A Study on 696 COVID-19 Cases in Basrah-Southern Iraq: Severity and Outcome Indicators A Study on 696 COVID-19 Cases in Basrah-Southern Iraq: Severity and Outcome Indicators

Main Article Content

Basim AA. Al Hijaj
Ali K Al-Rubaye
Ziyad Tariq Al-Hashim
Mustafa A Mohammed
Omran S Habib

Keywords

COVID-19, Basrah, Case fatality, COVID severity

Abstract

Background: COVID-19 epidemic is escalating in Basrah regardless of the efforts to abate the wave of new cases.
Objectives: To present a profile on the demographic and selected clinical characteristics of COVID-19 cases reported in Basrah from March 9 to May 19, 2020.
Patients and Method: A record-based observational study was conducted in Basrah. Data were compiled from all available sources on the cases reported between March 9 and May 19, 2020. Data included age, sex, residence, occupation, date of onset of detection of infection, severity of clinical condition, and fate in terms of cure, continuing treatment, or death. Excel and Statistical Package for Social Sciences programs were used for data-base generation and for statistical analysis.
Results: A total of 696 cases were identified, with ages ranging from < one year to 99 years. Males accounted for 42.5% and females for 57.5%. Most of the cases were from Basrah city and the district of Hartha. Housewives and self-employed people represented a majority of cases (28.4 and 21.6% respectively). Most of the cases were either asymptomatic (51.3%) or with mild condition (30.3%). Critical cases represented a small proportion (3.2%) and case fatality was relatively low (2.6%). The presence of co-morbidity, older age and travel history were significant predictors of both severe cases and higher case fatality.
Conclusions: COVID-19 cases in Basrah was found among young people, predominantly females, and the fatal outcomes are predicted by severity, older age, and presence of co-morbidity

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References

1. WHO. Novel Coronavirus – China World Health Organization [Internet]. Available from: http://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/ Accessed on 5 July 2020.
2. Cao M, Zhang D, Wang Y, Lu Y, Zhu X, Li Y et al. Clinical features of patients infected with the 2019 Novel Coronavirus (COVID-19) in Shanghai, China [Preprint]. 2020 [cited 2020 Jul 6]. doi: https://doi.org/10.1101/2020.03.04.20030395 Available from: https://www.medrxiv.org/content/10.1101/2020.03.04.20030395v1.
3. European Centre for Disease Prevention and Control. Outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): increased transmission beyond China − fourth update. ECDC: Stockholm; 2020 Feb 14.
4. COVID-19 Map [Internet]. Johns Hopkins Coronavirus Resource Center. [cited 2020 Jun 27]. Available from: https://coronavirus.jhu.edu/map.html
5. A Al-Hilfi RA, Majeed YY, Ali SS, Shanan B, Banoosh AK, Muften AB. COVID-19 situation report nos. 2. Ministry of Health. Directorate General of Public Health, Field Epidemiology Training Programe. Baghdad, 2020 Apr 13.
6. Ministry of Health, Iraq. Posts [Internet 2020] [cited 2020 Jun 19]. Available from: https://www.facebook.com/MOH.GOV.IQ/photos/a.860171854037214/2840429512678095/?type=3
7. Lippi G, Mattiuzzi C, Sanchis‐Gomar F, Henry BM. Clinical and demographic characteristics of patients dying from COVID-19 in Italy vs China: letter to the editor. J Med Virol. 2020 Apr 10 [cited Accessed on 2020 Jun 27]. https://doi.org/10.1002/jmv.25860. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/jmv.25860
8. Habib OS, Alkanan AK, Abed AH, Mohammed NQ. Epidemiological features of COVID-19 epidemic in Basrah province–southern Iraq-first report. The Medical Journal of Basrah University. 2020;38(1):6–17
9. Guan W, Ni Z, Hu Y, Liang W, Ou C, He J et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020 Feb 28. doi: 10.1056/NEJMoa2002032. [Epub ahead of print]
10. Young BE, Ong SWX, Kalimuddin S, Low JG, Tan SY, Loh J, et al. Epidemiologic features and clinical course of patients infected with SARS-CoV-2 in Singapore [Internet]. JAMA. 2020 Mar 3;e203204. doi: 10.1001/jama.2020.3204.
11. Goyal P, Choi JJ, Pinheiro LC, Schenck EJ, Chen R, Jabri A et al. Clinical characteristics of Covid-19 in New
York City: a letter to the editor. NEJM 2020; 382:2372–2374. doi: 10.1056/NEJMc2010419
12. Al-Hilfi RA, Majeed YY, Ali SS, Shanan B, Banoosh AK, Muften AB. COVID-19 situation report nos. 5. Ministry of Health. Directorate General of Public Health, Field Epidemiology Training Programe: Baghdad; 2020 May 18.
13. Al-Hilfi RA, Majeed YY, Ali SS, Shanan B, Banoosh AK, Muften AB. COVID-19 Situation report nos. 7. Ministry of Health. Directorate General of Public Health, Field Epidemiology Training Programe: Baghdad; 2020 Jun 8.
14. Al-Mayah AM, Muhsin HS, Habib OS. Demographic and health characteristics of two populations in Basrah. THi Qar Medical Journal 2018; 18(2):71–79.
15. The World Bank. Population ages 65 and above (% of total population). Available from https://data.worldbank.org/indicator/SP.POP.65UP.TO.ZS?view=chart. Accessed on 20 July 2020
16. Barone-Adesi F, Ragazzoni L, Schmid M. Investigating the determinants of high CASE-fatality rate for Coronavirus disease 2019 in Italy. Disaster, Medicine and Public Health Preparedness 2020; doi:10.1017/dmp.2020.106
17. Habib OS, Jassim HA, Alshihaby WJ, Mohammed MA. The dynamics of COVID-19 epidemic in Basrah-second report. The Medical Journal of Basrah University 2020; 38(1):19–28.
18- Aggarwal G, Cheruiyot I, Aggarwal S, Wong J, Lippi G, Carl J et al. Association of cardiovascular disease with Coronavirus disease 2019 (COVID-19) severity: a meta-analysis. Current Problems in Cardiology 2020; 45:8, 100617.
18. Toraih EA, Elshazli RM, Hussein MH, Elgaml A, Amin M, El‐Mowafy M et al. Association of cardiac biomarkers and comorbidities with increased mortality, severity, and cardiac injury in COVID‐19 patients: A meta‐regression and decision tree analysis. Journal of Medical Virology 2020; 22

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