Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1399
10
1
gregorian
2021
1
1
35
1
online
1
fulltext
en
Predictors of death in patients with COVID-19: A cross-sectional study in West of Iran
Epidemiology
Epidemiology
Original Research
Original Research
<strong>Background: </strong>Coronavirus disease 2019 (COVID-19) is a contagious disease caused by a newly identified coronavirus. Our knowledge about the survival rate and prognostic factors of the disease is not established well. The purpose of this study was to evaluate the predictors of COVID-19 mortality in Hamadan province in western Iran.<br>
<strong>Methods:</strong> In this study, we included all laboratory-confirmed COVID-19 cases with known treatment outcomes in Hamadan province, Iran, between 20, 2020, to May 10, 2020. Demographic, clinical, laboratory data, and treatment outcomes were obtained from computerized medical records and compared between survived cases and patients with death outcomes. Univariable and multivariable logistic regression models were used to determine the predictors of death.<br>
<strong>Results:</strong> From 749 investigated patients, 77 patients (10.28%) died during the treatment. The Mean age of patients was 53.97±19.04 years. Multivariable logistic regression showed that males had 2.07 (95% CI: 1.73, 2.54) fold higher odds of death. Those with 60 years old and more had 6.49 (95% CI: 4.53, 7.93) fold higher odds of death. Patients with an underlying disease had 7.14 (95% CI: 6.94, 7.38) fold higher odds of death, and patients who were hospitalized in the ICU ward had 2.24 (95% CI: 1.75, 2.90) times higher odds of COVID-19 related mortality.<br>
<strong>Conclusion:</strong> The potential predictors of death in COVID-19 cases, including the male gender, older age, and having an underlying disease could help physicians to identify patients with poor prognoses at an early stage and better management of them.<br>
Coronavirus, COVID-19, Epidemiology, Mortality, Iran
796
800
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-2170-5&slc_lang=en&sid=1
Manoochehr
Karami
man.karami@yahoo.com
200319475328460063609
200319475328460063609
No
Department of Epidemiology, School of Public Health, & Modeling of Noncommunicable Disease Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
Mohammad
Mirzaei
Mirzaei3589@gmail.com
200319475328460063610
200319475328460063610
No
Deputy Minister of Health, Hamadan University of Medical Sciences, Hamadan, Iran
Fatemeh
Shahbazi
asd.shahbazi@gmail.com
200319475328460063611
200319475328460063611
No
Department of Epidemiology, School of Public Health, & Students Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
Fariba
Keramat
faribakeramat@yahoo.com
200319475328460063612
200319475328460063612
No
Brucellosis Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Ebrahim
Jalili
200319475328460063613
200319475328460063613
No
Department of Emergency Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
Saeid
Bashirian
s_bashirian@yahoo.com
200319475328460063614
200319475328460063614
No
Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Rashid
Heidarimoghadam
200319475328460063615
200319475328460063615
No
Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
Jalal
Bathaei
200319475328460063616
200319475328460063616
No
Deputy Minister of Health, Hamadan University of Medical Sciences, Hamadan, Iran
Salman
Khazaei
s.khazaei@umsha.ac.ir
200319475328460063617
200319475328460063617
Yes
Research Center for Health Sciences, & Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran