Clinical Features and Outcomes of Suspected and Confirmed COVID-19 Patients in Saveh, Iran, 2020

The outbreak of Coronavirus Disease 2019 (COVID-19) pneumonia is a major threat to global public health because it is very contagious and spreads quickly by human-to-human transmission. This study aimed to investigate the clinical characteristics and outcome of patients infected with COVID-19 in Saveh, Iran.

A descriptive-analytical study was conducted in 1537 patients with suspected or confirmed COVID-19 from 18 February- 2 June 2020. Medical records were studied and a researcher-made questionnaire consisting of demographic information, epidemiological, and clinical manifestations were used to collect the data.

There were significant differences between patients tested positive and negative for COVID-19 in terms of gender, age, duration of hospitalization, and contact with a patient with confirmed COVID-19 (P<0.05). The main symptoms of patients included cough (43.8%), fever (41.4%), and dyspnea (40.3%). The most common chronic diseases in these patients were cardiovascular disease (12.9%), diabetes (11.5%), and hypertension (9.7%). The mean age of death due to COVID-19 was 70.2±15.6 years and higher rate of mortality was seen in men (66.2%).

While responding to COVID-19, health authorities should consider vulnerable groups (older patients and those with underlying diseases) and provide them with more information on the modes of transmission of COVID-19 and the risks of infection.