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‎Clinical and laboratory predictors of disease severity and outcome in ‎COVID 19 infected patients in Suez Canal University Hospital, single ‎center study from Egypt

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Infectious diseases

Abstract

Background: The novel corona virus is a high contagious disease, declared by World Health Organization (WHO) as a global pandemic in 2020 with profound impact on morbidity and mortality, assessment of outcomes in infected patients and knowledge of prediction of mortality and morbidity are important. We aimed to assess the clinical and laboratory findings in predicting COVID-19 severity and outcome in patients admitted to Suez Canal University Teaching Hospital.‎ Methodology: This cross-sectional prospective study included 500 confirmed PCR COVID-19 infected patients, selected through random sampling. A structured checklist was used to collect patient data.‎ Results: Mean age was 61.8 years, 56.2% were males, 74.8% had comorbidities. Lung involvement was evident in more than 75% on CT, 17.2% had leukopenia, 42.2% had lymphocytopenia between 5 – 10% and 93% of the patients had elevated neutrophil- lymphocyte ratio. 65.8% had elevated D-dimer, and elevated liver and kidney functions were found in 40.6% and 25% respectively. The mortality rate in studied population was 30.2% and it was significantly associated with old age, hypoxemia, having high involvement of the lungs on CT. Decreased WBC count, high D-dimer level and high NLR associated with severity and increased death rate of the disease.‎ Conclusion: The study revealed many findings with impact on the patient's severity and outcome old age, laboratory findings, CT imaging and need to antiviral therapy the most predicting factors of the severity and prognosis of the patients.

DOI

10.21608/mid.2023.184185.1441

Keywords

COVID-19, predictors, severity, Outcome, Egypt‎

Authors

First Name

kholoud

Last Name

Awd

MiddleName

-

Affiliation

Infection and endemic disease department, faculty of medicine, Suez Canal University, Ismailia, Egypt

Email

kholoodsleem94@gmail.com

City

ismailia

Orcid

-

First Name

Nader

Last Name

Elnemr

MiddleName

-

Affiliation

Infection and endemic disease department, faculty of medicine, Suez Canal University, Ismailia, Egypt

Email

nadernemr@med.suez.edu.eg

City

ISMAILIA

Orcid

-

First Name

Mohamed

Last Name

Aboelmagd

MiddleName

Ahmed

Affiliation

Infection and endemic disease department, faculty of medicine, Suez Canal University, Ismailia, Egypt

Email

aboelmagd_tm@yahoo.com

City

Ismailia

Orcid

0000-0002-0466-8628

First Name

Mohamed

Last Name

Eida

MiddleName

Mohamed

Affiliation

Infection and endemic disease department, faculty of medicine, Suez Canal University, Ismailia, Egypt

Email

eidamohamed17@gmail.com

City

Ismailia

Orcid

-

First Name

Fadia

Last Name

Attia

MiddleName

Mostafa

Affiliation

Clinical Pathology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

fadiamostafa@gmail.com

City

ismailia

Orcid

-

First Name

Bassam

Last Name

Salama

MiddleName

Mansour

Affiliation

Infection and endemic disease department, faculty of medicine, Suez Canal University, Ismailia, Egypt

Email

bassammansour99@yahoo.com

City

sharkia

Orcid

0000-0001-7073-4040

Volume

4

Article Issue

2

Related Issue

40831

Issue Date

2023-05-01

Receive Date

2022-12-29

Publish Date

2023-05-01

Page Start

370

Page End

382

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_284029.html

Detail API

https://mid.journals.ekb.eg/service?article_code=284029

Order

5

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

‎Clinical and laboratory predictors of disease severity and outcome in ‎COVID 19 infected patients in Suez Canal University Hospital, single ‎center study from Egypt

Details

Type

Article

Created At

25 Dec 2024