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Clinical and Descriptive Characteristics of COVID-19 Patients

Year 2021, Volume: 3 Issue: 3, 147 - 152, 15.12.2021
https://doi.org/10.48071/sbuhemsirelik.1003499

Abstract

Introduction: Identifying the clinical characteristics of COVID-19 patients and finding optimal treatment and care strategies to prevent disease progression is of great significance for reducing
mortality and the social impacts of the disease.
Aim: This research was conducted to determine the clinical and definitional characteristics of COVID-19 patients who were in a hospital.
Method: The sample of descriptive and retrospective study consisted of 127 patients diagnosed with COVID-19 and receiving treatment in the clinic. The data of the study were obtained from the files of the patients who were diagnosed with COVID-19 and hospitalized in the pandemic service and from the patient information in the hospital automation system (demographic characteristics of the patients, vital signs etc.). Descriptive figures, correlation analysis, and the Chi-square test were used in the analysis of the data.
Results: The average age of the patients included in the study sample is 63.14 ± 1.36, of whom 55.1% were women and 44.9 were men. The patients treated at the clinic 85.9% were diagnosed with fatigue, 52% with cough, 32.3% with taste change, 31.5% with dyspnea, 14.2% with nausea and 10.2% with vomiting. It was found that 11.8% of the patients included in the research were admitted to intensive care.
Conclusion: In this research, when the data of patients diagnosed with COVID-19 and inpatients were examined. It was determined that the most common symptom was fatigue and that patients of advanced age and male sex had a more intensive care unit admission level.

References

  • Alsofayan, Y.M., Althunayyan, S.M., Khan, A.A., Hakawi, A.M., & Assiri, A.M. (2020). Clinical characteristics of COVID-19 in Saudi Arabia. Journal of Infection and Public Health, 13(7), 920-925. doi: 10.1016/j.jiph.2020.05.026
  • Chen, N., Zhou, M., Dong, X., Ou, J., Gong, F., Han, Y., ... Zhang, L.(2020). Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China. A descriptive study. Lancet, 395(10223), 507-513. doi: 10.1016/S0140- 6736(20)30211-7
  • Graham, N.S.N., Junghans, C., Downes, R., Sendall, C., Lai, H., McKirdy,A., ... Sharp, D.J. (2020). SARS-CoV-2 infection, clinical features and outcome of COVID-19 in United Kingdom nursing homes. Journal of İnfection, 81(3), 411-419. doi: 10.1016/j.jinf.2020.05.073
  • Guan, W., Ni, Z., Hu, Y., Liang, W., Ou, C., He, J., ... Zhong, N. (2020). Clinical characteristics of coronavirus disease 2019 in China. The New England Journal of Medicine, 382(18), 1708–1720. doi: 10.1056/NEJMoa2002032
  • He, G., Sun, W., Fang, P., Huang, J., Gamber, M., Cai, J., & Wu, J.(2020). The clinical feature of silent infections of novel coronavirus infection in Wenzhou. Journal of Medical Virology, 92(10), 1761-1763. doi: 10.1002/jmv.25861
  • Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., ... Caot, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223), 497-506. doi: 10.1016/S0140- 6736(20)30183-5
  • Lechien, J.R., Chiesa-Estomba, C.M., Radulesco, T., Michel, J., Vaira, L.A., Le Bon, S.D., ... Saussez, S. (2021). Clinical features of patients who had two COVID-19 episodes: A European Multicentre Case Series. Journal of Internal Medicine, 290(2), 421-429. doi: 10.1111/ joim.13259
  • Li, J., Huang, D.Q., Zou, B., Yang, H., Hui, W.Z., Rui, F., ... Nguyen, M.H. (2021). Epidemiology of COVID-19: Asystematic review and metaanalysis of clinical characteristics, risk factors and outcomes. Journal of Medical Virology, 93(3), 1449-1458. doi: 10.1002/jmv.26424
  • Moein, S.T., Hashemian, S.M., Mansourafshar, B., Tousi, A.K., Tabarsi, P., Doty, R.L. (2020). Smell dysfunction: A biomarker for COVID-19. International Forum of Allergy & Rhinology, 10(8), 944-950. doi:10.1002/alr.22587
  • Mylona, E., Evangelia, M., Eleftheria. K., Vasilios, V., Vana, S., Vissaria, S.,... Ioannis, K. (2021). Clinical features and outcomes of hospitalized COVID-19 patients in a low burden region. Pathogens and Global Health, 115(4), 243-249. doi: 10.1080/20477724.2021.1893485
  • Singh, R., Kang, A., Luo, X., Jeyanathan, M., Gillgrass, A., Afkhami, S., & Xing, Z. (2021). COVID-19: Current knowledge in clinical features, immunological responses, and vaccine development. The FASEB Journal, 35(3), e21409. doi: 10.1096/fj.202002662R
  • Song, F., Shi, N., Shan, F., Zhang, Z., Shen, J., Lu, H., ... Shi, Y. (2020) Emerging 2019 novel coronovirus (2019-nCOV). Pneumonia. Radiology, 295(1), 210-218. doi: 10.1148/radiol.2020200274
  • Şener Cömert, S. (2020). COVID-19 olgusunun klinik özellikleri ve yaklaşım. Southern Clinics of Istanbul Eurasia, 31, 13-15. doi: 10.14744/scie.2020.73645
  • Türkiye Cumhuriyeti Sağlık Bakanlığı. (2020). Genel koronavirüs tablosu. Erişim adresi (05.03.2021): https://covid19.saglik.gov.tr/TR66935/genel-koronavirus-tablosu.html
  • Türkiye Cumhuriyeti Sağlık Bakanlığı. (2021). Günlük COVID-19 tablosu. Erişim adresi (19.10.2021): https://covid19.saglik.gov.tr/
  • Vetter, P., Vu, D.L., L’Huillier, A.G., Schibler, M., Kaiser, L., & Jacquerioz, F. (2020). Clinical features of Covid-19. BMJ, 17. doi: 10.1136/bmj.m1470
  • Wan, S., Xiang, Y., Fang, W., Zheng, Y., Li, B., Hu, Y., … Yang, R. (2020). Clinical features and treatment of COVID-19 patients in northeast Chongqing. Journal of Medical Virology, 92(7), 797-806. doi: 10.1002/jmv.25783
  • Wang, D., Hu, B., Hu, C., Zhu, F., Liu, X., Zhang, J., ... Peng, Z. (2020a). Clinical characteristics of 138 hospitalized patients with 2019 noval coronavirus-infected pneumonia in Wuhan, China. JAMA, 323(11), 1061-1069. doi: 10.1001/jama.2020.1585
  • Wang, R., Pan, M., Zhang, X., Han, M., Fan, X., Zhao, F., ... Shen, L. (2020b). Epidemiological and clinical features of 125 hospitalized patients with COVID-19 in Fuyang, Anhui, China. International Journal of Infectious Disease, 95, 421-428. doi: 10.1016/j.ijid.2020.03.070
  • Wang, W., Xu, Y., Gao, R., Lu, R., Han, K., Wu, G., & Tan, W. (2020c). Detection of SARS-CoV-2 in different types of clinical specimens. JAMA, 323(18), 1843–44. doi:10.1001/jama.2020.3786
  • World Health Organization (WHO). (2020). WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. Retrieved from (12.03.2021): https://www.who.int/directorgeneral/speeches/detail/who-director-general-s-opening-remarksat-the-media-briefing-on-covid-19---11-march-2020
  • World Health Organization (WHO). (2021). WHO coronavirus(COVID-19) dashboard. Retrieved from (19.10.2021): https://covid19.who.int/
  • Yang, X., Yu, Y., Xu, J., Shu, H., Xia, J., Liu, H., ... Shang, Y. (2020). Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: A single-centered, retrospective, observational study. The Lancet Respiratory Medicine, 8(5), 475–481. doi: 10.1016/S2213-2600(20)30079-5
  • Zhang, R., Ouyang, H., Fu, L., Wang, S., Han, J., Huang, K., … Fu, Z.(2020). CT features of SARS-CoV- 2 pneumonia according to clinical presenation. European Radiology, 30(8), 4417-4426. doi:10.1007/s00330-020-06854-1
  • Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., ... Cao, B. (2020). Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study. Lancet, 395(10229), 1054–1062. doi: 10.1016/S0140-6736(20)30566-3

COVID-19 Hastalarının Klinik ve Tanımlayıcı Özellikleri

Year 2021, Volume: 3 Issue: 3, 147 - 152, 15.12.2021
https://doi.org/10.48071/sbuhemsirelik.1003499

Abstract

Giriş: COVID-19 hastalarının klinik ve tanımlayıcı özelliklerinin belirlenmesi ve hastalığın ilerlemesini önlemek için optimal tedavi ve bakım stratejilerinin bulunması, mortalitenin ve hastalığın sosyal etkilerinin azaltılması açısından büyük önem taşımaktadır.
Amaç: Araştırma hastanede yatan COVID-19 hastalarının klinik ve tanımlayıcı özelliklerinin belirlenmesi amacıyla yapıldı.
Yöntem: Tanımlayıcı ve retrospektif olarak yapılan araştırmanın örneklemini COVID-19 tanısı konmuş ve klinikte tedavi görmüş 127 hasta oluşturdu. Araştırmanın verileri COVID-19 tanısı almış ve araştırma tarihinde pandemi servisinde yatmış olan hastaların dosyalarından ve hastane otomasyon sistemindeki hasta bilgilerinden (hastaların demografik özellikleri, yaşam bulguları gibi) alındı. Verilerin analizinde tanımlayıcı istatistikler, korelasyon analizi ve Ki-kare testi kullanıldı.
Bulgular: Araştırma örneklemine alınan hastaların yaş ortalaması 63,14 ± 1,36 olup, %55,1’i kadın, %44,9’u erkektir. Klinikte tedavi gören hastaların %85,9’unda halsizlik, %52’sinde öksürük, %32,3’ünde tat almada değişiklik, %31,5’inde dispne, %14,2’sinde mide bulantısı ve %10,2’sinde kusma görüldüğü belirlendi. Araştırma kapsamına alınan hastaların %11,8'inin yoğun bakıma yatışının olduğu saptandı.
Sonuç: COVID-19 tanısına sahip ve serviste yatan hastaların verilerinin incelendiği bu çalışmada en çok görülen semptomun halsizlik olduğu, ileri yaş ve erkek olan hastaların yoğun bakıma yatış durumunun daha yüksek olduğu belirlendi.

References

  • Alsofayan, Y.M., Althunayyan, S.M., Khan, A.A., Hakawi, A.M., & Assiri, A.M. (2020). Clinical characteristics of COVID-19 in Saudi Arabia. Journal of Infection and Public Health, 13(7), 920-925. doi: 10.1016/j.jiph.2020.05.026
  • Chen, N., Zhou, M., Dong, X., Ou, J., Gong, F., Han, Y., ... Zhang, L.(2020). Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China. A descriptive study. Lancet, 395(10223), 507-513. doi: 10.1016/S0140- 6736(20)30211-7
  • Graham, N.S.N., Junghans, C., Downes, R., Sendall, C., Lai, H., McKirdy,A., ... Sharp, D.J. (2020). SARS-CoV-2 infection, clinical features and outcome of COVID-19 in United Kingdom nursing homes. Journal of İnfection, 81(3), 411-419. doi: 10.1016/j.jinf.2020.05.073
  • Guan, W., Ni, Z., Hu, Y., Liang, W., Ou, C., He, J., ... Zhong, N. (2020). Clinical characteristics of coronavirus disease 2019 in China. The New England Journal of Medicine, 382(18), 1708–1720. doi: 10.1056/NEJMoa2002032
  • He, G., Sun, W., Fang, P., Huang, J., Gamber, M., Cai, J., & Wu, J.(2020). The clinical feature of silent infections of novel coronavirus infection in Wenzhou. Journal of Medical Virology, 92(10), 1761-1763. doi: 10.1002/jmv.25861
  • Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., ... Caot, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223), 497-506. doi: 10.1016/S0140- 6736(20)30183-5
  • Lechien, J.R., Chiesa-Estomba, C.M., Radulesco, T., Michel, J., Vaira, L.A., Le Bon, S.D., ... Saussez, S. (2021). Clinical features of patients who had two COVID-19 episodes: A European Multicentre Case Series. Journal of Internal Medicine, 290(2), 421-429. doi: 10.1111/ joim.13259
  • Li, J., Huang, D.Q., Zou, B., Yang, H., Hui, W.Z., Rui, F., ... Nguyen, M.H. (2021). Epidemiology of COVID-19: Asystematic review and metaanalysis of clinical characteristics, risk factors and outcomes. Journal of Medical Virology, 93(3), 1449-1458. doi: 10.1002/jmv.26424
  • Moein, S.T., Hashemian, S.M., Mansourafshar, B., Tousi, A.K., Tabarsi, P., Doty, R.L. (2020). Smell dysfunction: A biomarker for COVID-19. International Forum of Allergy & Rhinology, 10(8), 944-950. doi:10.1002/alr.22587
  • Mylona, E., Evangelia, M., Eleftheria. K., Vasilios, V., Vana, S., Vissaria, S.,... Ioannis, K. (2021). Clinical features and outcomes of hospitalized COVID-19 patients in a low burden region. Pathogens and Global Health, 115(4), 243-249. doi: 10.1080/20477724.2021.1893485
  • Singh, R., Kang, A., Luo, X., Jeyanathan, M., Gillgrass, A., Afkhami, S., & Xing, Z. (2021). COVID-19: Current knowledge in clinical features, immunological responses, and vaccine development. The FASEB Journal, 35(3), e21409. doi: 10.1096/fj.202002662R
  • Song, F., Shi, N., Shan, F., Zhang, Z., Shen, J., Lu, H., ... Shi, Y. (2020) Emerging 2019 novel coronovirus (2019-nCOV). Pneumonia. Radiology, 295(1), 210-218. doi: 10.1148/radiol.2020200274
  • Şener Cömert, S. (2020). COVID-19 olgusunun klinik özellikleri ve yaklaşım. Southern Clinics of Istanbul Eurasia, 31, 13-15. doi: 10.14744/scie.2020.73645
  • Türkiye Cumhuriyeti Sağlık Bakanlığı. (2020). Genel koronavirüs tablosu. Erişim adresi (05.03.2021): https://covid19.saglik.gov.tr/TR66935/genel-koronavirus-tablosu.html
  • Türkiye Cumhuriyeti Sağlık Bakanlığı. (2021). Günlük COVID-19 tablosu. Erişim adresi (19.10.2021): https://covid19.saglik.gov.tr/
  • Vetter, P., Vu, D.L., L’Huillier, A.G., Schibler, M., Kaiser, L., & Jacquerioz, F. (2020). Clinical features of Covid-19. BMJ, 17. doi: 10.1136/bmj.m1470
  • Wan, S., Xiang, Y., Fang, W., Zheng, Y., Li, B., Hu, Y., … Yang, R. (2020). Clinical features and treatment of COVID-19 patients in northeast Chongqing. Journal of Medical Virology, 92(7), 797-806. doi: 10.1002/jmv.25783
  • Wang, D., Hu, B., Hu, C., Zhu, F., Liu, X., Zhang, J., ... Peng, Z. (2020a). Clinical characteristics of 138 hospitalized patients with 2019 noval coronavirus-infected pneumonia in Wuhan, China. JAMA, 323(11), 1061-1069. doi: 10.1001/jama.2020.1585
  • Wang, R., Pan, M., Zhang, X., Han, M., Fan, X., Zhao, F., ... Shen, L. (2020b). Epidemiological and clinical features of 125 hospitalized patients with COVID-19 in Fuyang, Anhui, China. International Journal of Infectious Disease, 95, 421-428. doi: 10.1016/j.ijid.2020.03.070
  • Wang, W., Xu, Y., Gao, R., Lu, R., Han, K., Wu, G., & Tan, W. (2020c). Detection of SARS-CoV-2 in different types of clinical specimens. JAMA, 323(18), 1843–44. doi:10.1001/jama.2020.3786
  • World Health Organization (WHO). (2020). WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. Retrieved from (12.03.2021): https://www.who.int/directorgeneral/speeches/detail/who-director-general-s-opening-remarksat-the-media-briefing-on-covid-19---11-march-2020
  • World Health Organization (WHO). (2021). WHO coronavirus(COVID-19) dashboard. Retrieved from (19.10.2021): https://covid19.who.int/
  • Yang, X., Yu, Y., Xu, J., Shu, H., Xia, J., Liu, H., ... Shang, Y. (2020). Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: A single-centered, retrospective, observational study. The Lancet Respiratory Medicine, 8(5), 475–481. doi: 10.1016/S2213-2600(20)30079-5
  • Zhang, R., Ouyang, H., Fu, L., Wang, S., Han, J., Huang, K., … Fu, Z.(2020). CT features of SARS-CoV- 2 pneumonia according to clinical presenation. European Radiology, 30(8), 4417-4426. doi:10.1007/s00330-020-06854-1
  • Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., ... Cao, B. (2020). Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study. Lancet, 395(10229), 1054–1062. doi: 10.1016/S0140-6736(20)30566-3
There are 25 citations in total.

Details

Primary Language Turkish
Subjects Nursing
Journal Section Araştırma Makaleleri
Authors

Asuman Çobanoğlu 0000-0002-5656-1910

Nurten Gülsüm Bayrak 0000-0002-7658-9961

Ayşegül Coşkun 0000-0002-3397-9759

Publication Date December 15, 2021
Published in Issue Year 2021 Volume: 3 Issue: 3

Cite

APA Çobanoğlu, A., Bayrak, N. G., & Coşkun, A. (2021). COVID-19 Hastalarının Klinik ve Tanımlayıcı Özellikleri. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 3(3), 147-152. https://doi.org/10.48071/sbuhemsirelik.1003499
AMA Çobanoğlu A, Bayrak NG, Coşkun A. COVID-19 Hastalarının Klinik ve Tanımlayıcı Özellikleri. UHSJN. December 2021;3(3):147-152. doi:10.48071/sbuhemsirelik.1003499
Chicago Çobanoğlu, Asuman, Nurten Gülsüm Bayrak, and Ayşegül Coşkun. “COVID-19 Hastalarının Klinik Ve Tanımlayıcı Özellikleri”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 3, no. 3 (December 2021): 147-52. https://doi.org/10.48071/sbuhemsirelik.1003499.
EndNote Çobanoğlu A, Bayrak NG, Coşkun A (December 1, 2021) COVID-19 Hastalarının Klinik ve Tanımlayıcı Özellikleri. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 3 3 147–152.
IEEE A. Çobanoğlu, N. G. Bayrak, and A. Coşkun, “COVID-19 Hastalarının Klinik ve Tanımlayıcı Özellikleri”, UHSJN, vol. 3, no. 3, pp. 147–152, 2021, doi: 10.48071/sbuhemsirelik.1003499.
ISNAD Çobanoğlu, Asuman et al. “COVID-19 Hastalarının Klinik Ve Tanımlayıcı Özellikleri”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 3/3 (December 2021), 147-152. https://doi.org/10.48071/sbuhemsirelik.1003499.
JAMA Çobanoğlu A, Bayrak NG, Coşkun A. COVID-19 Hastalarının Klinik ve Tanımlayıcı Özellikleri. UHSJN. 2021;3:147–152.
MLA Çobanoğlu, Asuman et al. “COVID-19 Hastalarının Klinik Ve Tanımlayıcı Özellikleri”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, vol. 3, no. 3, 2021, pp. 147-52, doi:10.48071/sbuhemsirelik.1003499.
Vancouver Çobanoğlu A, Bayrak NG, Coşkun A. COVID-19 Hastalarının Klinik ve Tanımlayıcı Özellikleri. UHSJN. 2021;3(3):147-52.

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