- Konuralp Tıp Dergisi
- Vol: 14 Issue: 1
- Initial Signs and Symptoms in Suspected Patients Admitted to Triage Outpatient Clinic of Coronavirus...
Initial Signs and Symptoms in Suspected Patients Admitted to Triage Outpatient Clinic of Coronavirus Disease 2019 (COVID-19): A Single-Center Experience
Authors : Yusuf Çetin Doğaner, Ümit Kaplan, Ümit Aydoğan, Aysun Yalçi, Mine Filiz, Hatice Turhan, Sevgi Sökülmez Yildirim, Uğur Bozlar, Ismail Yaşar Avci, Mustafa Taşar
Pages : 146-151
Doi:10.18521/ktd.1052381
View : 22 | Download : 4
Publication Date : 2022-03-14
Article Type : Research
Abstract :Objective: Coronavirus disease (COVID‐19) is a worldwide pandemic with a huge burden of illness, high economic costs, and mortality rates. This study sought to compare clinical signs and symptoms among adult COVID‐19 patients admitted to triage outpatient clinics. Methods: In this observational retrospective study, clinical symptoms, biochemical parameters, and chest computed tomography (CT) of 1745 suspected patients admitted to COVID-19 triage outpatient clinic between 01 April 2020-01 September 2020 were analyzed. Results: A total of 650 (37.2%) of 1745 patients who were admitted to the triage outpatient clinic were diagnosed as COVID-19 by PCR confirmation. Of the participants, 88.1% had at least one symptom, 11.9% were asymptomatic. Almost half of the patients (50.1%) had a history of exposure including contact with COVİD-19 confirmed cases. COVID-19 (+) patients were more diabetic and hypertensive than negative cases. In patients who underwent chest CT imaging, 40.6% (310) had pneumonic infiltrations compatible with COVID-19 pneumonia. Hemoglobin, leukocyte, neutrophil, lymphocyte, and platelet counts were lower, but CRP levels were higher in patients with COVID-19. Multivariate logistic regression analysis revealed that older age (OR=1.020; p=0.018), contact with confirmed COVID-19 patient (OR=1.907, p=0.009), fever (OR=1,588, p=0,001), fatigue (OR=2.075, p=0.009), cough (OR= 2.301, p<0.001) were significantly associated with increased odds of PCR (+) status. Conclusion: Predictive factors associated with PCR (+) test results were older age, history of contact with confirmed COVID-19 patient, high fever, fatigue, cough in our study. Some symptoms could have a significant relationship with PCR positivity, which requires a more careful approach during the first admission to healthcare facilities.Keywords : COVID-19 virus, Polymerase Chain Reaction, Signs and Symptoms