An Observational Study on the Management of COVID-19 Patients in Limited-Resource Hospitals
作者机构：Department of Clinical PharmacyTeaching Hospital of Faculty of MedicineFaculty of MedicineBeni-Suef UniversityBeni-Suet Egypt Department of Clinical PharmacyFaculty of PharmacyNahda University(NUB)Egypt Internal Medicine DepartmentFaculty of MedicineBeni-Suef UniversityBeni-Suef Egypt Department of Microbiology and ImmunologyFaculty of PharmacyBeni-Suef UniversityBeni-Suef Egypt Department of Clinical and Chemical PathologyFaculty of MedicineBeni-Suef UniversityBeni-SuefEgypt Department of Pediatric MedicineMinistry of HealthBeni-Sueft Egypt Ministry of HealthBeni-SuefEgypt Department of General SurgeryMinistry of HealthBeni-Suefi Egypt Faculty of AgricultureFayoum University Egypt Clinical Pharmacy DepartmentFaculty of Pharmacy Beni-Suef UniversityBeni-Suef Egypt
出 版 物：《Journal of Clinical and Nursing Research》 (临床护理研究（英文）)
年 卷 期：2022年第6卷第3期
页 面：43-53页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：COVID-19 Limited-resource hospitals COVID-19 laboratory tests Comorbidities
摘 要：Background:The purpose of this study was to evaluate the effectiveness of limited-resource hospitals in managing mild and moderate hospitalized cases of COVID-19 with comorbidities and in preventing their progression to severe ***:Data were obtained from 88 moderate COVID-19 patients with comorbidities who were admitted to limitedresource *** data were classified into several parts:comorbidities,chronic medication before hospital admission,symptoms of COVID-19 before and during hospitalization,clinical features,laboratory findings on hospital admission,complications during hospitalization,as well as worst laboratory values during hospitalization,hospital stay,and *** clinical features,laboratory results,type of oxygen therapy used,and the final treatment outcome were all evaluated to assess for any potential ***:All patients were alive upon *** admission,the majority of patients(60.2%)received COVID-19 treatment,and the average hospital stay was 12 *** most common symptoms were fever(88.7%),cough(95.5%),shortness of breath(90.9%),myalgia(84.1%),confusion(63.6%),headache(62.5%),sore throat(88.7%),rhinorrhea(17%),chest pain(58%),diarrhea(19.3%),nausea and vomiting(38.6%),anosmia(62.5%),as well as dysgeusia(64.8%).Based on chest radiograph or computed tomography(CT)scan,9.1%of the patients had unilateral pneumonia,90.9% had bilateral pneumonia,and 96.6% had multiple mottling and ground-glass *** was found associated with a significant increase in headache(p=0.005),rhinorrhea(p=0.013),chest pain(p=0.007),and the need for positive airway pressure(p=0.008).Between pre-and post-hospital admissions,there was a significant increase in lactate dehydrogenase and ferritin but a decrease in platelet,D-dimer,hemoglobin,lymphocytes,neutrophils,and total leucocyte count(p0.001).There was a significant association between hospital stay and D-dimer level(p=0.05).Conclusion:Limited-resource hospitals in Egypt w
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