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Published on: November 10, 2023
Exploring factors influencing COVID-19 severity: a matched case-control study.
G H Mansouri1, F Darjiyani, F Karami Robati
1Department of Obstetrics and Gynecology, Kerman University of Medical Sciences, Afzalipour Hospital, School of Medicine, Kerman, Iran. Ibrahim.Alkatout@uksh.de.
Comorbidities, age over 30, and non-pregnancy significantly increase the risk of severe COVID-19 in women. Lack of insurance and urban residence also contribute to disease severity, highlighting the need for targeted interventions.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- COVID-19 (Coronavirus Disease 2019) poses a significant global health challenge.
- Data on COVID-19 severity in pregnant women is limited.
- Understanding risk factors is crucial for epidemic preparedness.
Purpose of the Study:
- To evaluate factors influencing COVID-19 severity in hospitalized women.
- To identify predictors of moderate-to-severe illness in a female patient cohort.
- To inform strategies for managing future epidemics.
Main Methods:
- Retrospective matched case-control study.
- Inclusion of 130 female patients hospitalized with COVID-19 (65 severe/moderate, 65 mild).
- Univariate and multivariable conditional logistic regression analysis.
Main Results:
- Key predictors of severe COVID-19 included comorbidities (OR=7.8), age over 30, urban residence, lack of insurance, and non-pregnancy.
- Comorbidities were the strongest predictor of severe disease.
- Pregnancy status was also a significant factor.
Conclusions:
- Age, urban residency, insurance status, comorbidities, and pregnancy influence COVID-19 severity in women.
- Comorbidities represent the most significant risk factor for severe illness.
- Findings emphasize the need for targeted interventions for vulnerable women.
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