Volume 7, Issue 3 (Summer 2021)                   JCCNC 2021, 7(3): 167-174 | Back to browse issues page


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Alinejad H, Vazirinejad R, Sayadi A, Hajaliakbari Z, Pakzad Moghadam S H, Ahmadi Gohari M, et al . The Relationship Between COVID-19-induced Death and Chronic Diseases. JCCNC. 2021; 7 (3) :167-174
URL: http://jccnc.iums.ac.ir/article-1-308-en.html
1- Department of Government Management, Rafsanjan University of Medical Science, Rafsanjan, Iran.
2- Department of Epidemiology, School of Medicine, Rafsanjan University of Medical Science, Rafsanjan, Iran.
3- Department of Nursing, Faculty of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
4- Department of Nursing, Faculty of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. , zhrooz@yahoo.com
5- Department of Anesthesiology, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
6- Department of Biostatistics, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
7- Department of Accounting, Yazd Branch, Azad Islamic University, Yazd, Iran.
8- Department of Emergency Medicine, Faculty of Emergency Medicine, Rafsanjan University of Medical Science, Rafsanjan, Iran.
Abstract:   (355 Views)
Background: Morbidity and mortality due to Coronavirus Disease 2019 (COVID-19) are mainly related to age and comorbidity diseases (hypertension, diabetes, cardiovascular disease, malignancies, etc.). These conditions are associated with poorer clinical outcomes and sometimes lead to long-term hospitalization. The current study aimed to investigate the relationship between COVID-19-induced mortality and various chronic diseases in patients admitted to Ali Ibn Abitaleb Hospital in Rafsanjan City, Iran, in 2020. 
Methods: In this retrospective, descriptive, and cross-sectional study, patients with COVID-19 referring to Ali Ibn Abitaleb Hospital in Rafsanjan City, Iran, from March 2020 to September 2020 were assessed. The required data were collected using patients’ records and telephone calls by a researcher-made checklist and analyzed by Independent Samples t-test, Chi-squared test, Fisher’s Exact test, Kaplan-Meier plots, and multivariate regression analysis in SPSS v. 20. 
Results: This study assessed 238 hospitalized patients with COVID-19. The risk of death was significantly higher in patients aged over 75 years; they were 5.5 times more prone to expire, compared to the youngest age group (P<0.001). Chronic diseases, such as hypertension, heart disease, lung disease, and various cancers were more prevalent in patients who expired, compared to those who survived (P≤0.05). Of the patients who died, 73.8% were transferred to the Intensive U (ICU), while only 7.5% of surviving patients were transferred to the ICU (P<0.001). Longer hospitalization was associated with an increased risk of death among patients with underlying diseases and hypertension (P<0.05).
Conclusion: This study identified the role of chronic diseases and other important indicators in the survival of patients with COVID-19 who were admitted to a hospital in Rafsanjan. It is recommended that nurses and healthcare staff consider these findings in the care of patients with COVID-19. 
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● The mean age of patients with COVID-19 who expired and survived was 72.21 and 56.61 years, respectively. 
● The prevalence of chronic diseases was higher in patients who died, compared to those who survived. 
● Chronic diseases, such as hypertension, heart disease, lung disease, and various cancers were more prevalent in patients who died than the survivors.
● No significant relationship was found between gender and COVD-19-related mortality.
● The most common signs and symptoms of COVID-19 were shortness of breath, fever, body aches, headache, cough, decreased sense of smell and taste, vomiting, diarrhea, and loss of consciousness, in sequence.
● The survival of patients aged over 75 years decreased by 40%, compared to patients under 49 years of age in 10 days. 
Plain Language Summary 
The morbidity and mortality of COVID-19 are related to many factors. This study assessed the relationship between COVID-19- mortality and various chronic diseases, such as hypertension, cardiovascular disease, cancer, and diabetes in patients admitted to Ali Ibn Abitaleb Hospital in Rafsanjan City, Iran, in 2020. The study findings suggested that the elderly and those with chronic conditions were more frequently hospitalized, admitted to the ICU, and were expired due to COVID-19. Furthermore, longer hospital stays were associated with higher mortality. 

Type of Study: Research | Subject: General
Received: 2021/06/12 | Accepted: 2021/07/6 | Published: 2021/08/1

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