سال 15، شماره 6 - ( آذر - دی 1400 )
جلد 15 شماره 6 صفحات 624-612 |
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Amini P, Sepehrvand N, Sharhani A, Zarei J, Ghanbari S. Evaluating the Mode of Presentation to Hospital and Time to Death/Discharge in Patients with COVID-19 in Southwest Iran: A Joint Modelling Approach. Iran J Med Microbiol 2021; 15 (6) :612-624
URL: http://ijmm.ir/article-1-1413-fa.html
URL: http://ijmm.ir/article-1-1413-fa.html
امینی پیام، سپهروند نریمان، شرهانی اسعد، زارعی جواد، قنبری سعید. ارزیابی نحوه مراجعه به بیمارستان تا زمان مرگ/ترخیص بیماران مبتلا به کووید-19 در خوزستان، ایران: با رویکرد مدلسازی توام. مجله میکروب شناسی پزشکی ایران. 1400; 15 (6) :612-624
پیام امینی1 
، نریمان سپهروند2 ، اسعد شرهانی1 ، جواد زارعی3 ، سعید قنبری 
4
، نریمان سپهروند2 ، اسعد شرهانی1 ، جواد زارعی3 ، سعید قنبری 4
1- گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران
2- گروه پزشکی، دانشگاه آلبرتا، ادمونتون، کانادا
3- گروه فناوری اطلاعات سلامت، دانشکده پیراپزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران
4- گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران ، saeedghanbari6.24@gmail.com
2- گروه پزشکی، دانشگاه آلبرتا، ادمونتون، کانادا
3- گروه فناوری اطلاعات سلامت، دانشکده پیراپزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران
4- گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران ، saeedghanbari6.24@gmail.com
چکیده: (4454 مشاهده)
Background and Objective: Recently, coronavirus has become a major cause of death and hospital admission worldwide. This study was aimed to assess the factors associated with the presentation via ambulance and time to in-hospital death or discharge from the hospital using a multilevel joint modeling approach.
Materials and Methods: In this historical cohort study, hospitalized patients with COVID-19 were included from 34 medical centers in Khuzestan province, Iran, from February 18th, 2020, to January 5th, 2021. Joint model analysis was used to assess the impact of demographic and clinical characteristics on the mode of hospital presentation and time to death/discharge from hospitals in Khuzestan province, Iran.
Results: Among 22,356 patients, 14.2% presented to the hospital via ambulance, and 11.2% died in the hospital. The odds of ambulance use was higher in patients with older age, male sex, comorbidities including respiratory disease, diabetes, cancer, and drug abuse, and symptoms such as respiratory distress and loss of consciousness. Older age, male sex, a higher burden of comorbidities, symptoms of chest pain, respiratory distress, and loss of consciousness, and admission to intensive care unit were predictors of in-hospital mortality. The median survival time was longer for patients with COVID-19 who self-presented to the hospital compared to those who presented with ambulance (31 vs 20 days; log-rank P<0.001).
Conclusion: Several demographic and clinical factors were found to predict the EMS utilization and in-hospital mortality in patients hospitalized with COVID-19 and can be used for risk-stratification. Controlling for the predictors of ambulance use in COVID-19 infection may help improve patient outcomes.
نوع مطالعه: مقاله پژوهشی |
موضوع مقاله:
ویروس شناسی پزشکی
دریافت: 1400/5/13 | پذیرش: 1400/7/17 | انتشار الکترونیک: 1400/9/17
دریافت: 1400/5/13 | پذیرش: 1400/7/17 | انتشار الکترونیک: 1400/9/17
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