| چکیده انگلیسی مقاله |
Introduction and Objective: With the global outbreak of COVID-19, the need for medical interventions, especially intubation in severely ill patients, has significantly increased. This study aims to investigate the factors associated with the need for intubation in patients with COVID-19.
Methods: This cross-sectional study was conducted with a required sample size of 121 individuals, divided equally into two groups of 61 patients each. The sampling was done through convenience sampling at Kamkar Hospital in Qom. We reviewed the files of all patients admitted with a diagnosis of COVID-19. A checklist was completed for each patient, and data were collected based on the clinical and paraclinical manifestations of the patients. Subsequently, the outcomes of patients who were admitted to the intensive care unit (ICU) based on the clinical decision of the specialist physician were compared, and the obtained information was evaluated to determine the factors associated with intubation in hospitalized COVID-19 patients in the ICU. Descriptive statistics, including mean, standard deviation, percentage, and frequency, were used for data analysis, with the analysis performed using SPSS version 22. For the analysis of quantitative data, independent t-tests were used, and chi-square tests were utilized for qualitative variables. A significance level of less than 0.05 was considered.
Results: The results showed no statistically significant difference between the mean age, gender, history of addiction, blood pressure, pulse rate between the two groups (P>0.05). However, there was a statistically significant difference in the frequency of underlying diseases, respiratory rate, arterial blood oxygen levels, lymphocyte count, ESR, CRP, LDH, urea, and creatinine between the two groups (P<0.05).
Conclusion: The results of our study can assist in improving clinical decision-making regarding the intubation of COVID-19 patients and help develop more effective therapeutic strategies. Further research is recommended to identify and explore additional specific factors in this area.
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