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Date Published: 23/09/2022
Abstract Views: 1048
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DOI: https://doi.org/10.51298/vmj.v518i1.3333
Issue
Vol. 518 No. 1 (2022)
Section
Các bài báo
How to Cite
Minh Tuấn, P. ., Văn Giang, T. ., & Ngọc Thạch, P. . (2022). CLINICAL, SUBCLINICAL CHARACTERISTICS AND PROGNOSTIC FACTORS OF DEATH IN SEVERE AND CRITICAL COVID-19 PATIENTS. Vietnam Medical Journal, 518(1). https://doi.org/10.51298/vmj.v518i1.3333

CLINICAL, SUBCLINICAL CHARACTERISTICS AND PROGNOSTIC FACTORS OF DEATH IN SEVERE AND CRITICAL COVID-19 PATIENTS

Phạm Minh Tuấn1, Trần Văn Giang1,2,, Phạm Ngọc Thạch1
1 National Hospital for Tropical Diseases
2 Hanoi Medical University

Main Article Content

Abstract

Objective: Describe clinical features, paraclinical characteristics and prognostic factors of death in severe and critical COVID-19 patients treated at National Hospital of Tropical Diseases. Materials and methodes: A cross-sectional study was carried 141 severe and critical COVID-19 patients. Results: Common symptoms of severe and critical COVID-19 include: shortness of breath (56.0%), dry cough (37.6%), sputum production (29.1%), muscle pain (18.4%), diarrhea (13.5%), sore throat (9.2%). Abnormal laboratory test results in severe and critical COVID-19 patients include leukocytosis (41.1%), anemia (35.5%), thrombocytopenia (27%), increased d-dimer (73.5%), increased liver enzymes (>46%), decreased albumin (61.4%), increased CRP (84.5%). Age > 65 is a significant independent predictor of mortality in COVID-19 patients.

Article Details

Keywords

Severe and critical COVID-19, risk factors

References

1. Hu Y, Jiazhong S, Zhe D et al. (2020). Prevalence and severity of corona virus disease 2019 (COVID-19): A systematic review and meta-analysis. J Clin Virol.
2. Richardson S, Hirsch J.S, Narasimhan M et al. (2020). Presenting Characteristics, Comorbidities, and Outcomes Among 5700 patients Hospitalized with COVID-19 in the New York city area. JAMA.
3. Rodriguez-Morales A.J., Cardona-Ospina J.A., Gutiérrez-Ocampo E, et al. (2020). Cinical, laboratory and imaging features of COVID-19: A systematic review and meta-analysis. Travel Med Infect Dis.
4. Suleyman G, Fadel R.A., Malette K.M et al. (2020). Clinical characteristics and morbidity associated with coronavirus disease 2019 in a series of patients in Metropolitan Detroit. JAMA.
5. Asghar M.S, Khan N.A, Haider Kazmi S.J et al. (2020). Hematological parameters predicting severity and mortality in COVID-19 patients of pakistan: a retrospective comparative analysis. Journal of community hospital internal medicine perspectives.
6. Albitar O, Ballouze R, Ooi J.P et al. (2020). Risk factors for mortality among COVID-19 patients. Diabetes research and Clinical practice Vol 166.
7. Parohan M, Yaghoubi S, Seraji A et al. (2020). Risk factors for mortality in patients wwith Coronavirus disease 2019 (COVID-19) infection: a systematic review and meta-analysis of observational studies. The Aging male 2020 vol 23,no 5.
8. Noor FM, Islam MM. (2020). Prevalence and Associated Risk Factors of Mortality Among COVID-19 Patients: A Meta-Analysis. Journal of community health. 45(6):1270-1282.
9. Opal S.M, Girard T.D, & Ely E.W . (2005). The immunopathogenesis of sepsis in elderly patients. Clin Infect Dis.