Evaluation of demographic status and related factors in mortality of patients suspected of COVID-19 admitted to Razi Hospital in Rasht

Introduction: SARS-CoV2 is the third strain from Corona family with zoonotic roots which has spread among humans from the beginning of this century. We conducted this study to examine mortality and its related factors among all patients admitted to Razi Hospital with suspicion of COVID-19 between February and April 2020. Materials and Methods: In this analytical cross-sectional study,after obtaining permission from the ethics committee under the university’s research deputy, the required information such as demographic data, clinical symptoms and imaging study results was collected by reviewing records of all patients with COVID-19 suspicion. Results: From 1792 cases, 1045 patients were male and 747 patients were female. Mortality was 27% in all patients and 30% and 22% in men and women. The highest hospitalization rate was in the age group of 51-60 years and the highest mortality rate was in the age group of 81-90 years. 1472 patients lived in urban areas and 316 patients in rural areas. 997 patients had 93% O2 Saturation and less, of which 36% died. PCR test was performed for 505 patients, of which 69% were positive. Chest CT scan was performed in 96% of patients and chest X-ray was performed in 66% of patients with COVID-19.The most common symptoms were shortness of breath, cough, fever, chills, weakness, nausea and headache, respectively. The highest mortality was in patients with impaired consciousness at the beginning of hospitalization. Conclusion: The results of the present study showed that male gender, older age, history of underlying disease, Chest x-ray involvement, drug use, shortness of breath and lesser O2 Saturation are associated with adverse outcomes, constitutional and gastrointestinal symptoms are associated with better outcomes in patients with COVID-19

Frequency of Seroma and Associated Factors after Inguinal Hernioplasty: A Brief Report

Background and purpose: Seroma formation is one of the most common complications of hernioplasty surgery. Identifying the factors associated with seroma is useful to prevent this complication. The present study aimed at investigating the frequency of seroma and related demographic and clinical factors after inguinal hernioplasty. Materials and methods: This cross-sectional study was performed in 130 patients with primary inguinal hernia who underwent inguinal hernioplasty using mesh in Rasht Poursina Hospital, 2019. Any accumulation of fluid at/around the surgical site that caused obvious bulging and discomfort, pain, and heaviness that required needle aspiration was considered to be seroma. The frequency of seroma was assessed at 24 hours, one week, and one month after the surgery. Demographic and clinical variables were assessed by oral questioning and reviewing the medical files. Statistical analysis was performed in SPSS V20. Results: Seroma was seen in 5 (3.8%) (95% CI: 1%-7%), 8 (6.2%) (95% CI: 2%-10%), and 7 patients (5.4%) (95% CI: 1.3%-8.7%) at 24 hours, one week, and one month after the surgery, respectively. Conclusion: Similar descriptive studies including larger sample size and experimental studies are needed to accurately investigate the relationship between demographic and clinical factors and the incidence of seroma after hernioplasty surgery. Also, assessing the effectiveness of various surgical techniques is of great help in preventing this complication