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Evaluation of Effectiveness of Para-clinical Findings of Patients with COVID-19 in the Diagnosis, Detection, Prognosis and Future Probably Epidemic or Pandemic of COVID-19
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H Bayatmanesh1   , M Malekzadeh2 , A Paymard3 , AK Ghadimi Moghadam AK4 , S Javdan Sirat5 , SH Kharamin6 |
1- Departments of Medical Surgical Nursing Management, Yasuj university of Medical Sciences, Yasuj, Iran,
2- Department of Health Psychology, Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
3- Departments of Intensive Care Nursing, Yasuj University of Medical Sciences, Yasuj, Iran
4- Department of Pediatrics, Yasuj University of Medical Sciences, Yasuj, Iran , dr_karim56@yahoo.com
5- Department of Infectious Diseases, Yasuj University of Medical Sciences, Yasuj, Iran
6- Department of Psychology, Yasuj University of Medical Sciences, Yasuj, Iran |
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Abstract: (1740 Views) |
Background & aim: The severity of COVID-19 and its high mortality rate have made this disease a critical health-threatening condition in the world, there is no definitive treatment for it, and most treatments are supportive. Therefore, the aim of the present study was to determine and investigate the impact of laboratory findings of patients with COVID-19 with a positive PCR test on the diagnosis, determination, prognosis, and future epidemics or pandemics of COVID-19 in the appointed hospital of Yasuj University of Medical Sciences.
Methods: In the present descriptive cross-sectional study conducted over a period of six months in 2020-2021, the required data on a total of 499 patients was gleaned from the HIS registration system and patients’ medical files who were hospitalized in the designated COVID-19 hospital of Yasuj University of Medical Sciences following a positive PCR test in 2019. The obtained information was analyzed with SPSS using descriptive statistics and inferential statistical tests at a significance level of p<0.01.
Results: Of the total 499 patients whose data were collected, 244 (48.9%) were male and 255 (51.1%) were female. The mean±SD of the age of the subjects was 50.7± 20.13 years. Besides, the majority of the participants (80.2%) were non-smokers. Cough, decreased olfaction, diminished gustation, dyspnea, fever, and lethargy were the most frequent clinical symptoms, respectively. Moreover, body temperature, respiratory rate, pulse rate, blood pressure, and arterial blood oxygen saturation changed from the standard values upward or downward. In laboratory findings, leucocytes, hemoglobin, platelets, lymphocytes, neutrophils, ESR, CRP, and BUN also had changes compared to standard levels, and the relationship of these changes with patient mortality was measured. Accordingly, the mortality rate of patients increased by 5% for every one year of age increase. Further, for every unit increase in lymphocyte variable, the survival rate increased by 7%.
Conclusion: The results of the present study provided useful information for the health team in examining and treating patients diagnosed with COVID-19 and as well as in preventing treatment-related complications and the disease itself during potential future epidemics and pandemics.
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| Keywords: Covid-19, Laboratory Finding, Clinical Symptoms, Risk factors, Prognostic. |
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Full-Text [PDF 583 kb]
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Type of Study: Research |
Subject:
Special
Received: 2025/01/12 | Accepted: 2025/07/8 | Published: 2025/10/19
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Bayatmanesh H, Malekzadeh M, Paymard A, Ghadimi Moghadam AK A, Javdan Sirat S, Kharamin S. Evaluation of Effectiveness of Para-clinical Findings of Patients with COVID-19 in the Diagnosis, Detection, Prognosis and Future Probably Epidemic or Pandemic of COVID-19. armaghanj 2025; 30 (5) :725-739 URL: http://armaghanj.yums.ac.ir/article-1-3751-en.html
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