对2020年8月至2021年2月期间入住德拉敦地区一家私立COVID专科医院的671例COVID患者进行基于记录的描述性分析。数据通过标准化的提取表格从病历中收集。使用社会科学统计软件包(SPSS)20版输入和分析数据。

结果

本研究显示,大多数入院的COVID患者为40岁及以上的男性,病情中等,患有合并症,约四分之一的患者最近死亡。无论性别如何,合并症患者的死亡、中重度和重度疾病比例始终较高。女性、年龄<60岁且无合并症的患者COVID总体平均生存估计较高。

结论

与男性、老年群体和患有合并症的患者相比,女性、年轻年龄组和无合并症的患者更有可能从COVID中存活下来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b658/9480643/647c8219f450/JFMPC-11-2545-g001.jpg

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