Abstract
BackgroundNovel coronavirus disease-19 (COVID-19) was declared as a global pandemic in 2020. With the spread of the disease, a better understanding of patient outcomes associated with their symptoms in diverse geographic levels is vital. This study aimed to evaluate clinical outcomes of COVID-19 patients by disease symptoms in Ilam province, Iran.MethodsThis was a cross-sectional study. Data were collected from integrated health system records for all hospitals affiliated with the Ilam University of Medical Sciences between 26-Jan-2020 and 02-May-2020. All patients with a confirmed positive test were included in this study. Descriptive analyses, chi-square test, and binary logistic regression model were performed by using SPSS version 22.ResultsThe mean age of participants was 46.47 ± 18.24 years. Of the 3608 patients, 3477 (96.1%) were discharged, and 129 (3.9%) died. 54.2% of the patients were male and were in the age group of 30–40 years. Cough, sore throat, shortness of breath or difficulty breathing, and fever or chills were the most common symptoms. Patients with symptoms of shortness of breath, abnormal radiographic findings of the chest, and chest pain and pressure were relatively more likely to die. According to binary logistic regression results, the probability of death in patients with shortness of breath, abnormal chest radiographic findings, and chest pain was 1.34, 1.24, and 1.32 times higher, respectively, than for those without.ConclusionOur study provides evidence that the presentation of some symptoms significantly impacts outcomes of patients infected with SARS-CoV-2. Early detection of symptoms and proper management of outcomes can reduce mortality in patients with COVID-19.
Highlights
Novel coronavirus disease-19 (COVID-19) was declared as a global pandemic in 2020
Given that epidemiological characteristics of patients in a particular region can be different from other parts of the world, knowledge of these epidemiological and clinical characteristics can be helpful to local authorities to provide the necessary facilities and take measures to control the spread of the disease [9–11]
All suspected individuals who were referred to the hospitals with a confirmed test, and their information were registered in integrated health system records of Iran entitled “SIB” and related to Ilam province, between 26-Jan-2020 and 02-May-2020 were included in our study
Summary
Novel coronavirus disease-19 (COVID-19) was declared as a global pandemic in 2020. This study aimed to evaluate clinical outcomes of COVID-19 patients by disease symptoms in Ilam province, Iran. To date (18.08.2021), according to statistics, Iran ranks 14th in terms of the number of cases and 9th globally in terms of the number of deaths [5]. Considering the specific features of this disease and its rapid expansion globally, especially in Iran, identifying the epidemiological characteristics of patients and their clinical features is highly important to health planners and policymakers to make effective decisions to control or prevent the epidemic [6]. This study, aimed to evaluate the disease outcomes in COVID-19 infected patients by disease symptoms in Ilam province, west of Iran
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