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August 2022 -
Volume 20, Issue 8


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From the Editor

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Assessing health literacy among hypertensive patients attending primary healthcare clinics at King Abdulaziz Medical City, Riyadh, Saudi Arabia
Jammaz Asman Al-Arifi, Malek Abdulrahman Balous, Ahoud Hamoud Al-Mutairi, Bader Al-Tulihi
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525113

Awareness and Compliance Behavior of Diabetic Patients for Eye care to Prevent Diabetic Retinopathy: The Status of Jazan Region, Saudi Arabia
Ismail Abuallut
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525114

Community-level awareness of proper immediate steps regarding ocular chemical injury in Asir Region
Saeed Abu Sabah, Abdullah Jallwi Korkoman, Abdulaziz Saad Alshahrani, Ahmed Mohammed Abu Sabah, Faisal Saud Alhudaithi, Anas Mohammed Abusabah, Mofareh Ahmed M Asiri, Hassan Adel H Alasiri, Bandar Mohammed Moshabbab Asiri, Hamad Mohammed Abusebah
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525115

Relationship Between Early Onset Type 2 Diabetes Mellitus And Late-Night Dinner Along With Skipping Breakfast In AL Madinah, Saudi Arabia: Case Control Study
Amal Adnan Arruhaily, Nadiyah karim Alenenzi, Farah Asad Mansori
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525117

Regional Covid

Acceptance of a COVID-19 vaccine and its related determinants among the general adult population in Jeddah, Saudi Arabia
Fathi El-Gamal, Amira Mohammed, Assmaa Shaker, Noor Aljohani, Yara Alasli
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525120

Neurological Manifestations of COVID-19
Alaa Salah AG Alsharei, Safaa Elbashir
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525121

Population and Community Studies

Perspective of Adolescents Regarding Need of Adolescent Health Services; A Mixed Method Study in Rawalpindi, Pakistan
M Zubair Rafique, Hassan Mumtaz, Hassan ul Hussain, Sadaf Rashid, Namrah Hussain, Humaira Mahmood, Amara Arshad
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525118

Review

Prevalence of Depression in adults with type 2 Diabetes Mellitus in the Middle East countries and the factors associated with it: A systematic review
Sabit Sunwar
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525123

Case Study

Diagnosing Boerhaave Syndrome in a 16-year-old girl in a primary care centre
Javed Khan, Abdul Muhid, Farah Mushtaq
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525125

Original Clinical Research

Predictors of COVID-19 Disease Course and Pulmonary Insult
Diana S. Al-jammal, Shefa S Almashaqbeh, Samer F. Alqudah, Walid Ahmed Al-nozami, Raad Y Altahat
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525126

An outbreak investigation of extensively drug-resistant Acinetobacter baumannii cases in the intensive care unit of Al-Qatif Central Hospital, Saudi Arabia
Faris Maeed Alqahtani, Shady A. Kamel, Sami Almudarra, Alaa A. Mathkour
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525127

Vaccination against Influenza among Health Care Workers in Al Mashaer during Hajj 2019 (1440 H); Uptake and Barriers
Faris Maeed Alqahtani, Shady A. Kamel, Sami Almudarra, Alaa A. Mathkour
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525128

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
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August 2022 - Volume 20, Issue 8

Predictors of COVID-19 Disease Course and Pulmonary Insult

Received: June 2022 Accepted: July 2022; Published: August1, 2022. Citation: Diana S. Al-jammal et al.. Predictors of COVID-19 Disease Course and Pulmonary Insult. World Family Medicine. 2022; 20(8): 93-97 DOI: 10.5742/MEWFM.2022.9525126

Abstract


Background: The novel coronavirus disease COVID-19 first appeared in Wuhan, Hubei. It is crucial to identify patients who are susceptible to severe forms of the disease. Imaging has an important role in the confirmation and treatment of COVID-19 pneumonia.

Aim: To assess the predictors of the COVID-19 disease course and pulmonary insult.

Methods: Our retrospective investigation included 115 patients with COVID-19, with a median age of 49.1-66.3 years old, at King Hussein Medical Center, Amman, Jordan. Patients were assigned into one of two groups based on the disease course: group I (n=63) included patients with moderate disease and group II (n=52) included patients with severe disease. Computed tomography (CT) scores of pulmonary insult were determined. Baseline CT findings showed ground-glass opacity, consolidation, crazy-paving pattern and reticular shadow. Each lung region was scored using the five-grade scale to calculate the CT score. Independent factors of moderate COVID-19 were evaluated using binary logistic regression. Multivariate logistic regression was used to predict the CT score in COVID-19.

Results: The independent factors for the COVID-19 disease course were baseline CT score (P < 0.05) and C-reactive protein (CRP) (P< 0.05). The factors for pulmonary insult were age, neutrophil, lymphocyte and CRP levels and CT score (P < 0.05). The cut-off value for CRP was 19.0 and the cut-off value for CT score was 9.0.

Conclusion: Age, baseline CT score, CRP, neutrophil and lymphocyte percentages may predict the CT score of pulmonary insult. A CRP value of more than 19 and baseline CT score of more than 9 were independent factors of severe COVID-19 disease.
Keywords: COVID-19, moderate, severe, pulmonary insult, computed tomography score, neutrophil, lymphocyte, CRP, age.

 







 


 

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