The epidemiology and treatment outcomes of COVID‐19 patients admitted to an intensive care unit in an Iranian hospital in Neyshabur city

Author:

Yazdanpanah Farzaneh1ORCID,Jackson Alun C.234ORCID,Sanaie Neda5ORCID,Sharifi Farshad6ORCID,Shamshirgaran Seyed Morteza7ORCID,Bahramnezhad Fatemeh8ORCID

Affiliation:

1. Department of Critical Care Nursing, School of Nursing and Midwifery Tehran University of Medical Sciences Tehran Iran

2. Australian Centre for Heart Health Melbourne Australia

3. Faculty of Health Deakin University Geelong Australia

4. Centre on Behavioural Health Hong Kong University Hong Kong China

5. Department of Medical Surgical Nursing, School of Nursing and Midwifery Shahid Beheshti University of Medical Sciences Tehran Iran

6. Elderly Health Research Center, Endocrine Population Sciences Institute, Endocrinology and Metabolism Research Institute Tehran University of Medical Sciences Tehran Iran

7. Department of Epidemiology and Statistics Faculty of Health Sciences Neyshabur University of Medical Sciences Neyshabur Iran

8. Department of Critical Care Nursing, School of Nursing & Midwifery, Nursing and Midwifery Care Research Center Tehran University of Medical Sciences Tehran Iran

Abstract

AbstractBackground and AimsThe COVID‐19 pandemic and the infection of numerous individuals from diverse societies have emerged as major global challenges. Given the limited resources in intensive care units, effective bed management and resource allocation require a deep understanding of the disease. This study aimed to assess the epidemiology and treatment outcomes of COVID‐19 patients admitted to an intensive care unit in an Iranian hospital in Neyshabur city.MethodsThis cross‐sectional study was conducted on COVID‐19 patients hospitalized in intensive care units in Razavi Khorasan, Iran in 2021. Census sampling was used to include all intensive care units. Of the initial 480 cases, 54 cases were excluded based on the exclusion criteria, leaving 426 cases for the study. Data were collected with the help of a data collection form that was designed by the researcher and its content validity and reliability were measured with Cronbach's alpha coefficient (α = 89%.). Data were analyzed with SPSS version 20 software. Descriptive and inferential statistics were used to analyze the data. Mean, standard deviation, and interquartile range indicators were used for descriptive statistics, and absolute frequency and relative frequency (percentage) were used to show numbers and ratios.ResultsThe mean (SD) age of the patients was 66.33 (15.05) years, and 49.3% were female. The results showed that arterial blood oxygen saturation, respiratory rate, and Alzheimer's disease were significant variables for predicting mortality. Furthermore, arterial blood oxygen saturation, respiratory rate, and the need for transfusion of blood products were significant variables in predicting hospitalization and the risk of acute respiratory distress syndrome (ARDS).ConclusionThis study demonstrated that arterial blood oxygen saturation, respiratory rate, and Alzheimer's disease are crucial variables for predicting death. Furthermore, arterial blood oxygen saturation and respiratory rate are significant factors in predicting the risk of ARDS.

Publisher

Wiley

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