Features and Outcomes of Confirmed COVID-19 Patients Presenting to the Emergency Department

ObjectiveThis study is aimed to determine whether there is a correlation between demographic characteristics, symptoms, initial vital signs, laboratory findings, and clinical outcome(s) of patients with coronavirus disease 2019 (COVID-19).MethodsThis descriptive, single-center study retrospectively...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-05, Vol.14 (5), p.e25438-e25438
Main Authors: Bokhary, Diyaa H, Bokhary, Nidal H, Seadawi, Lamees E, Moafa, Ahlam M, Khairallah, Hashim H, Bakhsh, Abdullah
Format: Article
Language:English
Subjects:
Asthma
Blood pressure
Body temperature
Chronic obstructive pulmonary disease
Clinical outcomes
Comorbidity
Coronaviruses
COVID-19
Data collection
Demographics
Diabetes
Diarrhea
Disease control
Emergency Medicine
Fever
Headaches
Heart rate
Hospitalization
Hospitals
Infections
Infectious Disease
Medical laboratories
Nausea
Nose
Pandemics
Pulmonology
Severe acute respiratory syndrome coronavirus 2
Vomiting
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Summary:ObjectiveThis study is aimed to determine whether there is a correlation between demographic characteristics, symptoms, initial vital signs, laboratory findings, and clinical outcome(s) of patients with coronavirus disease 2019 (COVID-19).MethodsThis descriptive, single-center study retrospectively reviewed data from the medical records of patients confirmed with COVID-19 in a tertiary academic center in Jeddah, Saudi Arabia, between March and June 2020.ResultsThe present study enrolled 1039 patients (mean age ± SD, 45.16 ± 19.33 years) suffering from COVID-19, of whom 60.9% were not known to have any medical illnesses. The most common comorbidity was cardiovascular disease (27.8%). Patients with advanced age (p < 0.001), cardiovascular disease (p < 0.001), diabetes mellitus (p = 0.003), asthma (p = 0.008), renal disease (p = 0.020), fever (p = 0.002), dyspnea (p < 0.001), tachypnea (p < 0.001), low albumin (p < 0.001), low alkaline phosphatase levels (p = 0.008), high C-reactive protein (p = 0.003), high fibrinogen (p = 0.047), and high lactate levels (p = 0.015) were more likely to be admitted.ConclusionsPatients with increased age, multiple comorbidities, and unstable initial vital signs at emergency department presentation experienced a more severe course of COVID-19 and required admission.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.25438