Clinical Features, Imaging, Laboratory Result, and Severity of COVID-19 Patients in Referral Hospital

Abstract

BACKGROUND: COVID-19 pandemic became a global health problem due to the high number of cases and no specific treatment. Furthermore, the diagnosis was difficult due to limited publication data and diagnostic tests. AIM: The aim of this study was to determine the demographics, clinical features, laboratory results, radiological results, and factors related to the severity of COVID-19 at a referral hospital. METHODS: A descriptive analytic study of confirmed COVID-19 patients was conducted during March–October 2020. Data were collected from the medical records to determine the patient demographics, clinical symptoms, comorbidities, laboratory, chest X-ray, and first illness severity at 24 h of treatment. RESULTS: There were 79 (59%) male and 55 (41%) female patients during the study. The clinical symptoms were fever 103 (77%), cough 100 (75%), shortness of breath 88 (66%), comorbidities of diabetes mellitus 18 (13%), hypertension 24 (18%), and heart disease 20 (15%). The patient’s laboratory profiles were lymphopenia 85 (63%) and increased C-reactive protein 82 (61%). The radiology imaging of the patients was mostly atypical of COVID-19. Factors that influence the severity of COVID-19 are age, comorbid diabetes, and hypertension CONCLUSION: Most cases with severe symptoms are old age, a history of comorbid diabetes mellitus and heart disease, and abnormal laboratory results.