Clinical Epidemiology of Deceased COVID-19 Patients in Mazandaran Heart Center, 2020-2021

Background and purpose: Clinical epidemiology of deceased COVID-19 patients is of great importance in identifying the risk factors for mortality and controlling the pandemic. In this study, we studied the demographic and clinical characteristics of deceased COVID-19 patients in Sari Fatemeh Zahra Ho...

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Main Authors: Narges Najafi, Parisa Bakhshi, Reza Alizadeh- Navaei, Fatemeh Ahangarkani, Zahra Akbari, Maryam Mirzakhani, Alireza Davoudi
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2022-04-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-17084-en.html
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author Narges Najafi
Parisa Bakhshi
Reza Alizadeh- Navaei
Fatemeh Ahangarkani
Zahra Akbari
Maryam Mirzakhani
Alireza Davoudi
author_facet Narges Najafi
Parisa Bakhshi
Reza Alizadeh- Navaei
Fatemeh Ahangarkani
Zahra Akbari
Maryam Mirzakhani
Alireza Davoudi
author_sort Narges Najafi
collection DOAJ
description Background and purpose: Clinical epidemiology of deceased COVID-19 patients is of great importance in identifying the risk factors for mortality and controlling the pandemic. In this study, we studied the demographic and clinical characteristics of deceased COVID-19 patients in Sari Fatemeh Zahra Hospital, Iran, between March 2020 and February 2021. Materials and methods: This retrospective cross-sectional study was performed by reviewing hospital records of deceased patients diagnosed with COVID-19 (n=214). Diagnosis of COVID-19 was confirmed on the basis of positive RT-PCR test and lung CT scan findings. Information about demographic and imaging characteristics, underlying diseases, and risk factors were collected. Data were analyzed in SPSS V25. Results: The mean age of deceased patients was 68.37 ± 14.1. The most common underlying diseases were hypertension(47.2%), cardiovascular disease (45.8%), and diabetes (40.7%). Abnormalities in lung imaging included peripheral lesions of ground glass in 149 (69.6%), ground glass with consolidation in 46 (21.4%), and crazy paving in 19 (9%) patients, respectively. There was no difference in mean age, sex, underlying diseases, and type of supportive care in patients who died during the epidemic waves of one to three. Conclusion: Underlying diseases were the most critical risk factors for the death of patients with COVID-19 and should be given special attention in assessing the need for hospitalization and treatment of these patients. It is also recommended to conduct a comprehensive study of deceased patients before and after vaccination to evaluate the final effects of general immunization.
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spelling doaj.art-1e86c3a0e45b4923bbe8f76983e1cf5c2023-02-28T08:02:53ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792022-04-01322077989Clinical Epidemiology of Deceased COVID-19 Patients in Mazandaran Heart Center, 2020-2021Narges Najafi0Parisa Bakhshi1Reza Alizadeh- Navaei2Fatemeh Ahangarkani3Zahra Akbari4Maryam Mirzakhani5Alireza Davoudi6 Associate Professor, Department of Infectious Diseases, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Resident in Infectious Diseases, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran 3 Associate Professor, Gastrointestinal Cancer Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran MSc in Nursing, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran BSc in Nursing, Fatemeh Zahra Hospital, Mazandaran University of Medical Sciences, Sari, Iran Associate Professor, Department of Infectious Diseases, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: Clinical epidemiology of deceased COVID-19 patients is of great importance in identifying the risk factors for mortality and controlling the pandemic. In this study, we studied the demographic and clinical characteristics of deceased COVID-19 patients in Sari Fatemeh Zahra Hospital, Iran, between March 2020 and February 2021. Materials and methods: This retrospective cross-sectional study was performed by reviewing hospital records of deceased patients diagnosed with COVID-19 (n=214). Diagnosis of COVID-19 was confirmed on the basis of positive RT-PCR test and lung CT scan findings. Information about demographic and imaging characteristics, underlying diseases, and risk factors were collected. Data were analyzed in SPSS V25. Results: The mean age of deceased patients was 68.37 ± 14.1. The most common underlying diseases were hypertension(47.2%), cardiovascular disease (45.8%), and diabetes (40.7%). Abnormalities in lung imaging included peripheral lesions of ground glass in 149 (69.6%), ground glass with consolidation in 46 (21.4%), and crazy paving in 19 (9%) patients, respectively. There was no difference in mean age, sex, underlying diseases, and type of supportive care in patients who died during the epidemic waves of one to three. Conclusion: Underlying diseases were the most critical risk factors for the death of patients with COVID-19 and should be given special attention in assessing the need for hospitalization and treatment of these patients. It is also recommended to conduct a comprehensive study of deceased patients before and after vaccination to evaluate the final effects of general immunization.http://jmums.mazums.ac.ir/article-1-17084-en.htmlcovid-19mortalityrisk factorunderlying diseasesclinical epidemiology
spellingShingle Narges Najafi
Parisa Bakhshi
Reza Alizadeh- Navaei
Fatemeh Ahangarkani
Zahra Akbari
Maryam Mirzakhani
Alireza Davoudi
Clinical Epidemiology of Deceased COVID-19 Patients in Mazandaran Heart Center, 2020-2021
Journal of Mazandaran University of Medical Sciences
covid-19
mortality
risk factor
underlying diseases
clinical epidemiology
title Clinical Epidemiology of Deceased COVID-19 Patients in Mazandaran Heart Center, 2020-2021
title_full Clinical Epidemiology of Deceased COVID-19 Patients in Mazandaran Heart Center, 2020-2021
title_fullStr Clinical Epidemiology of Deceased COVID-19 Patients in Mazandaran Heart Center, 2020-2021
title_full_unstemmed Clinical Epidemiology of Deceased COVID-19 Patients in Mazandaran Heart Center, 2020-2021
title_short Clinical Epidemiology of Deceased COVID-19 Patients in Mazandaran Heart Center, 2020-2021
title_sort clinical epidemiology of deceased covid 19 patients in mazandaran heart center 2020 2021
topic covid-19
mortality
risk factor
underlying diseases
clinical epidemiology
url http://jmums.mazums.ac.ir/article-1-17084-en.html
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