Volume 17, Issue 3 (Vol 17,No.3, Atumn 2021 2021)
irje 2021, 17(3): 224-235 |
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Hashemi S, Holakoui-Naeini K, Mansournia M, Akrami R, Nomali M, Valadbeigi T, et al . Mortality Risk Factors in Patients with COVID-19 Infection: A Case-Control Study in Northeast of Iran. irje 2021; 17 (3) :224-235
URL: http://irje.tums.ac.ir/article-1-7032-en.html
URL: http://irje.tums.ac.ir/article-1-7032-en.html
SA Hashemi1 
, K Holakoui-Naeini2 , MA Mansournia3 , R Akrami4 , M Nomali5 , T Valadbeigi5 , V Mennati5 , HA Adineh6 , MR Taghavi1 , M Ghafouri1 , S Poorbarat7 , A Hoseinzadeh7 , M Farahdel8 , MR Armat9 , M Haresabadi * 10
, K Holakoui-Naeini2 , MA Mansournia3 , R Akrami4 , M Nomali5 , T Valadbeigi5 , V Mennati5 , HA Adineh6 , MR Taghavi1 , M Ghafouri1 , S Poorbarat7 , A Hoseinzadeh7 , M Farahdel8 , MR Armat9 , M Haresabadi * 10
1- Assistant Professor of Infectious Disease, Department of Infectious Diseases, School of Medicine, North KhorasanUniversity of Medical Sciences, Bojnurd, Iran
2- PhD Professor, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- Assistant Professor of Epidemilology, Department of Epidemiology, School of Public Health, Tehran University of Medical Sciences,Tehran, Iran
4- - MSc of Epidemiology, Department of Epidemiology & Biostatistics, School of Public Health, Sabzevar University of Medical Sciences, Sabzevar, Iran;PhD Student of Epidemiology, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
5- PhD Student of Epidemiology, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
6- Epidemiologist, Iranshhar University of Medical Sciences, Iranshahr, Iran;PhD Student of Epidemiology, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
7- Student Research Committee, North Khorasan University of Medical Sciences, Bojnurd, Iran
8- MSc in Critical Care nursing, Imam Hassan Hospital, North Khorasan University of Medical Sciences, Bojnurd, Iran
9- Assistant Professor of Nursing, School of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran
10- Instructor of Community Health Nursing, Department of Nursing, School of Nursing and, North Khorasan University of Medical Sciences, Bojnurd, Iran; PhD Student of Epidemiology, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
2- PhD Professor, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- Assistant Professor of Epidemilology, Department of Epidemiology, School of Public Health, Tehran University of Medical Sciences,Tehran, Iran
4- - MSc of Epidemiology, Department of Epidemiology & Biostatistics, School of Public Health, Sabzevar University of Medical Sciences, Sabzevar, Iran;PhD Student of Epidemiology, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
5- PhD Student of Epidemiology, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
6- Epidemiologist, Iranshhar University of Medical Sciences, Iranshahr, Iran;PhD Student of Epidemiology, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
7- Student Research Committee, North Khorasan University of Medical Sciences, Bojnurd, Iran
8- MSc in Critical Care nursing, Imam Hassan Hospital, North Khorasan University of Medical Sciences, Bojnurd, Iran
9- Assistant Professor of Nursing, School of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran
10- Instructor of Community Health Nursing, Department of Nursing, School of Nursing and, North Khorasan University of Medical Sciences, Bojnurd, Iran; PhD Student of Epidemiology, Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (2652 Views)
Background and Objectives: COVID-19 is a new disease and little information is available on its risk factors. The aim of this study was to determine the mortality risk factors in patients with COVID-19 in the northeast of Iran.
Materials and Methods: A case-control study was conducted. Patients of both sexes with a confirmed diagnosis of Covid-19 infection who died during the study were studied as the case group and patients who were in good general health and ready for discharge were studied as the control group. Data analysis was performed with the STATA software version 14 using descriptive statistics and univariate and multiple logistic regression tests.
Results: Six hundred and eleven patients were studied (27% cases and 73% controls). Multiple logistic regression analysis showed that the odds of death were 2.8 times higher in patients over 80 years compared to patients aged 50-60 years. In addition, age under 40 years reduced the odds of mortality by 85% and living in rural areas increased odds of death by 2.2 times. Cough, general fatigue, pain, nausea and vomiting increased the odds of COVID19 survival.
Conclusion: The odds of mortality were higher in elder patients with COVID-19. In addition, living in rural areas increased the odds of mortality in patients. Cough and fatigue reduced mortality; however, it is needed to address other hidden factors for sound judgment.
Materials and Methods: A case-control study was conducted. Patients of both sexes with a confirmed diagnosis of Covid-19 infection who died during the study were studied as the case group and patients who were in good general health and ready for discharge were studied as the control group. Data analysis was performed with the STATA software version 14 using descriptive statistics and univariate and multiple logistic regression tests.
Results: Six hundred and eleven patients were studied (27% cases and 73% controls). Multiple logistic regression analysis showed that the odds of death were 2.8 times higher in patients over 80 years compared to patients aged 50-60 years. In addition, age under 40 years reduced the odds of mortality by 85% and living in rural areas increased odds of death by 2.2 times. Cough, general fatigue, pain, nausea and vomiting increased the odds of COVID19 survival.
Conclusion: The odds of mortality were higher in elder patients with COVID-19. In addition, living in rural areas increased the odds of mortality in patients. Cough and fatigue reduced mortality; however, it is needed to address other hidden factors for sound judgment.
Type of Study: Research |
Subject:
Epidemiology
Received: 2022/01/17 | Accepted: 2021/12/1 | Published: 2021/12/1
Received: 2022/01/17 | Accepted: 2021/12/1 | Published: 2021/12/1
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