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Evaluation of patients with COVID-19 diagnosis for chronic diseases
Murat Altuntas1, Habip Yilmaz2, Abdullah Emre Guner2
1University of Health Sciences Bagcilar Training and Research Hospital, Istanbul, Turkey. murataltuntas@yahoo.com.
Insights
This study identified common chronic diseases in hospitalized COVID-19 patients, finding hypertension and diabetes were most prevalent. These findings highlight the importance of managing chronic conditions during the pandemic.
Area of Science:
- Medical Research
- Infectious Diseases
- Epidemiology
Background:
- Chronic diseases significantly increase COVID-19 case fatality rates.
- Identifying comorbidities in COVID-19 patients is crucial for understanding disease severity.
- The COVID-19 pandemic has underscored the global burden of chronic diseases.
Purpose of the Study:
- To detect coexisting chronic diseases in patients hospitalized with COVID-19.
- To evaluate the prevalence of common chronic conditions among severe COVID-19 cases.
- To analyze the impact of comorbidities on COVID-19 patient outcomes.
Main Methods:
- Retrospective analysis of 229 intensive care unit patients diagnosed with COVID-19.
- Data collected from June 1st to June 30th, 2020, via hospital automation systems.
- Statistical analysis using SPSS version 24.0, including literature review on chronic disease effects.
Main Results:
- The average age of patients was 61.4 years, with an average symptom duration of 8.2 days.
- Hypertension (47.2%), diabetes mellitus (32.8%), and heart disease (27.5%) were the most common chronic diseases.
- Common symptoms included cough (59.4%), fever (58.5%), and shortness of breath (45.9%); key biochemical markers were also noted.
Conclusions:
- Elderly COVID-19 patients with chronic diseases like diabetes mellitus (DM) and hypertension (HT) require special attention.
- Comorbidities are significant factors influencing the severity and outcomes of COVID-19.
- Effective management of chronic diseases is vital in mitigating COVID-19's impact.
Aim:
COVID-19 is one of the most consequential pandemic in world history. Chronic diseases, which are risk factors that increase the case fatality rates, have been the leading cause of death all over the world. This study was aimed at detecting coexisting chronic diseases in patients hospitalized with a diagnosis of COVID-19.
Material And Method:
The study was carried out with data from 229 patients in an intensive care unit, from June 1st through June 30th. 2020. The inclusion criteria of the study was as follows: (1) having a COVID-19 diagnosis confirmed by PCR test; (2) being hospitalized in the relevant intensive care unit within the dates of the study; and (3) having their data accessible through the hospital automation system. Through literature; chronic diseases of the patients and their effects on the COVID-19 process were evaluated. Statistical analyzes were performed using the Statistical Package for Social Sciences (SPSS) version 24.0 (IBM Corp.; Armonk, NY, USA).
Results:
The average age of the patients studied were 61.4 years. While the average symptom duration was 8.2 days; total hospitalization period was 13.1 days. The average length of stay of patients (n = 75) who were sent to intensive care unit was 10.1. The most common chronic disease among patients was hypertension with 47.2%. This was followed by diabetes mellitus (32.8%) and heart disease (27.5%), respectively. In the population studied, cough (59.4%), fever (58.5%) and shortness of breath (45.9%) were found to be the most common symptoms. Leukopenia, impairments in liver and muscle enzymes, abnormal C-reactive protein, ferritin and d-dimer levels were the important biochemical tests.
Conclusion:
Particular attention should be paid to the elderly COVID-19 patients with chronic diseases, especially DM, HT and cancer.
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