Clinical Characteristics and Reproduction Number of Coronavirus Disease (COVID-19) Cases in Markazi Province in Iran.

Background: The first case of Coronavirus Disease (COVID-19) was reported in Iran on February 19, 2020. This study aimed to assess the characteristics and reproduction number (R) of COVID-19 in Markazi province in Iran. Methods: This is a cross-sectional study. Confirmed cases (N=2430) in the region...

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Publicado en:International Journal of Community Based Nursing & Midwifery Vol. 9; no. 1; pp. 18 - 30
Autores principales: Moradzadeh, Rahmatollah, Zamanian, Maryam, Amini, Saeed, Kalantari, Masoumeh, Nazari, Javad
Formato: pictorial research tables/charts Journal Article
Publicado: Shiraz University of Medical Sciences Winter2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Winter2021
      vid: 9
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      pub: Shiraz University of Medical Sciences
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        10.30476/IJCBNM.2020.86339.1338
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        atl: Clinical Characteristics and Reproduction Number of Coronavirus Disease (COVID-19) Cases in Markazi Province in Iran.
      aug:
        au:
          Moradzadeh, Rahmatollah
          Zamanian, Maryam
          Amini, Saeed
          Kalantari, Masoumeh
          Nazari, Javad
        affil: Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran
      sug:
        subj:
          COVID-19 Epidemiology
          COVID-19 Symptoms
          Basic Reproduction Number
          Human
          Cross Sectional Studies
          Iran
          Fatal Outcome
          Incidence
          Adolescence
          Adult
          Middle Age
          Residence Characteristics
          Aged
          Maps
          Descriptive Statistics
          Data Analysis Software
          Chi Square Test
          Cardiovascular Risk Factors
          Confidence Intervals
          Diabetes Mellitus, Type 2 Risk Factors
          Cough
          Fever
          Dyspnea
          Male
          Female
          Poisson Distribution
          Child, Preschool
          Child
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Male
          Female
      ab: Background: The first case of Coronavirus Disease (COVID-19) was reported in Iran on February 19, 2020. This study aimed to assess the characteristics and reproduction number (R) of COVID-19 in Markazi province in Iran. Methods: This is a cross-sectional study. Confirmed cases (N=2430) in the regions covered by Arak University of Medical Sciences from Feb 20 to Aug 26, 2020 were enrolled in the study. The included variables were clinical and demographic characteristics of COVID-19 patients. The case fatality rate (CFR), incidence rates, and R were estimated based on the daily reported data. For estimating R, generation time was assumed on multi scenarios. R was estimated by R0-package. Moreover, Chi square test was applied. All the analyses were performed in STATA, Excel, ArcMap and R. A p-value less than 0.05 was considered as statistically significant. Results: The mean age of the participants was 51.78±20.58 years, and 206(8.50%) cases were among healthcare workers. Among the patients, 499(20.50%) had a history of cardiovascular diseases and 337(13.90%) diabetes type 2. The most prevalent symptoms were cough 1347(55.40%), fever 1233(50.70%), and dyspnea 960(39.50%). The highest incidence rate of COVID-19 in the study area (Delijan) was 575.35 per 100,000 persons. CFR was 205(8.40%). At the end of the study period, R was calculated as 1.04 (CI 95%: 1.00, 1.08) in all districts of Arak University of Medical Sciences. The highest R (1.08, 95% CI: 1.06, 1.10) was observed in Farahan. Conclusion: As R is slightly high, the risk of epidemic has reduced gradually. However, observing social distance and related guidelines are still recommended.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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