Volume 9, Issue 4 (12-2021)
Jorjani Biomed J 2021, 9(4): 13-21 |
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monfared A, moghadamnia M T, Karkhah S, maroufizadeh S, Asadian Rad M, kheirkhah J et al . A Survey for Predictors of Mortality among COVID-19 Patients: A Retrospective Study from Iran. Jorjani Biomed J 2021; 9 (4) :13-21
URL: http://goums.ac.ir/jorjanijournal/article-1-850-en.html
URL: http://goums.ac.ir/jorjanijournal/article-1-850-en.html
Arezoo Monfared1 
, Mohammad taghi Moghadamnia2 , Samad Karkhah3 , Saman Maroufizadeh4 , Mohammad Asadian Rad5 , Jalal Kheirkhah5 , Fatemeh Jafaraghayee 6
, Mohammad taghi Moghadamnia2 , Samad Karkhah3 , Saman Maroufizadeh4 , Mohammad Asadian Rad5 , Jalal Kheirkhah5 , Fatemeh Jafaraghayee 6
1- PhD Candidate, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
2- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
3- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran/Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran/Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran
4- Department of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
5- Department of Cardiovascular Medicine, Heshmat Heart Hospital, Guilan University of Medical Sciences, Guilan, Iran
6- Associate Professor, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran ,fja_a80@yahoo.com
2- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
3- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran/Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran/Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran
4- Department of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
5- Department of Cardiovascular Medicine, Heshmat Heart Hospital, Guilan University of Medical Sciences, Guilan, Iran
6- Associate Professor, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran ,
Abstract: (7225 Views)
Background and Objective: In the current COVID-19 pandemic, disease diagnosis is essential for optimal management and timely isolation of infected cases in order to prevent further spread. The aim of this study is to assess of predictors of mortality among COVID-19 patients.
Material and Methods: In a retrospective study, 522 COVID-19 patients were enrolled in Razi hospital, Guilan Province, Iran. This hospital was the main center for the treatment of COVID-19 patients in Guilan province. Data gathering was performed by census sampling from March to August 2020. Simple and Multiple logistic regression analysis was applied to assess the relationships of clinical and demographic characteristics with in-hospital mortality.
Results: Multiple logistic regression showed that older age (aOR=1.04, 95%CI: 1.02 to 1.06, P<0.001), decreased O2 saturation (aOR=0.89, 95%CI: 0.86 to 0.92, P<0.001), having a dysrhythmia (aOR=2.97, 95%CI: 1.46 to 6.05, P=0.003), symptoms associated with heart failure (aOR=0.43, 95%CI: 0.18 to 0.99, P=0.048), and mixed drug antiviruses (aOR=2.44, 95%CI: 1.22 to 4.90, P=0.012) were mortality predictor variables among COVID-19 patients.
Conclusion: Therefore, special attention should be paid to the factors influencing the mortality of COVID-19 patients. It is recommended that older patients, dysrhythmia, and symptoms associated with heart failure be treated with extreme caution.
Material and Methods: In a retrospective study, 522 COVID-19 patients were enrolled in Razi hospital, Guilan Province, Iran. This hospital was the main center for the treatment of COVID-19 patients in Guilan province. Data gathering was performed by census sampling from March to August 2020. Simple and Multiple logistic regression analysis was applied to assess the relationships of clinical and demographic characteristics with in-hospital mortality.
Results: Multiple logistic regression showed that older age (aOR=1.04, 95%CI: 1.02 to 1.06, P<0.001), decreased O2 saturation (aOR=0.89, 95%CI: 0.86 to 0.92, P<0.001), having a dysrhythmia (aOR=2.97, 95%CI: 1.46 to 6.05, P=0.003), symptoms associated with heart failure (aOR=0.43, 95%CI: 0.18 to 0.99, P=0.048), and mixed drug antiviruses (aOR=2.44, 95%CI: 1.22 to 4.90, P=0.012) were mortality predictor variables among COVID-19 patients.
Conclusion: Therefore, special attention should be paid to the factors influencing the mortality of COVID-19 patients. It is recommended that older patients, dysrhythmia, and symptoms associated with heart failure be treated with extreme caution.
Type of Article: Original article |
Subject:
General medicine
Received: 2021/08/14 | Accepted: 2021/11/6 | Published: 2021/12/28
Received: 2021/08/14 | Accepted: 2021/11/6 | Published: 2021/12/28
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