Prevalence, Clinical Manifestation and Mortality Rate in COVID-19 Patients With Underlying Diseases

Background: The coronavirus disease 2019 (COVID-19) pandemic has caused patients with chronic diseases to face various challenges. The present qualitative study aimed to explore adherence to treatment in patients with coronary artery disease (CAD) during the COVID-19 pandemic. Methods: This qualitative content analysis was conducted from September 2020 to February 2021. Online in-depth interviews were conducted with 15 patients with CAD after discharge from Nemazi and Al-Zahra heart hospitals, Shiraz, Iran. Data management was done via MAXQDA 12 software using conventional content analysis based on the method proposed by Graneheim and Lundman. Results: The results revealed three main categories, nine subcategories, and 431 primary codes. The first category was ‘improved self-care in the shadow of COVID-19‘ (Improving self-care due to fear of COVID-19, ‘utilization of alternative strategies, and reinforcement of self-care beliefs). The second category was ‘redefinition of support systems’ (need for a support system, seeking for alternative support systems, and changes in social interactions). The last category was ‘barriers to treatment adherence’ (shortage of financial resources, need to adjust with working conditions, and mental conflicts). Conclusion: The results indicated that the COVID-19 threats encouraged the patients with CAD to adhere to their care principles. Nonetheless, the restrictions resulting from the pandemic caused problems in adherence to treatment. Thus, redefinition of the support systems in accordance with the present conditions are recommended.

show abstract

“… 6 In another study in Iran, the mortality rate of COVID-19 was 27.8% among the patients who suffered from CAD. 7 …”

Section: Introductionmentioning

confidence: 99%

Experience of adherence to treatment among patients with coronary artery disease during the COVID-19 pandemic: A qualitative study

Zahmatkeshan

Khademian

Zarshenas

et al. 2021

Health Promot Perspect

View full text Add to dashboard Cite

show abstract

“…All patients were divided into two groups based on their blood oxygen levels, of whom 53.7% had a level under 93%, while 46.3% had a level above 93%. 23 20 The findings of this study showed a significant relationship between the disease outcome with dizziness, impaired consciousness, and seizures. A higher percentage of patients with dizziness and headache recovered, while a higher rate of patients with consciousness disorders and seizures died.…”

Section: Resultsmentioning

confidence: 54%

“…Intubations were performed on 27% of all patients, and 21.9% died. All patients were divided into two groups based on their blood oxygen levels, of whom 53.7% had a level under 93%, while 46.3% had a level above 93% 23 . Ling et al (2020) evaluated 214 patients in China, of whom 88 (41.1%) were severe and 126 (58.9%) were nonsevere.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the frequency of neurological symptoms in COVID‐19 patients: A cross‐sectional study

Rasouli,

Emami,

Azadmehr

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

Background and Aims: Due to the recent emergence of COVID-19, the exact pathology of this disease has not been determined. Therefore, this study evaluated the frequency of neurological symptoms in patients with COVID-19.Methods: This cross-sectional study was conducted on 2200 in patients with COVID-19 who were selected from an educational hospital in Sanandaj, Iran, from April 2020 to March 2021. The research samples were selected by census, all patients with COVID-19 were admitted to the hospital. The data collection tool was a checklist of the studied variables (dizziness, headache, and impaired consciousness) prepared by the researchers based on the specialists' opinions. The researcher completed these checklists based on the patients' hospitalization records. The data were analyzed by descriptive and analytical statistical tests using SPSS Software Version 20. The quantitative variables were compared using the independent t-test.The χ 2 test was also used to compare qualitative variables. A p Value of less than 0.05 was considered statistically significant. Results:The mean age of the patients was 57.41 years old, of whom 53.1% were male. The average blood oxygen level of the patients was 88.10%, and most disease symptoms were related to shortness of breath and cough, with a frequency of 24.3%. In addition, 20.8% of patients needed hospitalization in intensive care unit.The highest frequency of central and peripheral nervous system manifestations was related to headache, ageusia (loss of sense of taste), hyposmia (A decreased sense of smell and anosmia (The complete loss of smell). Finally, 15.3% of patients died, and 84.7% recovered. The analytical findings showed a significant relationship between the disease outcome and patients' dizziness, consciousness disorder, seizure and ageusia. There was a significant relationship between gender and headache in patients. There was a significant difference between the mean age and oxygen level with central and peripheral nervous system manifestations (dizziness, headache, impaired consciousness, smell disorder) and the disease outcome in patients. Conclusion:The pathophysiology of COVID-19 virus infection involving the central nervous system is not fully understood. Neurological symptoms of this virus include delirium, headache, decreased level of consciousness, and seizures. Identifying the Health Sci. Rep.

show abstract

“…In other studies in Iran, the average age of patients who died with COVID-19 significantly increased after the start of the pandemic, which is in line with our aforementioned cases. [36][37][38] It has been reported…”

Section: Discussionmentioning

confidence: 99%

Demographic study of patients' mortality rate before and after the COVID‐19 outbreak: A cross‐sectional study

Kouchek,

Aghakhani,

Memarian

2024

Health Science Reports

View full text Add to dashboard Cite

Background and AimTo better guide the health policies, it is essential to clarify the socio‐demographic and clinical risk factors affecting the mortality rate of patients with coronavirus disease 2019 (COVID‐19).ObjectiveThe purpose of this project is to separate hospital mortality statistics into different groups, which will definitely help in planning to reduce the mortality rate. As well, we aimed to compare factors involved in COVID‐19 death between the period before and after its outbreak.MethodsThis cross‐sectional study was performed based on all death certificates of archived records in Rasool Akram Hospital during the years 2018 and the first half of 2019. A checklist was completed based on the variables, including death cases by time, gender, age, duration of hospitalization, department of place and time of death, cause of death, cases referred to forensic medicine, information of the patient, including educational and occupational level and birth certificate issuing city, neonatal death, and IUFD, classification of diseases according to the provided version of ICD 10 (international classification of diseases 10th edition).ResultsA number of 2632 deceased patients were included in this study, 1511 (57.4%) patients who died before the start of the COVID‐19 outbreak, and 1121 (42.6%) patients died in the hospital after the start of this pandemic. There were statistically significant differences in gender (higher prevalence of males), increased average age, lower occupational status, decreased number of infants, increased cause of death due to COVID‐19 and increased hospitalization in Royal ICU in dead patients (p < 0.05).ConclusionThe findings show that the elderly cases are more at risk of COVID‐19 mortality than other age groups, which needs more attention to this group of society and clarifies other epidemiological factors, as well as clinicopathological and public healthcare practices.

show abstract

Prevalence, Clinical Manifestation and Mortality Rate in COVID-19 Patients With Underlying Diseases

Cited by 6 publications

References 10 publications

Experience of adherence to treatment among patients with coronary artery disease during the COVID-19 pandemic: A qualitative study

Experience of adherence to treatment among patients with coronary artery disease during the COVID-19 pandemic: A qualitative study

Evaluating the frequency of neurological symptoms in COVID‐19 patients: A cross‐sectional study

Demographic study of patients' mortality rate before and after the COVID‐19 outbreak: A cross‐sectional study

Contact Info

Product

Resources

About