Epidemiological and clinical risk factors related to severe COVID-19 in Iran: a multi-center study

Seyed Mohammad Hashemi-Shahri1, Seyed Mohammad Nasiraldin Tabatabaei2, Alireza Ansari-Moghaddam3

  • 1Research Center for Infectious Diseases and Tropical Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.

BMC Infectious Diseases
|February 24, 2022
PubMed

Insights

Older age, substance abuse, and underlying diseases significantly increase the risk of severe COVID-19. Understanding these factors is crucial for managing the pandemic, especially in resource-limited regions.

Area of Science:

  • Epidemiology
  • Clinical Medicine
  • Public Health

Background:

  • COVID-19 significantly impacted Iran early in the pandemic.
  • Identifying COVID-19 severity factors aids disease management.
  • This study focused on a less privileged region in Iran.

Purpose of the Study:

  • To investigate epidemiological and clinical features of COVID-19.
  • To identify factors associated with COVID-19 severity.
  • To inform disease management strategies in underserved areas.

Main Methods:

  • Multi-center study of patients admitted to Zahedan University of Medical Sciences hospitals (February-April 2020).
  • Extracted demographic, epidemiological, and clinical data from medical records.
  • Utilized bivariate and multivariate logistic regression to identify risk factors for severity.

Main Results:

  • Out of 413 patients, 35.10% presented with severe COVID-19.
  • Older age was associated with increased odds of severe disease (OR 2.27).
  • Substance abuse (OR 2.49) and multiple underlying diseases (OR 1.52-2.60) were significant risk factors for severity.

Conclusions:

  • COVID-19 severity is notably higher in older individuals, those with substance abuse history, and patients with comorbidities.
  • These findings are vital for optimizing clinical management of COVID-19.
  • Understanding risk factors is particularly important for resource-constrained settings.
Abstract

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