The Final diagnosis of patients with negative PCR according to clinical and paraclinical findings that admitted in COVID 19 ICU in Imam Reza hospital during February 2020 and March 2020

Abstract

At the end of 2019, a new viral disease first spread in China caused by a type of corona virus. Hospitalization of patients with similar symptoms in coronary wards, in addition to increasing the cost of treatment, increases the risk of infection of these patients with the coronavirus and wastes the time of diagnosis and treatment of these patients The aim of this study was to evaluate the final diagnosis of patients admitted to intensive care units of coronary patients and to identify individuals who were not infected with COVID-19 but were admitted to those wards and to examine their main diagnosis. And differentiate them from patients with COVID-19 so that in the future, due to the continuing epidemic, fewer patients will be admitted to these wards with another diagnosis . Materials and Methods: In this study, the population of patients admitted to Corona Intensive Care Unit was studied. These individuals were based on laboratory findings and the content of the medical record with the opinion of the physician and according to the inclusion criteria. Patients admitted to the intensive care unit of Covid 19 disease whose PCR results were negative were examined for clinical, laboratory, and radiological symptoms. Results: In this study, there was a statistically significant relationship between decreased level of consciousness and cough and final diagnosis (p value: 0.001). But there was no statistically significant relationship between other symptoms and final diagnosis. The most cough was in patients with Covid 19, which can be used to differentiate between CHF and covid-19, which is less common in patients with CHF than in patients with coronavirus, and this difference is statistically significant Was. There is a significant difference in loss of consciousness between coronavirus and pneumonia, which in people with pneumonia was much greater than Corona. There was also a statistically significant relationship between radiological findings and final diagnosis. In a way, PVC conflict is more in favor of cardiac causes and peripheral GGO is more in favor of COVID cause There was no statistically significant relationship between the presence of risk factor and outcome.