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Characteristics of Hospitalized COVID-19 Patients in a Major Referral Center in Shiraz, Iran
Razieh Dowran1,2, Fahime Edalat3, Majid Fardi3
1Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Insights
This study analyzed 311 COVID-19 patients in Shiraz, Iran, finding that older age and underlying conditions like hypertension increased critical illness risk. Of the patients, 12.5% died, highlighting the severe impact of novel Coronavirus Disease 2019.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- The novel Coronavirus Disease 2019 (COVID-19) pandemic has impacted countries globally, including Iran.
- Shiraz, Southern Iran, experienced a significant number of COVID-19 hospitalizations.
Purpose of the Study:
- To comprehensively report on the demographic, clinical, and paraclinical features of hospitalized COVID-19 patients in Shiraz, Iran.
- To identify risk factors associated with severe COVID-19 illness and mortality.
Main Methods:
- Retrospective analysis of 311 hospitalized COVID-19 patients.
- Data collected included patient demographics, clinical symptoms, and laboratory findings (paraclinical features).
Main Results:
- Median patient age was 58 years; 42.1% were over 60.
- Shortness of breath (66.2%), dry cough (53.7%), and muscle pain (40.5%) were common symptoms.
- 75.6% had underlying conditions; 12.5% of patients died.
Conclusions:
- Non-critically ill patients were younger than critically ill patients.
- Risk factors for critical illness included surgery, hypertension, diabetes mellitus, chronic heart disease, asthma, and chronic renal disease.
Background:
Several countries, including Iran, have been affected by the novel Coronavirus Disease 2019 (COVID-19) pandemic since December 2019. The aim of this study was to provide a comprehensive report on COVID-19 patients in Shiraz, Southern Iran.
Materials And Methods:
This study was performed on 311 hospitalized patients with COVID-19. The data on demographic, clinical, and paraclinical features were analyzed.
Results:
The median age of the patients was 58 years, with 42.1% of the patients being above 60 years of age. Upon admission, fever was detected in 28.2% of critically ill patients. At least one underlying disease or risk factor was also present in 75.6% of the patients. Shortness of breath was the most common clinical symptom (66.2%), dry cough (53.7%), and muscle pain (40.5%) was the second and third. Sneezing (0.3%), rhinorrhea (0.7%), and sore throat (3.09%) were observed only in non-critically ill patients. In addition, 26.9% of all patients had lymphocytopenia, 25.8% had raised C-reactive protein, and 79.9% had abnormal creatinine levels. Finally, death occurred in 39 patients (12.5%).
Conclusions:
Noncritically ill patients were younger than critically ill patients. The most common risk factors for getting critically ill were surgery, hypertension, diabetes mellitus, chronic heart disease, asthma, and chronic renal disease.
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