Author/Authors :
Okati-Aliabad ، Hassan Health Promotion Research Center - Zahedan University of Medical Sciences , Masoudy ، Gholamreza Health Promotion Research Center - Zahedan University of Medical Sciences , Kouhpayeh ، Hamidreza Research Center for Infectious Diseases and Tropical Medicine - Zahedan University of Medical Sciences , Ansari-Moghaddam ، Alireza Research Center for Infectious Diseases and Tropical Medicine - Zahedan University of Medical Sciences , Mohammadi ، Mahdi Health Promotion Research Center - Zahedan University of Medical Sciences , Tabatabaei ، Mehdi Research Center for Infectious Diseases and Tropical Medicine - Zahedan University of Medical Sciences , Ansari ، Hossein Health Promotion Research Center - Zahedan University of Medical Sciences , Sanei-Sistani ، Sharareh Department of Radiology - Zahedan University of Medical Sciences , Nejati ، Jalil Health Promotion Research Center - Zahedan University of Medical Sciences , Alavi-Naini ، Roya Research Center for Infectious Diseases and Tropical Medicine - Zahedan University of Medical Sciences , Khammarnia ، Mohammad Health Promotion Research Center - Zahedan University of Medical Sciences , Setoodehzadeh ، Fatemeh Health Promotion Research Center - Zahedan University of Medical Sciences , Ansari-Moghadam ، Fatemeh Health Promotion Research Center - Zahedan University of Medical Sciences , Torab Jahromi ، Neda Sadat Health Promotion Research Center - Zahedan University of Medical Sciences , Almasi ، Zeinab Health Promotion Research Center - Zahedan University of Medical Sciences , Tabatabaei ، Mohammad Nasiraldin Department of Anesthesiology - Zahedan University of Medical Sciences
Abstract :
Background: The coronavirus disease 2019 (COVID-19) pandemic is an emerging global threat to public health. Objectives: This study examined the epidemiological and clinical characteristics and death-related factors of COVID-19 in inpatients in Zahedan, Iran. Methods: This multicenter study included all COVID-19 patients admitted to Zahedan hospitals within February to April 2020. Demographic, epidemiological, and clinical characteristics were extracted frommedical records. Bivariate andmultivariate logistic regression models were used to examine the risk factors associated with inpatient mortality. Results: Of 425 patients in this study, 237 and 188 were male and female, respectively. Moreover, 31 (7.29%) patients died. The patients with a severe stage of pneumonia and those with a severe/critical condition of COVID-19 were 35.8% and 35.1%, respectively. The most prevalent symptoms were cough (70.8%), shortness of breath (62.1%), fever (34.1%), bruising (28.7%), and shivering (28.5%). The most prevalent underlying diseases were hypertension (23.3%), diabetes (16.7%), cardiovascular disease (13.2%), chronic pulmonary disease (9.6%), and asthma (5.4%). Adjusted odds ratio (OR) of in-hospital mortality increased for patients with older age (OR = 3.74, 95% CI: 1.39 - 10.32), at least one underlying disease (OR = 1.16, 95% CI: 1.01 - 1.32), severe disease (OR = 30.9, 95% CI: 4.01 - 239.09), and critically severe disease (OR = 736.5, 95% CI: 74.75 - 7256.1) compared to mild/moderate disease. Conclusions: This study showed that older age, disease severity, and underlying diseases weremortality risk factors due to COVID-19 infection. This finding indicates that priorities for hospital admission must be given to patients with a higher risk of mortality due to limited facilities, especially in less privileged areas.
Keywords :
COVID , 19 , Patients , Risk Factors , Mortality
