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2020 - 2021年新冠疫情期间的患者特征与临床结局:沙特阿拉伯一家三级医院的观察性研究

Patient Characteristics and Clinical Outcomes During the 2020-2021 COVID-19 Wave: An Observational Study at a Tertiary Hospital in Saudi Arabia.

作者信息

Ahmed Omar B, Asghar Atif, Bamaga Majid, Abd El-Rahim Ibrahim H, Mashat Bassam, Khogeer Asim, Assaggaf Hamza

机构信息

Environmental and Health Research, Umm Al-Qura University, Makkah, SAU.

Institutional Review Board, General Directorate of Health Affairs Makkah Region, Ministry of Health, Makkah, SAU.

出版信息

Cureus. 2024 Oct 9;16(10):e71119. doi: 10.7759/cureus.71119. eCollection 2024 Oct.

DOI:10.7759/cureus.71119
PMID:39386928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11462384/
Abstract

Background and objective The continued prevalence and threat of coronavirus disease 2019 (COVID-19) have been reported, and evidence suggests that several people still get infected with the virus. Gaining a thorough understanding of the patient demographic factors and laboratory findings could contribute to assessing the severity, mortality, and progression of COVID-19. In light of this, the current study aimed to evaluate the demographic characteristics, laboratory findings, and outcomes of confirmed COVID-19 patients at a tertiary hospital in the Kingdom of Saudi Arabia (KSA). Methodology We collected data spanning the period 2020-2021 from the electronic health records of Al-Noor Specialized Hospital, Ma including demographics (age, gender, and nationality), severity (i.e., ICU admission), length of hospital stay, mortality, and laboratory parameters. Results We observed an overall mortality rate of 10.2% (338 of 3,307 patients). The mortality rate was significantly higher in males (n=210; 62.1%) and patients aged more than 70 years (n=91; 26.9%). Patients with blood group O comprised 131 (29%) of the 338 non-survivors, followed by those with A (n=85; 25.1%) and B groups (n=79; 23.4%). The mortality rate among ICU patients was 63.3% (n=214). Furthermore, the following laboratory findings showed abnormal mean values in terms of severity and mortality in COVID-19 patients: hemoglobin (HB) concentration, white blood cell (WBC) count, lymphocyte count (LC), C-reactive protein (CRP), creatinine (CREA), and uric acid (UA) levels. Conclusions Old age, male gender, and certain laboratory findings have a critical role in the severity and mortality risk in COVID-19 patients. There was no significant association between blood type and the severity and mortality of COVID-19. Continuous monitoring based on these findings may be essential to managing COVID-19 patients.

摘要

背景与目的 2019 冠状病毒病(COVID-19)的持续流行和威胁已被报道,且有证据表明仍有一些人感染该病毒。深入了解患者的人口统计学因素和实验室检查结果有助于评估 COVID-19 的严重程度、死亡率和病情进展。有鉴于此,本研究旨在评估沙特阿拉伯王国(KSA)一家三级医院确诊的 COVID-19 患者的人口统计学特征、实验室检查结果及预后情况。

方法 我们从努尔专科医院的电子健康记录中收集了 2020 年至 2021 年期间的数据,包括人口统计学信息(年龄、性别和国籍)、严重程度(即入住重症监护病房)、住院时间、死亡率以及实验室参数。

结果 我们观察到总体死亡率为 10.2%(3307 例患者中的 338 例)。男性(n = 210;62.1%)和 70 岁以上患者(n = 91;26.9%)的死亡率显著更高。在 338 例非幸存者中,O 血型患者有 131 例(29%),其次是 A 血型患者(n = 85;25.1%)和 B 血型患者(n = 79;23.4%)。重症监护病房患者的死亡率为 63.3%(n = 214)。此外,以下实验室检查结果在 COVID-19 患者的严重程度和死亡率方面显示出异常均值:血红蛋白(HB)浓度、白细胞(WBC)计数、淋巴细胞计数(LC)、C 反应蛋白(CRP)、肌酐(CREA)和尿酸(UA)水平。

结论 老年、男性性别以及某些实验室检查结果在 COVID-19 患者的严重程度和死亡风险中起关键作用。血型与 COVID-19 的严重程度和死亡率之间无显著关联。基于这些发现进行持续监测对于管理 COVID-19 患者可能至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9017/11462384/286faf1c6d9e/cureus-0016-00000071119-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9017/11462384/286faf1c6d9e/cureus-0016-00000071119-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9017/11462384/286faf1c6d9e/cureus-0016-00000071119-i01.jpg

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The Relationship of ABO and Rh Blood Group Types With Severe COVID-19 Disease Mortality in ICU Patients: Insights From a Single-Center Experience in Southern Saudi Arabia.ABO和Rh血型与ICU患者中重症COVID-19疾病死亡率的关系:来自沙特阿拉伯南部单中心经验的见解
Cureus. 2023 Dec 22;15(12):e50935. doi: 10.7759/cureus.50935. eCollection 2023 Dec.
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The increase in SARS-CoV-2 lineages during 2020-2022 in a state in the Brazilian Northeast is associated with a number of cases.
2020-2022 年期间,巴西东北部一州的 SARS-CoV-2 谱系增加与许多病例有关。
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