Field Epidemiology Training Program Ministry of Health Riyadh Saudi Arabia.
Public Health Ministry of Health Riyadh Saudi Arabia.
Influenza Other Respir Viruses. 2023 Mar 21;17(3):e13127. doi: 10.1111/irv.13127. eCollection 2023 Mar.
Saudi Arabia (SA) reported its first case of COVID-19 on 2 March 2020. Mortality varied nationwide; by April 14, 2020, Medina had 16% of SA's total COVID-19 cases and 40% of all COVID-19 deaths. A team of epidemiologists investigated to identify factors impacting survival.
We reviewed medical records from two hospitals: Hospital A in Medina and Hospital B in Dammam. All patients with a registered COVID-related death between March and May 1, 2020, were included. We collected data on demographics, chronic health conditions, clinical presentation, and treatment. We analyzed data using SPSS.
We identified 76 cases: 38 cases from each hospital. More fatalities were among non-Saudis at Hospital A (89%) versus Hospital B (82%, < 0.001). Hypertension prevalence was higher among cases at Hospital B (42%) versus Hospital A (21%) ( < 0.05). We found statistically significant differences ( < 0.05) in symptoms at initial presentation among cases at Hospital B versus Hospital A, including body temperature (38°C vs. 37°C), heart rate (104 bpm vs. 89 bpm), and regular breathing rhythms (61% vs. 55%). Fewer cases (50%) at Hospital A received heparin versus Hospital B (97%, -value < 0.001).
Patients who died typically presented with more severe illnesses and were more likely to have underlying health conditions. Migrant workers may be at increased risk due to poorer baseline health and reluctance to seek care. This highlights the importance of cross-cultural outreach to prevent deaths. Health education efforts should be multilingual and accommodate all literacy levels.
沙特阿拉伯（SA）于 2020 年 3 月 2 日报告了首例 COVID-19 病例。全国的死亡率各不相同；到 2020 年 4 月 14 日，麦地那占沙特 COVID-19 总病例数的 16%，占所有 COVID-19 死亡人数的 40%。一组流行病学家进行了调查，以确定影响生存的因素。
我们查阅了两家医院的病历：麦地那的医院 A 和达曼的医院 B。所有在 2020 年 3 月至 5 月 1 日期间与 COVID 相关的死亡病例均纳入研究。我们收集了人口统计学、慢性健康状况、临床表现和治疗的数据。我们使用 SPSS 分析数据。
我们共发现了 76 例病例：每家医院 38 例。在医院 A（89%）而非医院 B（82%，<0.001）死亡的患者中非沙特人更多。高血压在医院 B（42%）的病例中比医院 A（21%）更为常见（<0.05）。我们发现，在医院 B 就诊的病例与医院 A 相比，初始症状存在统计学上的显著差异，包括体温（38°C 对 37°C）、心率（104 bpm 对 89 bpm）和正常的呼吸节律（61%对 55%）。在医院 A，接受肝素治疗的病例（50%）比医院 B（97%，-值<0.001）少。
死亡的患者通常表现出更严重的疾病，并且更有可能存在潜在的健康状况。移民工人可能由于较差的基础健康状况和不愿寻求医疗服务而面临更高的风险。这突显了开展跨文化宣传以防止死亡的重要性。健康教育工作应该是多语言的，并适应所有的读写水平。
