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Asmarian, Naeimehossadat, Zand, Farid, Delavari, Parvin, Khaloo, Vahid, Esmaeilinezhad, Zahra, Sabetian, Golnar, Moeini, Yaldasadat, Savaie, Mohsen, Javaherforooshzadeh, Fatemeh, Soltani, Farhad, Yousefi, Farid, Heidari Sardabi, Ebrahim, Haddadzadeh Shoushtari, Maryam, Dehnadi Moghadam, Anoush, Dehnadi Moghadam, Fatemeh, Gholami, Somayeh. (1401). Predictors of Intensive Care Unit Admission in Patients with Confirmed Coronavirus Disease 2019: A Cross-Sectional Study. سامانه مدیریت نشریات علمی, 47(5), 450-460. doi: 10.30476/ijms.2021.89916.2068
Naeimehossadat Asmarian; Farid Zand; Parvin Delavari; Vahid Khaloo; Zahra Esmaeilinezhad; Golnar Sabetian; Yaldasadat Moeini; Mohsen Savaie; Fatemeh Javaherforooshzadeh; Farhad Soltani; Farid Yousefi; Ebrahim Heidari Sardabi; Maryam Haddadzadeh Shoushtari; Anoush Dehnadi Moghadam; Fatemeh Dehnadi Moghadam; Somayeh Gholami. "Predictors of Intensive Care Unit Admission in Patients with Confirmed Coronavirus Disease 2019: A Cross-Sectional Study". سامانه مدیریت نشریات علمی, 47, 5, 1401, 450-460. doi: 10.30476/ijms.2021.89916.2068
Asmarian, Naeimehossadat, Zand, Farid, Delavari, Parvin, Khaloo, Vahid, Esmaeilinezhad, Zahra, Sabetian, Golnar, Moeini, Yaldasadat, Savaie, Mohsen, Javaherforooshzadeh, Fatemeh, Soltani, Farhad, Yousefi, Farid, Heidari Sardabi, Ebrahim, Haddadzadeh Shoushtari, Maryam, Dehnadi Moghadam, Anoush, Dehnadi Moghadam, Fatemeh, Gholami, Somayeh. (1401). 'Predictors of Intensive Care Unit Admission in Patients with Confirmed Coronavirus Disease 2019: A Cross-Sectional Study', سامانه مدیریت نشریات علمی, 47(5), pp. 450-460. doi: 10.30476/ijms.2021.89916.2068
Asmarian, Naeimehossadat, Zand, Farid, Delavari, Parvin, Khaloo, Vahid, Esmaeilinezhad, Zahra, Sabetian, Golnar, Moeini, Yaldasadat, Savaie, Mohsen, Javaherforooshzadeh, Fatemeh, Soltani, Farhad, Yousefi, Farid, Heidari Sardabi, Ebrahim, Haddadzadeh Shoushtari, Maryam, Dehnadi Moghadam, Anoush, Dehnadi Moghadam, Fatemeh, Gholami, Somayeh. Predictors of Intensive Care Unit Admission in Patients with Confirmed Coronavirus Disease 2019: A Cross-Sectional Study. سامانه مدیریت نشریات علمی, 1401; 47(5): 450-460. doi: 10.30476/ijms.2021.89916.2068

Predictors of Intensive Care Unit Admission in Patients with Confirmed Coronavirus Disease 2019: A Cross-Sectional Study

Iranian Journal of Medical Sciences
مقاله 7، دوره 47، شماره 5، آذر 2022، صفحه 450-460    اصل مقاله (281.83 K)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2021.89916.2068
نویسندگان
Naeimehossadat Asmarian1؛ Farid Zand1؛ Parvin Delavari2؛ Vahid Khaloo3؛ Zahra Esmaeilinezhad1؛ Golnar Sabetian4؛ Yaldasadat Moeini1؛ Mohsen Savaie* 5؛ Fatemeh Javaherforooshzadeh5؛ Farhad Soltani5؛ Farid Yousefi6؛ Ebrahim Heidari Sardabi7؛ Maryam Haddadzadeh Shoushtari8؛ Anoush Dehnadi Moghadam9؛ Fatemeh Dehnadi Moghadam10؛ Somayeh Gholami11
1Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2Nursing Care Research Center, School of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
3Hazrate Ali-Asghar Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
4Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
5Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
6Infectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
7Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
8Air Pollution and Respiratory Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
9Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
10Aachen Faculty of Medicine, Aachen, North Rhine-Westphalia, Germany
11Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran
چکیده
Background: The coronavirus disease 2019 (COVID-19) has become the leading source of pneumonia outbreaks in the world. The present study aimed to compare the condition of intensive care unit (ICU) and non-ICU COVID-19 patients in terms of epidemiological and clinical features, laboratory findings, and outcomes in three cities across Iran.
Methods: In a cross-sectional study, 195 COVID-19 patients admitted to five hospitals across Iran during March-April 2020 were recruited. Collected information included demographic data, laboratory findings, symptoms, medical history, and outcomes. Data were analyzed using SPSS software with t test or Mann-Whitney U test (continuous data) and Chi square test or Fisher’s exact test (categorical variables). P<0.05 was considered statistically significant.
Results: Of the 195 patients, 57.4% were men, and 67.7% had at least one comorbidity. The prevalence of stroke, chronic obstructive pulmonary disease, and autoimmune diseases was higher in ICU than in non-ICU patients (P=0.042, P=0.020, and P=0.002, respectively). Compared with non-ICU, ICU patients had significantly higher white blood cell (WBC) count (P=0.008), cardiac troponin concentrations (P=0.040), lactate dehydrogenase levels (P=0.027), erythrocyte sedimentation rates (P=0.008), and blood urea nitrogen (BUN) (P=0.029), but lower hematocrit levels (P=0.001). The mortality rate in ICU and non-ICU patients was 48.1% and 6.1%, respectively. The risk factors for mortality included age>40 years, body mass index<18 Kg/m2, hypertension, coronary artery disease, fever, cough, dyspnea, ST-segment changes, pericardial effusion, and a surge in WBC and C-reactive protein, aspartate aminotransferase, and BUN. 
Conclusion: A high index of suspicion for ICU admission should be maintained in patients with positive clinical and laboratory predictive factors.
کلیدواژه‌ها
COVID-19؛ SARS-CoV-2؛ Dyspnea؛ Pneumonia؛ Intensive care unit
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