Serveur d'exploration COVID et hydrochloroquine

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Clinical Characteristics and Outcomes of 905 COVID-19 Patients Admitted to Imam Khomeini Hospital Complex in the Capital City of Tehran, Iran.

Identifieur interne : 000792 ( Main/Corpus ); précédent : 000791; suivant : 000793

Clinical Characteristics and Outcomes of 905 COVID-19 Patients Admitted to Imam Khomeini Hospital Complex in the Capital City of Tehran, Iran.

Auteurs : Seyed Farshad Allameh ; Saeed Nemati ; Reza Ghalehtaki ; Esmaeil Mohammadnejad ; Seyed Mojtaba Aghili ; Nasim Khajavirad ; Mohammad-Taghi Beigmohammadi ; Mohammadreza Salehi ; Hadi Mirfazaelian ; Maryam Edalatifard ; Hossein Kazemizadeh ; Seyed Ali Dehghan Manshadi ; Maliheh Hasannezhad ; Laya Amoozadeh ; Masoud Radnia ; Seyedeh Rana Khatami ; Azin Nahvijou ; Monireh Sadat Seyyedsalehi ; Laleh Rashidian ; Niloofar Ayoobi Yazdi ; Mohsen Nasiri Toosi ; Khosro Sadeghniiat-Haghighi ; Ali Jafarian ; Masud Yunesian ; Kazem Zendehdel

Source :

RBID : pubmed:33220695

English descriptors

Abstract

BACKGROUND

We studied the clinical characteristics and outcomes of 905 hospitalized coronavirus disease 2019 (COVID-19) patients admitted to Imam Khomeini Hospital Complex (IKHC), Tehran, Iran.

METHODS

COVID-19 patients were recruited based on clinical symptoms and patterns of computed tomography (CT) imaging between February 20 and March 19. All patients were tested for the presence of COVID-19 RNA. The Poisson regression model estimated the incidence rate ratio (IRR) for different parameters.

RESULTS

The average age (± standard deviation) was 56.9 (±15.7) years and 61.77% were male. The most common symptoms were fever (93.59%), dry cough (79.78%), and dyspnea (75.69%). Only 43.76% of patients were positive for the RT-PCR COVID-19 test. Prevalence of lymphopenia was 42.9% and more than 90% had elevated lactate dehydrogenase (LDH) or C-reactive protein (CRP). About 11% were severe cases, and 13.7% died in the hospital. The median length of stay (LOS) was 3 days. We found higher risks of mortality in patients who were older than 70 years (IRR = 11.77, 95% CI 3.63-38.18), underwent mechanical ventilation (IRR = 7.36, 95% CI 5.06-10.7), were admitted to the intensive care unit (ICU) (IRR = 5.47, 95% CI 4.00-8.38), tested positive on the COVID-19 test (IRR = 2.80, 95% CI 1.64-3.55), and reported a history of comorbidity (IRR = 1.76, 95% CI 1.07-2.89) compared to their corresponding reference groups. Hydroxychloroquine therapy was not associated with mortality in our study.

CONCLUSION

Older age, experiencing a severe form of the disease, and having a comorbidity were the most important prognostic factors for COVID-19 infection. Larger studies are needed to perform further subgroup analyses and verify high-risk groups.


DOI: 10.34172/aim.2020.102
PubMed: 33220695

Links to Exploration step

pubmed:33220695

Le document en format XML

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<name sortKey="Allameh, Seyed Farshad" sort="Allameh, Seyed Farshad" uniqKey="Allameh S" first="Seyed Farshad" last="Allameh">Seyed Farshad Allameh</name>
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<nlm:affiliation>Gastroenterology Ward, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Nemati, Saeed" sort="Nemati, Saeed" uniqKey="Nemati S" first="Saeed" last="Nemati">Saeed Nemati</name>
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<nlm:affiliation>Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Ghalehtaki, Reza" sort="Ghalehtaki, Reza" uniqKey="Ghalehtaki R" first="Reza" last="Ghalehtaki">Reza Ghalehtaki</name>
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<nlm:affiliation>Department of Radiation Oncology, Cancer Institute, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<nlm:affiliation>Radiation Oncology Research Center, Cancer Research Institute, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Mohammadnejad, Esmaeil" sort="Mohammadnejad, Esmaeil" uniqKey="Mohammadnejad E" first="Esmaeil" last="Mohammadnejad">Esmaeil Mohammadnejad</name>
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<nlm:affiliation>Department of Medical-Surgical Nursing and Basic Sciences, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Aghili, Seyed Mojtaba" sort="Aghili, Seyed Mojtaba" uniqKey="Aghili S" first="Seyed Mojtaba" last="Aghili">Seyed Mojtaba Aghili</name>
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<nlm:affiliation>Department of Emergency Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Khajavirad, Nasim" sort="Khajavirad, Nasim" uniqKey="Khajavirad N" first="Nasim" last="Khajavirad">Nasim Khajavirad</name>
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<nlm:affiliation>Department of Internal Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Beigmohammadi, Mohammad Taghi" sort="Beigmohammadi, Mohammad Taghi" uniqKey="Beigmohammadi M" first="Mohammad-Taghi" last="Beigmohammadi">Mohammad-Taghi Beigmohammadi</name>
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<nlm:affiliation>Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Salehi, Mohammadreza" sort="Salehi, Mohammadreza" uniqKey="Salehi M" first="Mohammadreza" last="Salehi">Mohammadreza Salehi</name>
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<nlm:affiliation>Department of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Mirfazaelian, Hadi" sort="Mirfazaelian, Hadi" uniqKey="Mirfazaelian H" first="Hadi" last="Mirfazaelian">Hadi Mirfazaelian</name>
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<nlm:affiliation>Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<author>
<name sortKey="Edalatifard, Maryam" sort="Edalatifard, Maryam" uniqKey="Edalatifard M" first="Maryam" last="Edalatifard">Maryam Edalatifard</name>
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<nlm:affiliation>Department of Pulmonology, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<nlm:affiliation>Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Kazemizadeh, Hossein" sort="Kazemizadeh, Hossein" uniqKey="Kazemizadeh H" first="Hossein" last="Kazemizadeh">Hossein Kazemizadeh</name>
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<nlm:affiliation>Department of Pulmonology, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<nlm:affiliation>Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<author>
<name sortKey="Dehghan Manshadi, Seyed Ali" sort="Dehghan Manshadi, Seyed Ali" uniqKey="Dehghan Manshadi S" first="Seyed Ali" last="Dehghan Manshadi">Seyed Ali Dehghan Manshadi</name>
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<nlm:affiliation>Department of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<author>
<name sortKey="Hasannezhad, Maliheh" sort="Hasannezhad, Maliheh" uniqKey="Hasannezhad M" first="Maliheh" last="Hasannezhad">Maliheh Hasannezhad</name>
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<nlm:affiliation>Department of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Amoozadeh, Laya" sort="Amoozadeh, Laya" uniqKey="Amoozadeh L" first="Laya" last="Amoozadeh">Laya Amoozadeh</name>
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<nlm:affiliation>Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Radnia, Masoud" sort="Radnia, Masoud" uniqKey="Radnia M" first="Masoud" last="Radnia">Masoud Radnia</name>
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<nlm:affiliation>Department of Internal Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Khatami, Seyedeh Rana" sort="Khatami, Seyedeh Rana" uniqKey="Khatami S" first="Seyedeh Rana" last="Khatami">Seyedeh Rana Khatami</name>
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<nlm:affiliation>Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Nahvijou, Azin" sort="Nahvijou, Azin" uniqKey="Nahvijou A" first="Azin" last="Nahvijou">Azin Nahvijou</name>
<affiliation>
<nlm:affiliation>Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Seyyedsalehi, Monireh Sadat" sort="Seyyedsalehi, Monireh Sadat" uniqKey="Seyyedsalehi M" first="Monireh Sadat" last="Seyyedsalehi">Monireh Sadat Seyyedsalehi</name>
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<nlm:affiliation>Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
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<name sortKey="Rashidian, Laleh" sort="Rashidian, Laleh" uniqKey="Rashidian L" first="Laleh" last="Rashidian">Laleh Rashidian</name>
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<nlm:affiliation>Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<author>
<name sortKey="Ayoobi Yazdi, Niloofar" sort="Ayoobi Yazdi, Niloofar" uniqKey="Ayoobi Yazdi N" first="Niloofar" last="Ayoobi Yazdi">Niloofar Ayoobi Yazdi</name>
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<nlm:affiliation>Department of Radiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Nasiri Toosi, Mohsen" sort="Nasiri Toosi, Mohsen" uniqKey="Nasiri Toosi M" first="Mohsen" last="Nasiri Toosi">Mohsen Nasiri Toosi</name>
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<nlm:affiliation>Liver Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<author>
<name sortKey="Sadeghniiat Haghighi, Khosro" sort="Sadeghniiat Haghighi, Khosro" uniqKey="Sadeghniiat Haghighi K" first="Khosro" last="Sadeghniiat-Haghighi">Khosro Sadeghniiat-Haghighi</name>
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<nlm:affiliation>Occupational Sleep Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Jafarian, Ali" sort="Jafarian, Ali" uniqKey="Jafarian A" first="Ali" last="Jafarian">Ali Jafarian</name>
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<nlm:affiliation>Liver Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
<affiliation>
<nlm:affiliation>Hepatobiliary Surgery and Liver Transplantation Division, Department of General Surgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Yunesian, Masud" sort="Yunesian, Masud" uniqKey="Yunesian M" first="Masud" last="Yunesian">Masud Yunesian</name>
<affiliation>
<nlm:affiliation>Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
<affiliation>
<nlm:affiliation>Center for Air Pollution Research (CAPR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Zendehdel, Kazem" sort="Zendehdel, Kazem" uniqKey="Zendehdel K" first="Kazem" last="Zendehdel">Kazem Zendehdel</name>
<affiliation>
<nlm:affiliation>Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
<affiliation>
<nlm:affiliation>Cancer Biology Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
<affiliation>
<nlm:affiliation>Breast Diseases Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
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<title xml:lang="en">Clinical Characteristics and Outcomes of 905 COVID-19 Patients Admitted to Imam Khomeini Hospital Complex in the Capital City of Tehran, Iran.</title>
<author>
<name sortKey="Allameh, Seyed Farshad" sort="Allameh, Seyed Farshad" uniqKey="Allameh S" first="Seyed Farshad" last="Allameh">Seyed Farshad Allameh</name>
<affiliation>
<nlm:affiliation>Gastroenterology Ward, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Nemati, Saeed" sort="Nemati, Saeed" uniqKey="Nemati S" first="Saeed" last="Nemati">Saeed Nemati</name>
<affiliation>
<nlm:affiliation>Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ghalehtaki, Reza" sort="Ghalehtaki, Reza" uniqKey="Ghalehtaki R" first="Reza" last="Ghalehtaki">Reza Ghalehtaki</name>
<affiliation>
<nlm:affiliation>Department of Radiation Oncology, Cancer Institute, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
<affiliation>
<nlm:affiliation>Radiation Oncology Research Center, Cancer Research Institute, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Mohammadnejad, Esmaeil" sort="Mohammadnejad, Esmaeil" uniqKey="Mohammadnejad E" first="Esmaeil" last="Mohammadnejad">Esmaeil Mohammadnejad</name>
<affiliation>
<nlm:affiliation>Department of Medical-Surgical Nursing and Basic Sciences, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Aghili, Seyed Mojtaba" sort="Aghili, Seyed Mojtaba" uniqKey="Aghili S" first="Seyed Mojtaba" last="Aghili">Seyed Mojtaba Aghili</name>
<affiliation>
<nlm:affiliation>Department of Emergency Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Khajavirad, Nasim" sort="Khajavirad, Nasim" uniqKey="Khajavirad N" first="Nasim" last="Khajavirad">Nasim Khajavirad</name>
<affiliation>
<nlm:affiliation>Department of Internal Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Beigmohammadi, Mohammad Taghi" sort="Beigmohammadi, Mohammad Taghi" uniqKey="Beigmohammadi M" first="Mohammad-Taghi" last="Beigmohammadi">Mohammad-Taghi Beigmohammadi</name>
<affiliation>
<nlm:affiliation>Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Salehi, Mohammadreza" sort="Salehi, Mohammadreza" uniqKey="Salehi M" first="Mohammadreza" last="Salehi">Mohammadreza Salehi</name>
<affiliation>
<nlm:affiliation>Department of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Mirfazaelian, Hadi" sort="Mirfazaelian, Hadi" uniqKey="Mirfazaelian H" first="Hadi" last="Mirfazaelian">Hadi Mirfazaelian</name>
<affiliation>
<nlm:affiliation>Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Edalatifard, Maryam" sort="Edalatifard, Maryam" uniqKey="Edalatifard M" first="Maryam" last="Edalatifard">Maryam Edalatifard</name>
<affiliation>
<nlm:affiliation>Department of Pulmonology, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
<affiliation>
<nlm:affiliation>Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kazemizadeh, Hossein" sort="Kazemizadeh, Hossein" uniqKey="Kazemizadeh H" first="Hossein" last="Kazemizadeh">Hossein Kazemizadeh</name>
<affiliation>
<nlm:affiliation>Department of Pulmonology, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
<affiliation>
<nlm:affiliation>Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Dehghan Manshadi, Seyed Ali" sort="Dehghan Manshadi, Seyed Ali" uniqKey="Dehghan Manshadi S" first="Seyed Ali" last="Dehghan Manshadi">Seyed Ali Dehghan Manshadi</name>
<affiliation>
<nlm:affiliation>Department of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Hasannezhad, Maliheh" sort="Hasannezhad, Maliheh" uniqKey="Hasannezhad M" first="Maliheh" last="Hasannezhad">Maliheh Hasannezhad</name>
<affiliation>
<nlm:affiliation>Department of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Amoozadeh, Laya" sort="Amoozadeh, Laya" uniqKey="Amoozadeh L" first="Laya" last="Amoozadeh">Laya Amoozadeh</name>
<affiliation>
<nlm:affiliation>Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Radnia, Masoud" sort="Radnia, Masoud" uniqKey="Radnia M" first="Masoud" last="Radnia">Masoud Radnia</name>
<affiliation>
<nlm:affiliation>Department of Internal Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Khatami, Seyedeh Rana" sort="Khatami, Seyedeh Rana" uniqKey="Khatami S" first="Seyedeh Rana" last="Khatami">Seyedeh Rana Khatami</name>
<affiliation>
<nlm:affiliation>Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Nahvijou, Azin" sort="Nahvijou, Azin" uniqKey="Nahvijou A" first="Azin" last="Nahvijou">Azin Nahvijou</name>
<affiliation>
<nlm:affiliation>Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Seyyedsalehi, Monireh Sadat" sort="Seyyedsalehi, Monireh Sadat" uniqKey="Seyyedsalehi M" first="Monireh Sadat" last="Seyyedsalehi">Monireh Sadat Seyyedsalehi</name>
<affiliation>
<nlm:affiliation>Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Rashidian, Laleh" sort="Rashidian, Laleh" uniqKey="Rashidian L" first="Laleh" last="Rashidian">Laleh Rashidian</name>
<affiliation>
<nlm:affiliation>Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ayoobi Yazdi, Niloofar" sort="Ayoobi Yazdi, Niloofar" uniqKey="Ayoobi Yazdi N" first="Niloofar" last="Ayoobi Yazdi">Niloofar Ayoobi Yazdi</name>
<affiliation>
<nlm:affiliation>Department of Radiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Nasiri Toosi, Mohsen" sort="Nasiri Toosi, Mohsen" uniqKey="Nasiri Toosi M" first="Mohsen" last="Nasiri Toosi">Mohsen Nasiri Toosi</name>
<affiliation>
<nlm:affiliation>Liver Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Sadeghniiat Haghighi, Khosro" sort="Sadeghniiat Haghighi, Khosro" uniqKey="Sadeghniiat Haghighi K" first="Khosro" last="Sadeghniiat-Haghighi">Khosro Sadeghniiat-Haghighi</name>
<affiliation>
<nlm:affiliation>Occupational Sleep Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Jafarian, Ali" sort="Jafarian, Ali" uniqKey="Jafarian A" first="Ali" last="Jafarian">Ali Jafarian</name>
<affiliation>
<nlm:affiliation>Liver Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
<affiliation>
<nlm:affiliation>Hepatobiliary Surgery and Liver Transplantation Division, Department of General Surgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Yunesian, Masud" sort="Yunesian, Masud" uniqKey="Yunesian M" first="Masud" last="Yunesian">Masud Yunesian</name>
<affiliation>
<nlm:affiliation>Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
<affiliation>
<nlm:affiliation>Center for Air Pollution Research (CAPR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Zendehdel, Kazem" sort="Zendehdel, Kazem" uniqKey="Zendehdel K" first="Kazem" last="Zendehdel">Kazem Zendehdel</name>
<affiliation>
<nlm:affiliation>Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
<affiliation>
<nlm:affiliation>Cancer Biology Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
<affiliation>
<nlm:affiliation>Breast Diseases Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Archives of Iranian medicine</title>
<idno type="eISSN">1735-3947</idno>
<imprint>
<date when="2020" type="published">2020</date>
</imprint>
</series>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>COVID-19 (diagnosis)</term>
<term>COVID-19 (drug therapy)</term>
<term>COVID-19 (mortality)</term>
<term>COVID-19 (physiopathology)</term>
<term>COVID-19 Nucleic Acid Testing (standards)</term>
<term>COVID-19 Nucleic Acid Testing (statistics & numerical data)</term>
<term>Comorbidity (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Hydroxychloroquine (therapeutic use)</term>
<term>Intensive Care Units (statistics & numerical data)</term>
<term>Iran (epidemiology)</term>
<term>Length of Stay (statistics & numerical data)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Respiration, Artificial (adverse effects)</term>
<term>Retrospective Studies (MeSH)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Hydroxychloroquine</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>Iran</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Respiration, Artificial</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>COVID-19</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>COVID-19</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en">
<term>COVID-19</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>COVID-19</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en">
<term>COVID-19 Nucleic Acid Testing</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>COVID-19 Nucleic Acid Testing</term>
<term>Intensive Care Units</term>
<term>Length of Stay</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Comorbidity</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>Retrospective Studies</term>
<term>SARS-CoV-2</term>
<term>Severity of Illness Index</term>
</keywords>
</textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>We studied the clinical characteristics and outcomes of 905 hospitalized coronavirus disease 2019 (COVID-19) patients admitted to Imam Khomeini Hospital Complex (IKHC), Tehran, Iran.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>COVID-19 patients were recruited based on clinical symptoms and patterns of computed tomography (CT) imaging between February 20 and March 19. All patients were tested for the presence of COVID-19 RNA. The Poisson regression model estimated the incidence rate ratio (IRR) for different parameters.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The average age (± standard deviation) was 56.9 (±15.7) years and 61.77% were male. The most common symptoms were fever (93.59%), dry cough (79.78%), and dyspnea (75.69%). Only 43.76% of patients were positive for the RT-PCR COVID-19 test. Prevalence of lymphopenia was 42.9% and more than 90% had elevated lactate dehydrogenase (LDH) or C-reactive protein (CRP). About 11% were severe cases, and 13.7% died in the hospital. The median length of stay (LOS) was 3 days. We found higher risks of mortality in patients who were older than 70 years (IRR = 11.77, 95% CI 3.63-38.18), underwent mechanical ventilation (IRR = 7.36, 95% CI 5.06-10.7), were admitted to the intensive care unit (ICU) (IRR = 5.47, 95% CI 4.00-8.38), tested positive on the COVID-19 test (IRR = 2.80, 95% CI 1.64-3.55), and reported a history of comorbidity (IRR = 1.76, 95% CI 1.07-2.89) compared to their corresponding reference groups. Hydroxychloroquine therapy was not associated with mortality in our study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>Older age, experiencing a severe form of the disease, and having a comorbidity were the most important prognostic factors for COVID-19 infection. Larger studies are needed to perform further subgroup analyses and verify high-risk groups.</p>
</div>
</front>
</TEI>
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<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">33220695</PMID>
<DateCompleted>
<Year>2020</Year>
<Month>12</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>12</Month>
<Day>14</Day>
</DateRevised>
<Article PubModel="Electronic">
<Journal>
<ISSN IssnType="Electronic">1735-3947</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>23</Volume>
<Issue>11</Issue>
<PubDate>
<Year>2020</Year>
<Month>11</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>Archives of Iranian medicine</Title>
<ISOAbbreviation>Arch Iran Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Clinical Characteristics and Outcomes of 905 COVID-19 Patients Admitted to Imam Khomeini Hospital Complex in the Capital City of Tehran, Iran.</ArticleTitle>
<Pagination>
<MedlinePgn>766-775</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.34172/aim.2020.102</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND">We studied the clinical characteristics and outcomes of 905 hospitalized coronavirus disease 2019 (COVID-19) patients admitted to Imam Khomeini Hospital Complex (IKHC), Tehran, Iran.</AbstractText>
<AbstractText Label="METHODS">COVID-19 patients were recruited based on clinical symptoms and patterns of computed tomography (CT) imaging between February 20 and March 19. All patients were tested for the presence of COVID-19 RNA. The Poisson regression model estimated the incidence rate ratio (IRR) for different parameters.</AbstractText>
<AbstractText Label="RESULTS">The average age (± standard deviation) was 56.9 (±15.7) years and 61.77% were male. The most common symptoms were fever (93.59%), dry cough (79.78%), and dyspnea (75.69%). Only 43.76% of patients were positive for the RT-PCR COVID-19 test. Prevalence of lymphopenia was 42.9% and more than 90% had elevated lactate dehydrogenase (LDH) or C-reactive protein (CRP). About 11% were severe cases, and 13.7% died in the hospital. The median length of stay (LOS) was 3 days. We found higher risks of mortality in patients who were older than 70 years (IRR = 11.77, 95% CI 3.63-38.18), underwent mechanical ventilation (IRR = 7.36, 95% CI 5.06-10.7), were admitted to the intensive care unit (ICU) (IRR = 5.47, 95% CI 4.00-8.38), tested positive on the COVID-19 test (IRR = 2.80, 95% CI 1.64-3.55), and reported a history of comorbidity (IRR = 1.76, 95% CI 1.07-2.89) compared to their corresponding reference groups. Hydroxychloroquine therapy was not associated with mortality in our study.</AbstractText>
<AbstractText Label="CONCLUSION">Older age, experiencing a severe form of the disease, and having a comorbidity were the most important prognostic factors for COVID-19 infection. Larger studies are needed to perform further subgroup analyses and verify high-risk groups.</AbstractText>
<CopyrightInformation>© 2020 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</CopyrightInformation>
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<Author ValidYN="Y">
<LastName>Allameh</LastName>
<ForeName>Seyed Farshad</ForeName>
<Initials>SF</Initials>
<AffiliationInfo>
<Affiliation>Gastroenterology Ward, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Nemati</LastName>
<ForeName>Saeed</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Ghalehtaki</LastName>
<ForeName>Reza</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Department of Radiation Oncology, Cancer Institute, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Radiation Oncology Research Center, Cancer Research Institute, Tehran University of Medical Sciences, Tehran, Iran.</Affiliation>
</AffiliationInfo>
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<LastName>Mohammadnejad</LastName>
<ForeName>Esmaeil</ForeName>
<Initials>E</Initials>
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<Affiliation>Department of Medical-Surgical Nursing and Basic Sciences, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.</Affiliation>
</AffiliationInfo>
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<ForeName>Seyed Mojtaba</ForeName>
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<Affiliation>Department of Internal Medicine, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</Affiliation>
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<ForeName>Maryam</ForeName>
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<Affiliation>Department of Pulmonology, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences, Tehran, Iran.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran.</Affiliation>
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<Affiliation>Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</Affiliation>
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<Affiliation>Cancer Biology Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.</Affiliation>
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<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
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