Dr Md Anarul Islam, Consultant, Department of Respiratory Medicine, National Health Service (NHS), UK; E-mail:
Mymensingh Med J. 2024 Oct;33(4):1250-1257.
In late 2019, a novel coronavirus emerged in Wuhan, China, causing an atypical pneumonia- like illness. Scientists subsequently isolated the virus, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), in January 2020. This highly contagious virus rapidly spread worldwide, triggering a global public health emergency. The ongoing Covid-19 pandemic necessitates continuous evaluation of the characteristics of infected individuals. This study aimed to investigate the demographic and clinical features of patients diagnosed with Covid-19 at a tertiary care hospital in Bangladesh. This retrospective cross-sectional study was conducted between November 2023 and February 2024 at the Department of Respiratory Medicine, Uttara Adhunik Medical College Hospital (UAMCH), Dhaka, Bangladesh. The study involved collaboration with the departments of Virology and the hospital's Covid Unit. Data were collected from the medical records of 200 confirmed Covid-19-positive cases admitted upon arrival at the hospital. Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) version 23.0. Of the 200 participants, the most frequent age group was 46-60 years old, representing 42% (84 patients). Males comprised the majority (73.0%, 145 patients), and most participants resided in urban areas of Bangladesh (86.5%, 173 patients). The socioeconomic analysis revealed that the upper-class category had the highest frequency (85.0%, 170 patients). Diabetes Mellitus (DM) emerged as the most prevalent co-morbidity (58.5%, 117 patients). Regarding clinical presentation, fever was the most frequent symptom (76.0%, 152 patients), followed by cough (47.5%, 95 patients), shortness of breath (SOB) (27.5%, 55 patients), and pneumonia (15.0%, 30 patients). Less frequent symptoms included acute respiratory distress syndrome (ARDS), lower respiratory tract infection (LRTI), and chest pain. The mean systolic and diastolic blood pressure readings were 126.61±14.58 mmHg and 77.24±12.44 mmHg respectively. The mean oxygen saturation (SaO2) was 93.39±5.53%. This study investigated that the most frequent age group was (46-60) years. The male dominant in Covid-19-positive cases. Diabetes Mellitus (DM) was observed as the most frequent co-morbidity. The common symptoms of Covid-19-positive cases were fever, cough, SOB, pneumonia acute respiratory distress syndrome, lower respiratory tract infection, chest pain, high blood pressure and low oxygen saturation.
在 2019 年底,一种新型冠状病毒在中国武汉出现,导致了一种非典型肺炎样疾病。科学家随后在 2020 年 1 月分离出了这种病毒,即严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)。这种高度传染性的病毒迅速在全球范围内传播,引发了全球公共卫生紧急事件。持续的 COVID-19 大流行需要不断评估感染个体的特征。本研究旨在调查孟加拉国一家三级保健医院 COVID-19 患者的人口统计学和临床特征。这项回顾性的横断面研究于 2023 年 11 月至 2024 年 2 月在孟加拉国达卡的 Uttara Adhunik 医学院医院(UAMCH)呼吸医学系进行。该研究与病毒学系和医院的 COVID 病房合作。从医院入院的 200 例确诊 COVID-19 阳性病例的病历中收集数据。使用社会科学统计软件包(SPSS)版本 23.0 进行统计分析。在 200 名参与者中,最常见的年龄组是 46-60 岁,占 42%(84 例)。男性占多数(73.0%,145 例),大多数参与者居住在孟加拉国的城市地区(86.5%,173 例)。社会经济分析显示,上层阶级的频率最高(85.0%,170 例)。糖尿病(DM)是最常见的合并症(58.5%,117 例)。就临床表现而言,发热是最常见的症状(76.0%,152 例),其次是咳嗽(47.5%,95 例)、呼吸急促(SOB)(27.5%,55 例)和肺炎(15.0%,30 例)。不太常见的症状包括急性呼吸窘迫综合征(ARDS)、下呼吸道感染(LRTI)和胸痛。收缩压和舒张压的平均值分别为 126.61±14.58mmHg 和 77.24±12.44mmHg。平均血氧饱和度(SaO2)为 93.39±5.53%。本研究表明,最常见的年龄组为(46-60)岁。男性在 COVID-19 阳性病例中占主导地位。糖尿病(DM)是最常见的合并症。COVID-19 阳性病例的常见症状有发热、咳嗽、SOB、肺炎、急性呼吸窘迫综合征、下呼吸道感染、胸痛、高血压和低血氧饱和度。